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Home My WebLink About2016-01294 - plumbing ^ CITY OF ORONO * Z 0 1 6 - P1 1 2 9 4 * t 2750 KELLEY PARKWAY DATE ISSUED: 10/12/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1135 HERITAGE LA PIN : 10-117-23-13-0021 LEGAL DESC : FOXHILL : LOT 000 BLOCK 003 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: (2)WATER CLOSETS,(3)LAVATORIES,(2)SHOWERS,(1)LALJNDRY TRAY AND(1)WASHER VALUATION OF PLUMBING 8000 APPLICANT PLUMBING FIXTURE FEE 100.00 STATE SURCHARGE PLBG(VALUATION) 4.00 DIVERSIFIED PLUMBING TOTAL 104.00 P O BOX 91 Payment(s) CHASKA,MN 55318- CHECK 5149 104.00 (763)221-5441 Minnesota State License#: PLUM-71354924 OW(YER MARKUSEN, LOCKIE 1135 HERITAGE LA WAYZATA, MN 55391- 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 E3uilding Code. This permit is for only the work described and docs not grant permission for additional or related��ork which requires separatc 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 I80 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are equested in conformance with the State Building Code.This permit may bc v �d a a y time fo �ue use. � � n � � � � i '� , �� ..e � �o ,�z,�.� Applicant Perm e Signature Dat Issued y Signature Date � � .. j p � City of Orono FOR CITY USE ONLY �� `�, O �, P.O. Box 66 Date Received: io -/� -i� � 2750 Kelley Parkway permit# �?O t[r —�/.'Z �j�� ,�' Crystal Bay, MN 55323 ��^�� (952)249-4600—Main A r O v e d B \'�rsii��a`� (952)249-4616—F�x PP Y� � Amount$: C� •� CITY OF ORONO — PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) http://www.dli.mn.qovICCLD/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) � Residential ❑ 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: 1135 xExrrACE r.av Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: D�v�xs��n PLUMsuvc&x�Ttrrc Contact Person: co�rr xrrrc Address: Po Box si State Bond #: 71354sz4 City: cxAs�. Z�p: 55318 Expiration Date: plioiiaois PllOfl@: 952-448-OT56 AIt@t'118te PllOfl@: 952-334-2794 � �t1SU1'8t1Cf: — CUfI"@flt: FEDERATED-914156T Page 1 _} .r H f PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT �sT 2ND OTHER FIXTURE BSMT 1sT 2ND OTHER TYPE Floor Floor TYPE Floor Floor Water Closet 1 i Floor Drains Lavatory 1 2 Sewer Ejector Bathtub Laundry Tray 1 Shower 1 1 Washer 1 Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Siilcocks Miscellaneous PERMIT FEE CALCULATION 1. CONTRACT PRICE * is 1.25% of contract price with a (Minimum Fee of$50.00) $s,000 x .0125 $ ioo (contract price) (minimum $50.00) 2. STATE SURCHARGE $s,000 x .0005 $ 4 (contract price) 3. POSTAGE 8 HANDLING (Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE (Add �ines 1-3 Above) $ io4.00 * 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: Date: loii2izois Building Official/ Inspector: Date: Page 2 � �� DATE TIME CITY OF ORONO CALLED IN I C1 "I�•l� INSPECTION NOTICE SCHEDULED J,(1•(�7-l lG t•:�G R1� PERMIT NO. )il�� -("l�Za 4` COMPLETED ADDRESS I I �J I�)�i iZ,LC1� LU{`� OWNER TELEPHONE NO. 5 -� � _Z, C� CONTRACTOR I �-' �� , ' � �" , � �'� �-- � � �: DESCRIPTION ��U ��j - , ^ � •��' ly ❑ FOOTING MO-FINAL l ❑ 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 _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � a u.� . _nr�� G �. �o _ � , � , . �, c/ -�c� � ��a ��-s��;� ,v�, �� — o --°' _ � W � 0 K c� Cc•sbi-.�tlt.� Q � 2 W � W � � � � ��VORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE W �O�CORRECT NfORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORECWERING 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 advance. (952) 249-4600 OwnerlContractor on site: -- ---- - Inspector.� l i� White Copyllnspector's Ffle Canary CopylSfte Notice / / � TE TIME CITY OF O ONO CALLED IN �� iNSPECTION NO 1 SCHEDULED PERMIT NO. � COMPLETED I ADDRESS � � � OWNER ELE HO O.�-Z��S CONTRACTOR �� DESCRIPTION �� 'V 4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL 2 ❑ 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 ❑ SEPTIC INSTALL ? OWNERICOI�ITRACTOR TO MEET YWJ:_YES_NO � COMMENTS: 4 u� (�v � j ` t o , � � ¢ )` ''`' p 3 .. � � � � � � Q � � ��-�, �✓',.-., �,... W � W � � O W K SATISFACTORY:PROCEED ❑PROJECT COMPLETE � ❑ RECT WORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑WRRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CONERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CAI.L INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 2a hours in advance. (g52) 249-46�� OMmerlCo�tractor on site: Inspector: /, s � wn��coPyn��eors Fne Can�ry CopylSits Notks