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Home My WebLink About2016-00511 - plumbing � CITY OF ORONO * Z 0 1 6 - 0 0 5 1 1 * 2750 KELLEY PARKWAY DATE ISSUED: OS/12/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 25 CYGNET PL PIIY : 04-117-23-22-0007 LEGAL DESC : SWAN LAKE ADDN : LOT 001 BLOCK 001 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCT[ON TYPE : FIXTURES-MULTIPLE NOTE: REPLACE: 1 WATER CLOSET,2 LAVATORY, 1 KITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER, VALUATION OF PLUMBING 10200 APPLICANT PLUMB[NG F[XTURE FEE 127.50 STATE SURCHARGE PLBG(VALUATION) 5.10 PROMECH LLC TOTAL 132.60 12110 IDAHO AVE N CHAMPLIN, MN 55316- Payment(s) CHECK 8506 132.60 (612)518-3066 Minnesota State License#: plbg-PC643548,mech-MB005382 OWNER MCLEAN, SEAN&MARIE 25 CYGNET PL LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this pemiit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State[3uilding Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compicd 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 I80 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 !� revoke at any time for due cause. � 1 � ' � Z �� S� � , ! z , � l� A icant Permitee Signature� Date Issued By Signature Date L � . /p� City of Orono FOR CITY USE ONLY � Q` O P.O. Box 66 Date Received: �T��_�/(o (( 2750 Kelley Parkway Zd `� - �U 5 �. y� � � Crystal Bay, MN 55323 Permit# � �" c> (952)249-4600-Main !7'rfSHo�� (952)249-4616—Fax Approved By: Amount$: Z -�-0 v CITY OF ORONO — PLUMBiNG PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) http://www.dli.mr�.qov/CCLD/PDFIpe plumbplanrevapp.pdf GENERAL INFORMATION 1. You may apply for plumbing permits by maii or in person at the City offices. Applications will be reviewed and a permit will be issued within two working days. 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL 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) TYPE OF PERMIT(Check All That Apply) [v]'FZesidential ❑ Commercial (Approval Required) [Backflow Device: ❑AVB ❑ PVB] ❑ New ❑ Additional ❑ Repairs [�eplace ❑ In Accessory Structure? *You will need prior approval and may need CUP. (Per Orono City Code, Chapter 78, Article IV) Job Site / Owner Information: Site Address: ZS C'„q,,.�- P/�..c_. -T Owner: l�� L��v Mailing Address: S�Q2n�' .8�s sr�lt City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: ��v I�rc:� 1�L Contact Person: �,,, [:(�!•�� Address: /ZI/t� ,;�c�=� ��— itJ State Bond #:�''��'�S5'� City: (;l�„a-„.a l��►. ,�� Zip: SS��%� Expiration Date: i�3j�i`7 Phone: �;>Z "'.�%b�' �t��a� Alternate Phone: 7,6"� �5�� .3�'a"7 � Insurance — Current: Page 1 , . r . PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT 1sT 2"o OTHER FIXTURE BSMT 1sr 2ND OTHER TYPE Floor Floor TYPE Floor Floor Water Closet I Floor Drains Lavatory � Sewer Ejector Bathtub Laundry Tray Shower � Washer Kitchen Sink � Water Heater Disposal � Water Softener Dishwasher � Wet Bar Sillcocks Miscellaneous PERMIT FEE CALCULATION � 1. CONTRACT PRICE * is 1.25% of contract price with a (Minimum Fee of$50.00) �� f�y � x .0125 $ (contract price) (minimum $50.00) 2. STATE SURCHARGE x .0005 $ (contract price) 3. POSTAGE 8� 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 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. PLUMBING PERMIT APPLICATION AGREEMENT 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 mad�n this appl� tion are complete, true and correct. �f� ApplicanYs Signature: �v�•-r Date: S//4//� Building Offici nspector: Date: Page 2 r �j �a �-�� C`� � DATE T CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED � \F� PERMIT NO.��L� �� COMPLETED ADDRESS �� h-��" �`��- OWNER TELEPHONE NO. ��'-3 � �'� CONTRACTOR �omo�� DESCRIPTIO �"�-� `` �10� Q41 ❑ FOOTING ❑,,,��DEMO-FINAL ❑ SEPTIC FINAL ❑ POURED WALL �rLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF �❑`�LUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ��' ❑ 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 Z v ❑ DEMO-SITE ❑ PTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU• YES_NO v�i COMMENTS: � W a J � O � � O � W � Q � 2 W � W � � d W WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR Wlll REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advan 249-4600 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice �� DATE TIME CITY OF ORONO CALLED IN � INSPECTION NOT/ICE/��J SCHEDULED — — •�� PERMIT NO.aD��IJ—�/`-'�` I_ COMPLETED ADDRESS OWNER TELEPHONE NO?��-�a-��9 CONTRACTOR � L'L� �D�� >: DESCRIPTION �- ly ❑ FOOTING ❑ DEMO- L ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ 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 I J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERlCONTFiACTOR TO MEET YOU:_YES_NO c�.� COMMENTS: � W a j � O ). � O i W � / Q � 2 W � W � j '1 W ❑WORKSATISFACTORY:PROCEED PROJECT COMPLEfE � ❑CORRECT WORK&PROCEED `� ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. � Cail for the next inspection 24 hours in adva . ��2) 249-4600 OwnerlContractor on site: `�� Inspector_ White Copyllnspector's File Canary CopylSite Notice