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Home My WebLink About2017-00435 - plumbing - ' CITY OF ORONO * Z 0 1 7 - 0 0 4 3 5 * 2750 KELLEY PARKWAY DATE ISSUED: OS/02/2017 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1885 CONCORDIA ST PIN : 17-117-23-23-0002 LEGAL DESC : COFFEES ADDN TO SHADY WOOD LAK : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURE NOTE: WATER SOFTENER VALUATION OF PLUMBING 490 APPLICANT PLUMBING FIXTURE FEE 50.00 STATE SURCHARGE PLBG(VALUATION) 0.25 RICHARD GRASSIE INC. TOTAL 50.25 6121 EXCELSIOR BLVD SUITE 206 Payment(s) MINNEAPOLIS,MN 55416- CHECK 14560 50.25 OWNER KAISER, BERNARD&CAROLYN 2855 PROVIDENCE PLACE INDEPENDENCE, MN 55359- AGREEMENT AND SWORN STATEME1vT 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 does not grant permission for additional or related work which requires separate 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 80 days at any time after work has commenced. The applicant is respon le for assuring all required inspections are requested in confor ce with the State Building Code.This permit may be revoked at any ti or du�aause. , % � / i , � �' ��' � s� � � a �l� Ap icant Per it e Signature e [ssued B ignature Date �p� City of Orono FOR CITY USE ONLY � O P.O. Box 66 Date Received: �_ —� 2750 Kelley Parkway � � �. Crystal Bay, MN 55323 Permit# ��7—� y �c> (952)249-4600—Main ��qkESH�Q' (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 qov/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 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] i /�f 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: /��S ,��O��J � � Site Address. � Owner: � � �� Mailing Address: City: ��b �i`✓l� Zip: Home Phone: Alternate Phone: � Contractor Infor tion: / � ��, �� '� ;� � Contractor: / � ��15�7�'� //��;lc- Contact Person: �L�� Address: ��'�� J✓ ��` State Bond #: �_- City: ��'�✓�%�'��` �S /�.�� Zip: �� 5 l/l� Expiration Date: l� "/'� �d Phone: � s` �� j��s� Alternate Phone: ❑ Insurance - Current: Page 1 PLUMBING FIXTURES BEING INSTALLED ., v FIXTURE BSMT 1sT 2ND OTHER FI�PE E BSMT Floor Floor �THER NpE Floor Floor Water Closet Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous PERMIT FEE' CALCULATION 1. CONTRACT PRICE '` is 1.25% of contract price with a (Minimum Fee of$50.00) 1�� 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. PLUMBING PERMIT APPLICATION AGREEMENT The undersigned hereby applies to the, �ity for issuance of a Plumbing Permit, agrees to do all work in strict accordance with the ordinances f the City and the regulations of the State of Minnesota, and certifies that all statements made is application are complete, true and correct. � �: ��' �� Applicant's Signature: Date: ` i Building Official/ Inspector: Date: Page 2 � CITY OF ORONO CALLED IN �7 ��E�� TI INSPECTION NOT C�� SCHEDULED �`9!7 /�'� U� PERMIT NO. COMPLETED ADDRESS /O O� �ilYl��/lY?,�L G� _ ____ OWNER TEL HONE NO. CONTRACTOR - �� s�� DESCRIPTION T / � � � � � 4~j ❑ FOOTING ❑ DE - 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 W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 dWNERICONTRACTOR TO MEET Y�ll:_YES_NO v�i COMMENTS: � � L.��.s� .l�5��e��,� �.':.�a. c.�r�nAn _��f/4� � 0 , � ��'- 0 W aC Q � W � W � J W WORK SATISFACTOFlY`.PROCEED PROJECT COMPLETE O � CORRECT WORK�PROCEED ISSUE CERTIFICATE OF OCCUPANCY � O CORRECT W'OFlIC,CALL FOR REINSPECTION TEMPORARY V BEFORE CONERIN(i PERMANENT O CORRECT UNSAFE CONDITION WRHIN HOURS. p pHpTO TAKEN INSPECTOR WILL RETURN ❑STOP OROER POSTED.CALL INSPECTOR �GTATION ISSUED ❑INSPECTION RE(�UIRED.CALL TO ARRANGE ACCESS. Ca8 for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector: �1'�'"��' w�»conrn��sors Ft�. canary copy�a Na�ee