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Home My WebLink About2012-00301 - plumbing ' " CITY OF ORONO 2750 KELLEY PARKWAY * 2 0 1 2 - 0 0 3 0 1 * DATE ISSUED: 04/19/2012 ORONO,MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 225 HOLLANDER RD PIN : 25-118-23-44-0007 LEGAL DESC : HOLLY ACRES 2ND ADDN : LOT 002 BLOCK 001 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: PLUMBING FIXTURES: (1)WATER CLOSET,(2)LAVATORIES,(1)BATHTUB AND(1)SHOWER VALUATION OF PLUMBING 7500 APPLICANT PLUMBING FIXTURE FEE 93.75 SUNDERLAND PLBG INC STATE SURCHARGE PLBG(VALUATION) 3.75 24380 RIVER BANK LANE ISANTI,MN 55040- MISC FEE 0.00 (763)753-2845 TOTAL 97.50 OWNER CLOSE,JILL&LOUIS 225 HOLLANDER RD WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and dces not grant perrnission for additional or related work which requires sepazate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for ass ring all required inspections are requested in o formance it ate Building Code.This permit may be rev ed t y ime for e e � � � �Z '�i/� �/� A licant Permitee Signature Date Issue Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. • � � �1� ST�.�3�.� �" �,►` City of Orono O4 `�'O P.O.Box 66 �3a#�Recc��red , ��ermit��"�' d3Q J 2750 Kelley Parkway � � ' � � & ��. � Crysta]Bay,MN 55323 1�pPrc�ed`B� � � �'_�' Ataout�t.$ ��. � (952)249-4600—Main ' ' � �: � �. : - �. � - �� (952)249-4616—Fax CITY OF ORONO — PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) htt :J/www.dli.mn. ov/CCLD/PDF/ e lumb lanreva . df '�r��'��L;:�T�Q��,�� ' X � � 1. You may apply for plumbing permits by mail or in person at the City offices. Applications will be reviewed and a pernut 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) ; ; ; ; � : 'T'Y�'E OF�ER�TI'�' .��c'k�l`1'��t�A,, � � � , (�Residential ❑ Commercial(Approval Required) ❑ New ❑Additional ❑Repairs �Replace ❑ In Accessory Structure? *You will need nrior anproval and may need CUP. (Per Orono City Code,Chapter 78,Article IV) Jc�i'��t�I f�►�er�fomia�i� �° ` �. Site Address: � ��/��,rt �Q.� Owner: �;��(i � ��l� Mailing Address: City: Zip: Home Phone: Alternate Phone: CQn�a.etor�ormatiion :: : Contractor: ��%e�� P�C 4-A-C� Contact Person: D�-�' Address: z�� G(C..� �l'� State Bond#: /Yf� CJiD,3�� -�. S�k� City: ��1l—�-� Zip: WtN Expiration Date: l /Z 3 Phone: �(�3�'7 S3' 2�� Alternate Phone: ��i3^' ��i ",$�6� � Insurance—Current: 1 . . FIXTURE BSMT 1 2 OTHER FIXT'URE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet / Floor Drains Lavatory � Sewer Ejector Bathtub ' Laundry Tray Shower 1 Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous ❑ Yes,this section applies The replacement of oniy one Residenrial fixture or appliance that meets all three of the following requirements: 1. Does not require modificarion to electrical or gas service. 2. Has a total cost of$500.00 or less;excludine the cost of the fixture or appliance:and 3. Is improved,installed or replaced by the homeowner or licensed plumbing contractor. Skip next secrion,if this applies; Cost of Permit $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit.Fee $ (Permit Fees Continued On Next Page) 2 If above does not apply; follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) x.0125$ ( ntractprice) (minimum$50.00) 2. STATE SURCHARGE 5�O x.0005 $ (c ntract price) 3. POSTAGE&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 fumished 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 pernut 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: ��1�"�2 3 L / �� ATE TIME v CITY OF ORONO CALLED IN �r INSPECTION N��C�' 6D 2�/ SCHEDULED _� PERMIT NO. J�� COMPLETED ADDRESS �S �`/�-�� OWNER TELEPHO 7Cv3 7� 3 2� CONTRACTOR ' �; DESCRIPTION �/ �d� � ❑ FOOTING ❑ PLUMBI INAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL O HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: � W o. j O �. � O � W � Q � Z W � W � � � �YNORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CA�L FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�� OwnerlContractor on s'te: r Inspector. L � White CopyMspector's File Canary CopylSite Notice �� <`i' `� b TIME V CITY OF ORONO CALLED IN � � INSPECTION OTIC SCHEDULED � PERMIT NO — 3� co LETED ADDRESS [� �LG.j .��--/'��. OWNER TEL PHO N0�.3��`-�' CONTRACTO � DESCRIPTION � ❑ FOOTING ❑ PLUMBING I L ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL p MECHANI RI ❑ LAKESHOREM/ETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL O SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. p FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W C oA C��,., 1�t cA 1�-c� 1.�P e�c� � (� RJ T�,L�_(� 4 A.n�c�. � 0 � W � Q � Z W � W � � d W� �WORK SATISFACTORY:PROCEED C�ROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECTUNSAFECONOITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETl1RN • ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-4600 Owner/Contractor on site: inspector. 1 A � White Copyllnspector's File Canary CopylSite Nodce