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Home My WebLink About2016-01218 - plumbing . � CITY OF ORONO � 0 1 6 - 0 1 2 1 s� � 2750 KELLEY PARKWAY DATE ISSUED: 09/29/2016 ORONO,MN 55356- (952) 249-4600 FAX: (952)249-4616 ADDRESS : 1820 LAKEVIEW TER PIN : 27-118-23-42-0012 LEGAL DESC : LONG LAKE COUNTRY CLUB ADDN : LOT 007 BLOCK 001 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: (1)KITCHEN S1NK AND(1)DISHWASHER VALUATION OF PLUMBING 900 APPLICANT PLUMBING FIXTURE FEE 50.00 STATE SURCHARGE PLBG(VALUATION) 0.45 BEN SCHERER PLUMBING&HVAC INC. TOTAL 50.45 4520 85TH STREET SE DELANO,MN 55328- Payment(s) (763)972-8137 CREDIT CARD 4343 50.45 Minnesota State License#:mech-MB003633,p1bg-PC648530 OW1�1ER KOKESH,DAN&JAMMIE 1820 LAKEVIEW TER LONG LAKE,MN 55356- 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 permission for additional or related work which requires separate permits. A(I provisions of Iaws and ordinances governing this type of work shall be compied with whether or not specified hereia 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 assucing all required inspections are requested in conformance with the State Building Code.This permit may be revoked at tim cause. , ��z �� i� Applicant Permitee Signature Date Issued Signature Date y � �p� City of Orono FOR CITY USE ONLY ' O P.O. Box 66 Date Received: 2750 Kelley Parkway Crystai Bay, MN 55323 Permit# � o� (952)249-4600—Main ��KFSHo�``` (952)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.�ov/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 finro 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 arior aparoval and may need CUP. (Per Orono City Code, Chapter 78, Article IV) Job Site /Owner lnformation: Site Address: Zc� `-��V� �f�� Owner: Mailing Address: City: � r� /--�-��Q Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: � ��-�� r�� Contact Person: �� Address: �� s`��SG�State Bond #: ��- ��J� City: 1�1�-� �c.1'�.(.� Zip: � Expiration Date: l a" ' �� Phone: �-�2 �a�� Alternate Phone: �Insurance— Current: Page 1 , . ��k •:L � B �C��IXTURES:YB�llal6��l�l�S'i'�;AL,L:�D �,,�b. :�� , � �b ��; .. ,�- FIXTURE BSMT 1sT 2ND OTHER FIXTURE BSMT 1sT 2ND OTHER TYPE Floor Fioor TYPE Floor Floor Water Closet Fioor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous � . . �. �, �, , . �� , r. �� . � _ � �_ � 1. CONTRACT PRICE * is 1.25% of contract price with a (Minimum Fee of$50.00) �0 � 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. �� - �:�� .��1#��"�A�?�'L�!�A"Tl�l�l' �1'��I ��s�� .�� 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 pplication are complete, true and correct. A licant's Si nature: Date: ` �� ` r/� PP 9 Building Official/ Inspector: Date: Page 2 DATE TIME CITY OF ORONO cnLLED IN ��-U�"�� INSPECTION N��I�/E,,�,I ! � SCHEDULED '�o1-/b f� PERMR NO. ��'� `/� '� � COMPLETE ADDRESS l�� -�f'��l �::cJ �/ �� '►" a.�� OWNER TELEPHONE NO. COI�TRAc'�R � � � DESCRIPTION �°� `�� ly ❑ FOOTING ❑ DEM - INAL ❑ 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 41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL Z OWNEAICONTRACTOR TO MEET YW:_YES_NO y COMMENTS: � � �� O �' � � !i S n,, � �" r .�� S - � � � o r W � Q � � W � j � O WORK SATISFACTORY`.PFiOCEED �/��PROJECT COMPLETE W ❑CORRECT WORK 3 PROCEED ❑ISSUE CERTIFlCATE OF OCCUPANCY OO ❑C�RRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CONERINQ PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN H��- ❑pH0T0 TAKEN INSPECTOR WILL REfURN O CITATION ISSUED O STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REW IRED.CALL TO ARRANGE ACCESS. cen ro�tne�ext��:t�z4 no„�in�►e�e. (952) 249-4600 i��. 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