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Home My WebLink About2009-00504 - plumbing , • • CITY OF ORONO PERMIT NO.: 2009-00504 2750 KELLEY PARKWAY ORONO, MN 55356- �A7'E tssuEn: 08/19/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 3485 CRYSTAL PL PIN : 17-117-23-43-0011 LEGAL DESC : NAVARRE HEIGHTS : LOT 008 BLOCK 002 PERMIT TYPE : PLUMBING (<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES - MULTIPLE NOTE: ROUGH IN P'OR FUTURF,WATER CLOSET AND FLOOR DRAIN. APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 LARSON,JASIN STATE SURCHARGE PLBG (<$500) 0.50 3485 CRYSTAL PL WAYZATA, MN 55391- TOTAL 15.50 PAID WITH CC# 6969 OWNER LARSON,JASIN 3485 CRYSTAL PL WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issucd shall be peribrmed according to the approved plans and specifications,applicable City approvals,and thc State Building Code. This permit is for only the work described and does not gran[permission for additional or rclated work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whethcr or not specified herein."I his permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of�issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code."I his permit may be revoked a y time for due cause. � / �� / �� / / Ap ant mrtee Signalure Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. ' FOR CITY USE ONLY ��` Cit��of Orono g' `V� P.O.Box 66 Date Received: Permit# ��,:,��,,,. � � 2750 Kelley Parkway a �?�;sr� �� Crystal Bay,MN 5�323 Approved By: � Amount$: ��g�� (952)249-4600 � CITY OF ORONO — PLUMBING PERMIT (All Commercial permits must bc approved by thc Buildine Official or Inspcctor) � GENERAL INFORMATION I 1. You may apply for plumbing perniits by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two working days. 2. Pernzit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID LT;TIL YOLi RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB STTE. 3. Plumbing permits may be issued ONLI'to licensed plumbing contractors and to property owners residing in the dwelling. 4. When any new construction or remodeling is involved, a separate.building pernut must be obtained. 5. All work must be done�in accordance with State Code requirements. 6. All work must be inspected and air tested before it is covered. Cal] (952) 249-4600. (24-48 hour notice required) TYPE OF PERMIT (Check All That Apply) �Residential ❑ Commercial(Approval Required) �New ❑Additional ❑Repairs ❑ Replace �In Accessory Structure? *You will need nrior appro��al and may need CUP. (Per Orono City Code, Chapter 78, Article IV) Job Site/�Owner Information: Site Address: � ��S �r�,�� i�� CL Owner: ��5,� � �,rSG.� Mailing Address: S`�wt� City: ��^�i� Zip: �� `�� Home Phone: �'�2 Z�'`% �7Z� Alternate Phone: �,,,�r. CDntractor Infornlation: Contractor: Contact Person: Address: State Bond#: City: Zip: Expiration Date: Phone: Alternate Phone: ❑ Insurance— Current: 1 PLUMBING FIXTURES BEING INSTALLED � FIaTURE BSMT ' 1` 2 OTHER FIXTURE BSMT 1' ' 2 OTHER TYPE FL FL TYPE FL FL Water Closet � Floor Drains � Lavutary Sewer Ejector Bathtub Laundry Tray Shower W asher � Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous � � � PERMIT FEE CALCULATION(S) � � BASED OFF- 2002 STATE STATUE ! � ❑ Yes, this section applies The replacement of a Residential fixture or appliance that meets all three of the following requirements: 1. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less; excludine the cost of the fixture or appliance: and 3. Is improved, installed or replaced by the homeowner or licensed contractor. Skip next section, if this applies; Cost of Permit $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ �.—�--- Total Permit Fee $ � (�� (Permit Fees Continued On Next Page) � PERMIT FEE CALCULATION S '—JOBS OVER $500.00 If above does not apply; follow guidelines below: 1. CONTRACT PRICE * is 1.25°�0 of contract price with a(Minimum Fee of'$50.00) x .0125 $ (contract price) (minimum 550.00) 2. STATE SURCHARGE **Add the State Bld�Code Di��. Surcharge(nlinimum Fee of�.50) x .000� $ (contract price) (minimum� .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the perniitted work including materials, labor,profit, and other fi�ed costs. It is the amount to be charged to the customer for the wark done. If an5�material, equipment, labor or installations are furnished by the owner, tenant or any other party, the reasonable market value of such items must be added to the esrimated cost or contract price for permit fee purposes. In the event tbat there is a dispute on the amount of the job cost, the City may request the submission of a signed copy of the actual contract. ■ ** The STATE SURCHARGE is .0005 of the contract price under $1,000,000 or $.50—whichever is �reater. For valuarions over�1,000,000 call the Buildina Department at(952)249-4600 for the price. PLUMBING PERMIT APPLICATION AGREEMENT 'j The undersib ed hereby applies to the City for issuance of a Plumbing Permit, agrees to do all wark in strict accordance with the ordinances of the City and the regulations of the State of Minnesota, and certifies that all statements made on this application are complete, true and correct. Applicant's Signature: ' Date: �' ��v�j 3 DATE TIME , / CITY OF ORONO CALLED IN 1� INSPECTION NOTICE SCHEDULED � �� PERMIT NO. a��9-oDSp� COMPLETED ADDRESS ��0 -S �-� OWNER CONTR. TELEPH E NO. ��Z Z�9 �7Z / � DESCRIPTION LLv!'n.�l�lL �//�TC?3T � ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE Q ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL � ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J O a � O � W � Q � Z W � W � � � d WORKSATISFACTORY:PROCEED Ci PROJECTCOMPLETE � C CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W � ❑ CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. L, pHOTO TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (J52� 249-460� OwnerlContractor n site- Inspector. l�./ �� • ��S White Copyll�spector's File Canary CopylSite Notice �� AT TIME CITY OF ORONO CALLED W g� � � INSPECTION NOTI E SCHEDUIED �4 a-�.� PERMIT NO��d�-4aJ�4� MPLETED ADDRESS �S �J OWNER TR. TELEPHONE NO. � DESCRIPTION �` O —� � ❑ FOOTING � MECH I AL RI ❑ EXCAV/GRADING/FILIING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ �J PLUMBING RI ❑ SEPTIC FINA� ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W /�/'0 ?r �?�c3�hj � � � O � � O � W � Q � Z W � W � � a W ❑WORKSATISFACTORY:PROCEED f� PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED 1-' ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� 249-46QQ OwnerlContractor site: Inspector. �''— White Copy/lnspector's File Canary Copy/Site Notice