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Home My WebLink About2016-00212 - plumbing CITY OF ORONO * z 0 1 6 - 0 0 z 1 z * 2750 KELLEY PARKWAY DATE ISSUED: 03/02/2016 , ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 10 MYRTLEWOOD RD PIN : 36-118-23-33-0009 LEGAL DESC : MYRTLEWOOD : LOT 001 BLOCK 001 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: NEW FIXTURES: 5 WATER CLOSETS,6 LAVATORY,3 BATHTUB,2 SHOWERS. 1 KITCHEN S[NK, 1 DISPOSAL,2 DISHWASHER 2 SILLCOCKS, 2 FLOOR DRAINS, 1 LAUNDRY TRAY, 1 WASHER, 1 WATER HEATER, 1 WET BAR VALUATION OF PLUMBING 34000 APPLICANT PLUMBING FIXTURE FEE 425.00 STATE SURCHARGE PLBG(VALUATION) 17.00 LAKELAND PLUMBING TOTAL 442.00 27185 BAYSHOIRE CIRCLE NW Payment(s) ISANTI, MN 55040- CHECK 8917 442.00 (763)753-0092 Minnesota State License#:plbg-PC644669 OWNER Chamberlain Capital LLC 11578 CHAMBERLAIN CT EDEN PRAIRIE,MN 55344- 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 l80 days at any time afrer work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. , �� .� , ` / '1 /I � � ^1� �� " /! j\ L�� \ r ��t� lS>�` 1 / -L / 1 �.. Applicant�Pet`mitee Signature Date [ssued By Signature Date p City of Orono FOR CITY USE ONLY . � NO P.O. Box 66 Date Received: ? j 2..//�.� 2750 Kelley Parkway --��;�� _� y �� Crystal Bay, MN 55323 Permit# � � `_ �^�� c` (952)249-4600—Main A roved B �� k f S H�4 (9 5 2)2 4 9-4 6 1 6—F a x pp y' Amount$: �Z . "' 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] ,�J 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: Site Address: �� ✓�,;�� ,,,� ,�.�:� f�� Owner. �'I 1��;nID��.��^ , -yus Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: � ��ct„�,( (��1�,,.,� �, n�� Contact Person: � f� �'� �S�'�. �� Address: G�/�-� ��;t�s�� ('��. N "" State Bond #: f L�y� �(�j City: �v;�� Zip: S � �y�� Expiration Date: �2 ��l �� 7 Phone: �� ;3 --7� 5- C,`C�1�Z Alternate Phone: (,� Z 5� � �-�- �`�r �] Insurance — Current: Page 1 PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT 1sr 2ND OTHER FIXTURE BSMT 1sT 2ND OTHFR. � TYPE Floor Floor TYPE Floor Floor Water Closet � Z, Z- Floor Drains 2, Lavatory � � � Sewer Ejector Bathtub 2, Laundry Tray j Shower Washer � Kitchen Sink � Water Heater � Disposal � Water Softener Dishwasher � � Wet Bar � Sillcocks '2, Miscellaneous PERMIT FEE CALCULATION 1. CONTRACT PRICE * is 1.25% of contract price with a (Minimum Fee of$50.00) =>� ��c� � 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 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 , plication are complete, true and correct. ..%��"� Applicant's Signature: ,�-��"�-� � Date: � �� Building Official/ Inspector: Date: Page 2 � � ✓ � � DATE TI CITY OF ORONO CALLED IN =_�� INSPECTION NOTIC SCHEDULED PERMIT NO. d �� COMPLETED ADDRESS �C l� ;��'G`"�"�� OWNER TELE�Ii NE�O. �olZ 3Z�-��g� CONTRACTOR � l� �C��.� � DESCRIPTION �� ' f' W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL %F�� Q ❑ POURED WALL �LUMBING RI ❑ EXCAV/GRADING LING 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 _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ TIC INSTALL 2 OWNERICONTRACTOR TO ME U: YES_NO c� COMMENTS: � � � o c� �_ n � � - Pv� �� - � � � S ��r�CS'� /5 /to�� W � Q Z �/�C � �� W � � �WORKSATISFACTOHY:PROCEED ❑ PROJECT COMPLETE � � W ❑CORRECT W'ORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑(�RRECT NfORK�LL FOR REINSPECTION TEMPORARY V BEFORECONERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 forthe next inspection 24 hours in advanoe. (952) 249-4600 OwneNCorrtractor on site: Inspector: ` WA CopyAnspector's Fils Canary CopylSite Notice -�" DATE TIME v CITY OF ORONO �CALLED IN �_�� INSPECTION N T CE ! �HEDULED Lf�� ___�� PERMIT NO.sz��'� COMPI ADDRESS �� OWNER TELEP O. l - -� CONTRACTO � DESCRIPTION ��J — tL ❑ FOOTING ❑ D -FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL �LUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ 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 _ � ❑ DEMO-SITE ❑ SEPTIC INSTALL Q OWNERICONTRACTOR TO MEET YOU:_YES_NO I� � COMMENTS: � �/�rr` �Cs� � �� 1d��I vt s J� a � w v - pvc � s�.� - �iv - A ,� . o � ,��,�� rH•�; � i2 -y , �� . �•� •��7 � 1/��,� ► �. a�.c ° , : ' �t1� �� /!� -Y /•��e W , � � r ✓ ti ✓ Q 2 /.t� .c' �� /l� L.� � C W � ��,s�� L�'�e� l't'vs � �a v �' c�L`--G d K �- cc5-c��r/G e � d W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � �F RECTV40RK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED_CALL TO ARRANGE ACCESS. Cail forthe next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: �c �� Inspector. White Copyllnspector's File Canary CopylSite Notiee