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Home My WebLink About2013-00044 - plumbing CITY OF ORONO * 2 0 1 3 - 0 0 P1 4 4 * , � 2750 KELLEY PARKWAY DATE ISSUED: O1/16/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1245 LAKEVIEW AVE PIN : ]0-I17-23-24-0024 LEGAL DESC : MAXWELLS ADDN CRY�TAL.:BAY LAKE : LOT 000 BLOCK 001 • � PERMIT TYPE : PLUMB[NG(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES- MULTIPLE NOTE: REPLACE KITCHEN SINK. DISPOSAL AND DISHWASHER VALUATION OF PLUMB[NG 2740 APPLICANT PLUMBING FIXTURE FEE 50.00 K& K HEATING& PLUMBING STATE SURCHARGE PLBG (VALUATION) 1.37 6000 LONE OAK ROAD TOTAL 51.37 ROCKFORD, MN 55373 O PAID WITH CC# 3732 OWIVER NORD, KEITH S 1245 LAKEVIEW AVE WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work 1or which this permit is issued shall be performed according to thc approved plans and specitications,applicable Ciry approvals,and the State E3uilding Code. This permit is for only the work described and does not grant permission for additional or related work which requires separatc permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requcsted in conformance with the State Building Code.This pemiit may be revoked at any time for due cause. �C� / � �� / / /� / / Applicant Permitee Signature ate Iss d By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � . �QR� Y i3SE ONLY �� City of Orono � �� ( � � � P.O.Box 66 � Date Recerved� � �Per�it � � 2750 Kelley Parkway ' � � � ,, � Crystal Bay,MN 55323 �,Approved By �'�Rfnount:$ �� " ' (952)249-4600—Main '` �5�� (952)249-4616—Fax CITY OF ORONO — PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) htt ://vvww.dli.mn. ov/CCLD/PDF/ e lumb lanreva . df �ENER�L;��Rl�A��l� ' n�. � 1. You may apply for plumbing pernuts 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) =_ '�'YPE��C�F'PERMIT � ��' �C�ecl��411 That A ��1 � � �� (�esidential ❑Commercial(Approval Required) �./ ❑ New ❑Additional ❑ Repairs �Replace ❑ In Accessory Structure? *You will need arior aAuroval and may need CUP. (Per Orono City Code,Chapter 78,Article N) Job Site!4wiier Iri£err�nation: Site Address: ��'�r (J��C/l yC !� �/'� Owner:�1�C,'.�� Mailing Address: �Z�� C_f`K�(�l �(.Q City: ��''1 ''��-T�' Zip: �� Home Phone: Alternate Phone: Co�actor Informati�n� ; _ .. , Contractor: ` � G�..Contact Person: ( GOLG� ��``A� Address: �:�� 1 State Bond#: �� '-- City: C �l.� Zip: �� Expiration Date: ��`"� �'l�_ � Phone: 7b3 `-l�7�—�� Alternate Phone: /� �� Q� ❑ Insurance—Current: 1 j2C�--�� ~�-�� , r ' ', FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous ❑ Yes,this section applies The replacement of only one Residential fixture or appliance that meets all three of the following requirements: 1. Does not require modification 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 Pernrit $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Nezt Page) 2 � 1 If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) �� (� x.0125$ - (contractprice) (minimum$50.00) 2. STATE SURCHARGE x.0005 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applicarions) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ■ * CONTRACT PRICE or JOB COST means the actual or esrimated dollar amount charged for the pernutted 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 itexns 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. 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: �la� Date: / /(O /� 3 �.._. .. _ ^ � DATE TIME v CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. COMPLETED ADDRESS „ _ OWNER TELEPHONE N�. -�lJ ��7=�'��? CONTRACTOR �-�-- t >; DESCRIPTION � - � � ❑ FOOTING O PLUMBING FINAL ❑ 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 J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � � O � ��i O �.. F, � � Q ^ 2 W � W � � d W� pWORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY p ❑CORRECT WORK,CALL FOR REfNSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. �952� 249-46QQ OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice � � �Bj� �� °2��"I �O' ` DTE TIME � CITY OF ORONO CALLED IN 3' INSPECTION OTICE , / EDULED — " � �� PERMIT NO. '0�8��' �pLETED ADDRESS ��`C� a-� OWNER TELEPHONE NO. 763 �77 SSos CONTRACTOR K+ K P�u�.e � �-�-U�� S �: DESCRIPTION �" "� �l� �r`�-� � � ❑ FOOTING ❑ PLUMB G FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOFi TO MEEf YOU:_YES_NO � COMMENTS: � W a O � M t^ ��, � f'�c' �E � , Cl'� I'" �-� �''�� ' ,�-1'� �=�� ./� �f E3f'�rc�)� � G F C� � '� .,� ri--�r_ �-c�r �'�,��-�-�-c'. W , � t �, I t--��.� ,�' c�..� C� ��.�� Q _ ' `;�.� � .-- �� i�e,-- z W � W � � GW ❑WORKSATISFACTORY:PROCEED �ECTCOMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR W4LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTIONREQUiRED.CALLTOARRANGEACC�SS. Cail for the next inspection 24 hours in advance. (952� 249-460� , OwnerlContractor on site: Inspector. � White Copyllnspector's File Canary CopylSite Notice