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Home My WebLink About2016-01010 CITY OF ORONO * 2 0 1 6 - 0 1 0 1 0 * • � 2750 KELLEY PARKWAY DATE 1SSUED: OS/22/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3960 BAYSIDE RD PIN : OS-117-23-22-0015 LEGAL DESC : AUDITOR'S SUBD.NO. 203 : LOT MB BLOCK MB PERMIT TYPE : PLUMBING PROPERTY TYPE : RES[DENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: (5)WATER CLOSETS,(6)LAVATORIES,(4)BATHTUBS,(1)K[TCHEN S[NK,(1)DISHWASHER,(2)SILLCOCKS,(1)FLOOR DRAIN,(1)WASHER,(1)LACTNDRY TRAY,(1)WATER HEATER,(1)WATER SOFTENER,(1)WET BAR VALUATION OF PLUMBING 13000 APPLICANT PLUMBING FIXTURE FEE 162.50 STATE SURCHARGE PLBG(VALUATION) 6.50 M&S PLUMBING TOTAL 169.00 2505 223RD LN NW Payment(s) OAK GROVE, MN 55011- CREDIT CARD 6346 169.00 (763)258-7488 Minnesota State License#: BUIL-PC643819 OWNER LOVELESS, CHRISTOPHER&KATIE 3960 BAYSIDE RD MAPLE PLAIN, MN 55359- AGREEMENT AND SWORN STATEMENT The work for which[his 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 separate permits. All provisions of laws and ordinances governing 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 l80 days of the date of issuance,or if construction is suspended for a period of 180 days at any time afrer work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the Sta[e Building Code.This permit may be revoked at any time for due cause. � �/�--- -e�c, � � �a�� Applicant Permitee Signature Date [ssued , Signature Date �pN City of Orono FOR CIT�S��Y� . O P.O. Box 66 Date Received: _ 0 2750 Kelley Parkway Permit# � � �^� �� Crystal Bay, MN 55323 y c` (952)249-4600—Main F��kFSHO�� (g52)249-4616—Fax Approved By: Amount$: CITY OF ORONO — PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) http://www.dli.mn.qov/CCLD/PDF/pe plumbplanrevapp.pdf GENERAL INFORMATION 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 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) �esidential ❑ Commercial (Approval Required) [Backflow Device: ❑ AVB ❑ PVB] �New ❑ Additional ❑ Repairs ❑ Replace ❑ 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: ��v �� 5�� Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: ��S ��r�-� Contact Person: �' �-�- 1�� .� Address: �-��5 ZZ�fJL^� ^�^J State Bond #:� �- �� City: ��L G�✓�- J �``� Zip: S� � f Expiration Date: �L�3��7 Phone: �C��3 ��`� �`�� Alternate Phone: ❑ Insurance — Current: Page 1 PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT 1sT 2ND OTHER FIXTURE BSMT 1sT 2ND OTHER TYPE Floor Floor TYPE Floor Floor Water Closet � 1 3 Floor Drains ( Lavatory 1 t � Sewer Ejector .—_ Bathtub � �— 3 Laundry Tray j Shower Washer � Kitchen Sink � Water Heater Disposal Water Softener j Dishwasher � Wet Bar Sillcocks Z— Miscellaneous PERMIT FEE CALCULATION 1. CONTRACT PRICE "` is 1.25% of contract price with a (Minimum Fee of$50.00) � �-3%� 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) $�� l � �J * 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 made on this application are complete, true and correct. A plicanYs Signature: • Date: ��ZZ/�(� P Building Official/ Inspector: Date: Page 2 (�� '� DATE TIME � CI O ORONO CALLED IN _� INSPE TION N TIC SCHEDULED — ^ /, PERMiT NO. COMPLETED �- ADDRESS � OWNER LEPHONE NO. CONTRACTOR N � DESCRIPTION ` 4~j ❑ FOOTING O-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL "�PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF r� 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 4J ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ TIC INSTALL Z ONTRACTOR T EET YOU:�'ES_NO v�i C MMENTS: W �.G� - ,0��- �13s 5c�t- �ro- a , r 0 J� � A'� � '�S� /S /l�l�� .� �. � � p,� � c�rr��.� W � Q � 2 W � W � j � ORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL 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 hours in advance. (952� 249-460� OwnerlContractor on site: inspector.� i �-' `� White Copyllnspector's File Canary CopylSfte Notice � � DATE TIME V C__`� CITY OF ORONO CALLED IN INSPECTION N TI� _��G�D SCHEDULED ---�� ERMR N�. COMPLETED ADDRESS C1 OWNER TELEPHONE NO. S - �� CONTRACTOR � DESCRIPTION • ��`� t� ❑ FOOTING ❑ DEMO-FINAL ❑ 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 41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ C INSTALL 2 OWNEAICONTMCTOR TO MEET 1^OU: � YES_NO � COMMENTS: �1 �� ,��1��1 W � � .b�v�- � �s s�r- yo _ 0 � v`-� �i.=- .��5� !S tial� K� - ° �� n�r�G o��tc� '%� G �< , Q a-� L��/ rG�o -� vcrr�- � � � 5 � D � � Gp r �'c L�-� �� - �a ve � � W ❑lWORK SATISFACTOR`F PROCEED ❑PROJECT COMPLEfE � �7`CQRRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O��O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECONERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN INSPECTOR W{LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REWIRED.CALL TO ARRANGE ACCESS. Cai r the next inspection 2a hours in advanoe. (952) 249-4600 tractor on site: ��.�� Ins White CopyAnapector's Flle Canary CopylSib Notke ! / � � i �� . / ` ` 1 �� ` v DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTI�E SCHEDULED �,�7 ----��-`j 1 PERMIT NO.,::�� CI`�.; ""� � �� C COMPLETED � -,� � > ', : c , (�f ADDRESS - � ic..� OWNER TELEPHOM NO. 7(�• .�� CONTRACTOR I 1 �� ' f ��6'�'�-�. � DESCRIPTION � � 6�1 c� � i � l� � l��_.�- ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL 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 _ � ❑ DEMO-SITE ❑ EPTIC INSTALL ? OWNERICONTMCTOR TO MEET YiOU�YES_NO � � COMMENTS: �d�� '� �S /�o � v�l 4 P�4� u�t �as�(C � Oif .ri/( �r'��u✓e �' ,3 V"�O r l.�ci V• o r `1oSG •� D /'l � � W 'Et/ ts � �7 / u/c -�rs •l r�- Q � b�� . �;.�� G � Qc�i p � �,Jo ✓ � ��/��4.�5 2 '— W � W � � W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � `�CORRECT WORK 3 PROCEED O ISSUE CERTIFICATE OF OCCUPANCY W , O�O(�RRECT VYORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CONERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REWIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952) 249-460� OwnerlContractor on site: Inspector: e CopyAnspector's File C�nary CopylSlte Notke � �� a ��a.�� • �-_ 7 / � � ��a � �� d �� , 6 � �� =�-' - • � � ��'�� ,"�� G l�� U� m