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Home My WebLink About2016-01364 - pluming CITY OF ORONO * 2 ld 1 6 — PJ 1 3 6� ' 2750 KELLEY PARKWAY DATE ISSUED: 10/26/2016 � ORONO,MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 865 FERNDALE RD W PIN : 02-117-23-44-0006 LEGAL DESC : AUDITOR'S SUBD.NO. 184 : LOT 104 BLOCK 000 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: (2)GARAGE FLOOR DRAINS (1)GARAGE SILCOCK VALUATION OF PLUMBING 2035 APPLICANT PLUMBING FIXTURE FEE 50.00 STATE SURCHARGE PLBG(VALUATION) 1.02 BENCHMARK PLUMBING TOTAL 51.02 5952 ASHER AVE INVER GROVE HEIGHTS,MN 55077 Payment(s) CRED[T CARD 2233 51.02 (651)755-8078 OWIVER ERICKSON & SHARON NESB[TT, STEVEN 865 FERNDALE RD W ORONO, MN 55391- AGREEMENT AIVD SWORN STATEMENT The work for��hich this permit is issued sh�ll be performed according to the approved plans and specitications,applicable City approvals,and the State E3uilding Code. T'his 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 180 days of the date of issuance,or if construction is suspended for a period of l80 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 revokcd at any time for due cause. t � _ <�� o -�-�� e �.r -�, � �� ,��i,h Applicant Permitee Signature Date Issue By ig ature Date �p� City of Orono FOR CITY U�E ONLY/�, , � P.O. Box 66 Date Received: �— �P — lF� ,� 2750 Kelley Parkway Crystal Bay, MN 55323 Permit# — � ��! yF�q � c` (952)249-4600—Main Approved By: kFSHo `` (952)249-4616—Fax 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:��. � �pit�•��!�-C.�. �c� C.LJ . Owner: �> L�crv�_ Mailing Address: �s� ��_�Q��Q(__� � (�.�, City: �,Q r��f� Zip: .�_��3 �j' � Home Phone: Alternate Phone: Contractor Information: Contractor: � Contact Person: --��•-`� Address:�`�,� � l o., ��, � State Bond #: ��oO.3'�7� , � � < < $ City: ,r�s{--� Zip:.��bZ7 Expiration Date: � Phone: CQ�� -- 7_��- �0 78 Alternate Phone: � Insurance — Current: Page 1 PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT 1sT 2ND OTHER FIXTURE BSMT 1sT 2ND OTHER � TYPE Floor Floor TYPE Fioor Floor Floor Drains � Z Water Closet � Lavatory Sewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Silicocks G� Miscellaneous PERMIT FEE CALCULATION 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 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 made on this application are complete, true and correct. Applicant's Signature��71'�"'�"C �� Date: �d ^� � �f� Building Official/ Inspector: Date: Page 2 �J � � � DATE TIME CITY OF ORONO CALLED IN ��-Z�� INSPECTIO QTICE /��/ SCHEDULED ��-� // ' `�`� PERM�T N . �J i �t COMPLEfED ADDRESS ��S �h-�l�X d�-e- �� OWNER TELEPHONE NO. �S 7S -�?� CONTRACTOR �C- �-��-�J � DESCRIPTiON � 4� ❑ FOOTING ❑ DEMO- NAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLU ING RI ❑ EXCAV/GRADING/FILLINO �O ❑ FOUNDATION WATERPROOF ❑ PLUM NAL ❑ 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 _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SI ❑ SEPTIC INSTALL 2 O'WN `ONTRAC'TOR ET Y�U:�YE$_NO � COMMENT� ` � ' l,.>>..�, �•h� /r`1 0 c�-.�'� � � � �„ � , ' c� .�z�� s� �. iv:'�' J � Ov�' � � �O �^�� - W I � ,�� ' d e� ,/' � ��C� Q � � ��c � 1 ��- /'o ��.n � W � � J�� Q� �'WORK SATISFACTORY:PFIOCEED ❑PROJECT COMPLETE � d O CORRECT WORK A�PFiOCEED ❑ISSUE CERTIFICATE OF OCCUPYINCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECdYERIN� PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �GTATION ISSUED ❑INSPECTION REW IRED.CALL TO ARRANGE ACCESS. CaN for the next inspectlon 24 hours in advance. (952) 249-4600 OwnerlCorttractor on site: �nspect«: ..l3�� WhiN CapyAnapector's FII� Gnary Cop�rISM�Noda