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HomeMy WebLinkAbout2016-00740 - plumbing , , CITY OF ORONO * z 0 1 6 - 0 0 7� � 2750 KELLEY PARKWAY DATE ISSUED: 06/24/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 908 DAKOTA AVE PIN : 26-118-23-33-0022 LEGAL DESC : JOHNSTONS RGT ALBEES LONG LAKE : LOT 007 BLOCK 000 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENT[AL CONSTRUCTION TYPE : WATER HEATER NOTE: WATER HEATER VALUATION OF PLUMBING 500 APPLICANT PLUMBING FIXTURE FEE 50.00 STATE SURCHARGE PLBG(VALUATION) 0.30 APPLIANCE CONNECTIONS, [NC. MAIL-IN FEE 2.00 12850 CHESTNUT BLVD SHAKOPEE, MN 55379- TOTAL 52.30 (952)445-4803 Payment(s) Minnesota State License#: mech-MB004165 CHECK 8105 5230 OWNER KNUTSON, SCOTT&JULIE 908 DAKOTA AVE LONG LAKE,MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separa[e permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This 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.This permit may be revoked at any time for due cause. r , G� � �(. �� � /Z� /�� Applicant Permitee Signature Date Issued Signature Date t p City of Orono !� FOR C{TY USE ONLY � � �O P.o. aox ss RECEIVED ' patz Received: �% `�7�{'=' I _ �' � ` 275Q Kelley Parkway i .� �. Crystal Bay, MN 55323 ,,)�� 2 4 ZO�6 � P��mit# � ��'���, � � �! �' c? (952')249-4bC)0-Main � ApprOved By. ����` f"��Fsao��' (952)249-46�6- Fax. C►TY OF ORONO � Amount$: `'' r� � CITY OF ORONO — PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) htta://www.dli.mn.aov/CCLD/PDF/pe plumbplanrevapp.pdf ._ . _, . . .. - � y:.; ��,� p r .: `�v wa3 i" �S t�� � i v �� w�3 �ra� ti-3`,�� r '�' . „s's� `f�..0 au„��+.k,.�"kir.�s"'"`�<� w.r�a,� �: '��y'f ...�>�.�':nM`�f`.1" 1. You may apply for plumbing permits by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within finro working days. 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UN i iL YGU �tCEf\/E A i'EhN1iT. Wl7RK MUST NOT BEGIN UN71L THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners residing in the dwelling. 4. When any new construction or remodeling is involved, a separate building permit 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. Call (952) 249-4600. (24-48 hour notice required) ,_ ,r m~,r k�, �r� �,a � , r- �,.'���¢..� ,,� , � , ,, �;.'���C4F-PERiVtlT�Check A[1 That A�p1y� �Residential ❑ Commercial (Approval Required) ❑ New ❑ Additional ❑ Repairs Replace ❑ In Accessory Structure? *You will need qrior approval and may need CUP. (Per Orono City Code, Chapter 78, Article I� k� A�� �� �� _ � j' A�}r�,'� t,� h;. 5[�.'�{Y'�i �"�.�"If T 9^'rN..1i"�•':��. Site Address: � �C�%t. �l/`�� Owner:��'l�l`T- 4_-1'(,v���/l� �riailing Address: ��� ��K-O''� %�C� �-- c�t�: �� z�p: ��� 5� Home Phone: Alternate Phone: :.r.*"4 y,x�:,. +t�,�cr���,.d � �.+ .,�y �, . `x �.. ����� y � - - ',�i�-�""i .y r Contractor: t � Contact Person: � Add ress ��g Jc� ��10���t�-�- �� �/1 State Bond #: � C�tY� `� � ��-�Q Zip: � J�� Expiration Date: Phone: ��a' `-t�`�� `-t"0 �� � Altemate Phone: ❑ Insurance - Current: Page 1 . FIXTURE BSMT 1sT 2ND OTHER FIXTURE BSMT 1s-r 2ND OTHER TYPE Floor Floor TYPE Floor Floor Water Cioset Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous 1. CONTRACT PRICE * is 1.25% of contract price with a (Minimum Fee of$50.00) x .0125 $ (contract price) (minimum $50.00) 2. STATE SURCHARGE x .0005 $ (contract price) 3. POSTAGE � HANDLI(dG (Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ 5a•�� * CONTRACT PRICE or JOB COST means the actual or estimated dol�ar amount charged for the permitted work including materials, labor, profit, and other fixed costs. It is the amount to be charged to the customer for the work done. If any 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 estimated cost or contract price for permit fee purposes. In the event that 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 undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all work 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: � �� Building Official/ Inspector: Date: Page 2 i t � ,,�i , DATE TIME � CITY OF ORONO CALLED IN —� INSPECTION NOTICE SCHEDULED _,i��G �`�`' PERMIT NO.�j�c -�O�u U COMPLETED ADDF�ESS �L` �J L�C� I[- ��� C� �-t,"-�. OWNER TELEPF�ONE NO. C%c��� �-����l�rC�`J CONTRACTOR �� t��I Il��. � C D � � DESCRIPTION ' :� ���C�-� �--�«`�.�' � lL ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL ��VY�' Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERfCONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a O ��2 ��G 1- � � ��C'//''C��2C�� ----�' � 0 � � � V'� G�' GT 1 �i�'Cl � � Q � a E' ��t z � � w � j d W� ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � CORRECT WORK,CALL FOR REINSPECTION TEMPORARY EFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (J52� 249-4600 OwnerlContra on site: Inspector. White Copyllnspector's File Canary CopylSite Notice J,�•�� `r• �'� DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED � �.� > e-�"7 PERMfT NO.� � � COMPLETED ADDRESS ��- ��+� / T� OWNER TELEPHONE N �' � � " � ��_�Q�j CONTRACTOR ���' ��/�1� � DESCRIPTION ��C � t �C� �l C '� �-C,f C - P"�' � ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL J�" �.� / Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNER/CONTRACTOFi TO MEET YOU:_YES_NO � COMMENTS: c�" � �f-��1C� � S�1S� a C`C�i'c� �-v� �( � oy� �.� C +� :�ic�� j � o ��c � � 0 � W ,�� � Q � 2 W � W � J d W ❑WORKSATISFACTORY:PROCEED ❑PROJECTCOMPLETE � ❑CORRECT VYORK 8�PROCEED SUE CERTIFICATE OF OCCUPANCY W O ❑CORRECTVYORK,CALI FOR REINSPECTION TEMPORARY V BEFORE CWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hou in advance. (95� 9-46�0 OwneNContractor on site: Inspector. � � �� /, White Copyflnspector's File !� Canary CopylSfte Notice