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Home My WebLink About2017-00604 - plumbing , CITY OF ORONO * Z 0 1 7 - 0 0 6 0 4 * 2750 KELLEY PARKWAY DATE ISSUED: 06/OS/2017 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 4305 CHIPPEWA LA PIN : 31-118-23-42-0011 LEGAL DESC : CHIPPEWA : LOT 003 BLOCK 001 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WATER HEATER NOTE: WATER HEATER VALUATION OF PLUMBING 500 APPLICANT PLUMBING FIXTURE FEE 50.00 STATE SURCHARGE PLBG(VALUATION) 0.25 CITY VIEW PLUMBING&HEATING TOTAL 50.25 1880-B WAYZATA BLVD W P.O. BOX 150 Payment(s) LONG LAKE, MN 55356 CHECK 37064 50.25 (952)473-8793 Minnesota State License#:plbg-MB005208 OWNER CORNICK,JAMES& DEBRA 4305 CHIPPEWA LA MAPLE PLAIN, MN 55359- AGREEMENT AND SWORN STATEMENT The work for which[his 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 1 AO days of the date of issuance,or if construction is suspended for a period of I SO days at any time after work has commenced. The applicant is responsible for assuring all re ui pections are requested in conformance with the ui ding Code.This permit may be revoked at y time for use. ,� � ' �� ro � � S �/7 A ic ermitee Signature Dat ssued By ignature Date • City of Orono FOR CITY USE ONLY �NO P.O. Box 66 Date Received: ` �/� 2750 Kelley Parkway Permit# ' ��'� �� y �. Crystal Bay, MN 55323 F�� c.` (952)249-4600—Main A roved B kfsHc�� (952)249-4616—Fax pp Y' Amount$: t�� 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] „ � ❑ New ❑ Additional ❑ Repairs ❑ Replace ❑ In Accessory Structure? *You will need prior approval and may need CUP. (Per Orono City Code, Chapter 78, Article IV) Jab Site / Owner Information: Site Address:"l�� S G�/i�'P��,° Gl�(�� Owner: � t � Cp��,i G v`, Mailing Address: 13 GJ G �i f I`�U/C�, � � c��,: (��OY�-0 z�p: � '�J 3,5 � Home Phone: i17��X7b� 0�� Alternate Phone: Contractor lnformation: ° S'i"evPi I'�i Co tA! Contractor?G��'7 ✓c t �wWl6�n Contact Person: Address:��gb- g �GS� 41a�1`�Q'� g�U�tate Bond #: TC(9�� City: (�C� �(/ Zip: �73 � Expiration Date: I� 3� �iy Phone: ' l �3 � D � /� Alternate Phone: ,�Insurance — Current: � e Page 1 • PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT 1sT 2ND OTHER FIXTURE BSMT 1sT 2ND OTHER TYPE Floor Floor TYPE 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) �G � x .0125 $ (contract price) (minimum $50.00) 2. STATE SURCHARGE 56� X .000S � (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 APPLICATfON AGREEMENT 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 de on this applicatio�a- complete, true and correct. A licant's Si natur . �< `� � PN 9 �ate: Building Official/ Inspector: Date: Page 2 �� DATE nMe CITY OF ORONO CALLED IN (7 �Tj"�� qdiBPECTION NOTICE , SCHEDULED -�-�7 �• " " PERMR NO. �� ADORESS ��S piyrNEq PHO NO.� � "�7 3—�7 7-3 CONTRACTOR l � � S I � DESCRIPTION � � ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADINO/FILLIN(i Q ❑ FOUNDATION WATERPROOF �R�UMBING FINAL ❑TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION � ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNERIFIREPLACE ❑ COMPLAINT � ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL Z dWNE111�0lf TRACfOR TO MEET YOIr_YES_NO � coMM� � ✓ ' O �' � c S t rL ��tr4' _ �ISt ?L c•C �!/, � � Lr�c�/ss��s �/ilt ' �O W � � � W � �r� �b�r.altL`e � ,G�/,,,�_G' �� J � ❑WORK SATISFACTORY:PROCEED /�OJECT COMPLETE w ❑CORRECT WORK!�PROCEED ❑ISSUE CERTIFICATE OF OCCUPWNC� O ❑CpqqECT WpfiK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERINO PERMANENT ❑(�pRRECTUNSAFECONDIT10NWfTHIN ��• ❑pHpTOTAKEN INSPECTOR WILL RETURN 0 STOP ORDER P08TED.CJ1LL INSPECTOR ❑CITATION ISSUED O INSPECTION REQIIIRED.CALL TO ARRANGE ACCESS. c��n.�t�e�ao�u no��,��os. 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