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Home My WebLink About2012-01212 - plumbing r - � CITY OF ORONO * 2 0 1 2 - B 1 2 1 2 * 2750 KELLEY PARKWAY DATE ISSUED: ll/30/2012 ORONO, MN 55356- (952)249-4600 FAX: 952) 249-4616 ADDRESS : 680 MINNETONKA HGLD LA PIN : 06-117-23-44-0004 LEGAL DESC : MINNETONKA HIGHLANDS ESTATES : LOT 002 BLOCK 001 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: PLUMBING FOR WASHER IN NEW ADDITION. VALUATION OF PLUMBING 10000 APPLICANT PLUMBING FIXTURE FEE 125.00 SOBERG,PAUL&KARI STATE SURCHARGE PLBG(VALUATION) 5.00 680 MINNETONKA HIGHLAND LANE TOTAL 130.00 LONG LAKE,MN 55356- OWNER SOBERG,PAUL&KARI 680 MINNETONKA HIGHLAND LANE LONG LAKE,MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for asswing all required inspections are requested in conformance with the State Building Code.This permit may be revok��time f r due cause. %/ i 3 i l Z ��'lrL�/t i Ui /�-- Applicant Permitee Sign re Date Issue y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � � � , 7 � �x -rr��s�or�t.x �, City of Orono / � '�'�� Date R�e��_,��Permit# ��`'�� O Q P•O.Box 66 2750 Kelley Parkway � � � � ,,� � Crystal Bay,MN 55323 1�pgrovecl By:,��, � Arnounl$:��' ' (952)249-4600—Main �� (952)249-4616—Fax CITY OF ORONO — PLUMBING PERMIT �� (All Commercial Permits Must be Approved by the State Prior to City Approval) / htt ://www.dli.mn. ov/CCLD/PDF/ e lumb lanreva . df GEi�TERAL iI.�TFOR�ATT�I�1 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. 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 pluxnbing contractors and to property owners residing in the dwelling. 4. When any new construction or remodeling is involved,a sepazate 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 T�iat A 1 ) : : �.., : �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 N) Job �ite/Owner Infor�natian: " ' Site Address: G ?5 � �/h/I�� 9��/1f�� l/f �`Q� G , g �� /�tT�'A �'i�l��s L��e Owner: d Mailin Address: City: �/_��b Zip: �� f/ �� Home Phone: Alternate Phone: G�•— ��.�6� Cont�a+ctor Tnformation: Contractor: Contact Person: Address: State Bond#: City: Zip: Expiration Date: Phone: Alternate Phone: ❑ Insurance—Current: 1 � � y � 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 Residenrial 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 Pemrit $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Nezt Page) 2 v . � � � If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) � ��0 x.0125$ (contr��t price) (minimum$50.00) 2. STATE SURCHARGE � �� x.0005 $ (con ct 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 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 items must be added to the esrimated cost or contract price for pernut 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. ApplicanYs Signature: �c�f��9 Date: .3 0��1�2 3 TE TIME � CITY OF ORONO CALLED IN -- INSPECTION OTICE SCHEDULED - �� .'.�'(� PERMIT NO.�Ie?-�GY�I�. co PLEfED ADDR �v � S OWNER TELEPH NO��—8'�0-3 c�5 CONTRACTOR � � DESCRIPTION � � ❑ FOOTING P UMBING FINAL � EXCAV/GRADING/FILLING Q ❑ POURED WALL MECHANICAL RI ❑ LAKESHORE/WETLANDS v3 ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION O WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q p RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � �FINAL ❑ SEWER HOOK-UP p COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUfVbATION/REMOVAL 2 OWNERICOPfTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � a ��/'- �O�4 r .�.. �a r � ✓+2 9 C � � ` o dr4��e� i,s � � " f'^� — � �. t � 7r� wl�s� Oe re n�e�f�•��c - 1{�nt�a�rKe✓' � �� j Lf Car�ely — W � Q ZP�l- '�r' l i. ��'� �te.ef— Co wyOlcfe � � Cvr�tif �— P�.,,..,'t F�.c�lQD � � ❑VMORKSATISFACTORY:PROCEED �PROJECT COMPLETE RRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOMERING PERMANENT O CORRECTUNSAFECONDITIONWRHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATtON ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cali forthe next ins 24 ho rs in advance. (952) 249-460� OwnerlContractor�on site: Inspector: �/►r`' �— Whits CopyAnspector's File Canary CopylSite Notke