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Home My WebLink About2011-00736 - plumbing � � CITY OF ORONO PERMIT NO.: 2011-00736 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 07/27/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 2865 LITTLE ORCHARD WAY PIN : 09-117-23-21-0010 LEGAL DESC : LITTLE ORCHARD : LOT 004 BLOCK 001 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURE NOTE: (1)WATER HEATER VALUATION OF PLUMBING 2050 APPLICANT PLUMBING FIXTURE FEE 50.00 TJK PLUMBING INCORPORATED STATE SURCHARGE PLBG(VALUATION) 1.02 13570 GROVE DR#284 MAPLE GROVE,MN 55311- TOTAL 51.02 (651)216-1318 PAID WITH CC# 1782 OWNER HOLMES,MARY 2865 LITTLE ORCHARD WAY WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and dces not grant permission for additional or related work which requires sepazate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if consWction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections aze requested in conformance with the State Building Code.This permit may be revoked at any tim r u cause. — l l vlN ` ( l �7/ Applicant P ' e Signature Date Issue y S�gnature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � / , FOR CITY SE ANLY ' ' 0,��0 City of Orono D�J,� �� P.O.Box 66 Date Receive��_iG',/ ' Permit�_ / +�,'�, r 2750 Kelley Parkway �% � / a �. Crysta]Bay,MN 55323 Approved By: Amount�: � p�� , ;� � �t� ,'� �o (952)249-4600—Main �ieso$ (952)249-4616—Fax CITY OF ORONO - PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) htt ://«rvv�i�.dli.mn.�ov/CCI�D/PDF/ e lumb lanre��a . df' GENERAL INFORMATION 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. Pemut cards will be sent by rettun 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 pernuts 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) ❑ 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: SiteAddress: �� I � �� `rCh�U �� Owner: �f /_�G%�/�� Mailing Address: City: Zip: Home Phone: �.Q �� .s�o�,�Alternate Phone: Contractor Information: i_�,� �/ - .� Contractor: ��"'f CJ'�J f�Contact Person: ��-� Address: � �s 7(i ( � �U✓� Qr�S ate��d#: �''�X.t�� `�J� 3� City: �'�`��G v�d✓� Zip: S S.�IIExpiration Date: I�"�I —�� Phone: �S / �/ (O ��/ � Alternate Phone: ❑ Insurance—Current: 1 1 ,. � ► . 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 r � 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 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 section,if this applies; Cost of Pernut $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Nezt Page) 2 . . ', . p d If above does not apply;follow guidelines below: �/ �S� 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&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. '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: ��^/� 3 " �� T TIME� 5.�� ` CITY OF ORONO CALLED IN 7 INSPECTION N I SCHEDULED a� PERMIT NO. —d� �OMPLETED ADDRESS OWNER � PHONE NO. 9 CONTRACTOR � —77O � � � DESCRIPTION �I ��L�� ' lL� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O a � O � W � Q � Z W � W � � GW ❑WORKSATISFACTORY:PROCEED �ROJECTCOMPLETE � ❑CORAECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITNIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Cail for the next inspection 24 hours in advance. (952) 249-46�0 OwnerlContractor on s' e: Inspector. ^ � White Copy/inspector's File Canary CopylSite Notice