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Home My WebLink About2015-01233 - plumbing � � , CITY OF ORONO * 2 0 1 5 — 0 1 2 3 3 * 2750 KELLEY PARKWAY DATE ISSUED: 09/23/2015 ORONO,MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 60 MYRTLEWOOD RD PIN : 36-118-23-33-0020 LEGAL DESC : REG.LAND SURVEY NO.0446 : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: 2 WATER CLOSETS,3 LAVATORY, 1 BATHTUB, 1 SHOWER VALUATION OF PLUMBING 6000 APPLICANT PLUMBING FIXTURE FEE 75.00 STATE SURCHARGE PLBG(VALUATION) 3.00 MANATEE PLUMBING TOTAL 78.00 11525 199TH CIRCLE Payment(s) SILVER LAKE,MN 55381- CHECK 8889 78.00 (612)756-1172 Minnesota State License#:plbg-005923PM,mech-MB005101 OWNER HARTMAN,TODD&AMY 60 MYRTLEWOOD RD WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT The work for which[his pertnit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the " State Building Code. 1'his permit is for only the work described and does not gant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This pennit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections aze n requested in conformance with the State Building Code.This permit may be //� revoked at any time for due cause. �� . � t--�3 �"� � �� l� ��' � I �-� � , � Applicant Permitee Signature Date Issued By Signature� Date ,-� f � � Ci of Orono FOR CI7'Y U �UNLY �� O� P.O.Box 66 Date Received: �`�Permit# �b l,� '� � 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By: Amount$: . (952)249-4600—Main (952)249-4616—FaY y�'�� c�� CITY OF ORONO—PLUMBING PERMIT X�'srto� (All Commercial Permits Must be Approved by the State Prior to City Approval) htt ://��.dli.mn. ov/CCLD/PDF/ e lumb lanreva . df GENERAL 1NFORMATION , 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 Al1 That A 1 �Residential ❑Commercial(Approval Required) ❑ New �'Additional ❑Repairs ❑Replace ❑ In Accessory Struchue? *You will need prior approval and may need CUP.(Per Orono City Code,Chapter 78,Article I� Job Site/Owner'Information: Site Address: � � V�� (� � �OOQ �.-� Owner: ��Y��^� Mailing Address: City: d �( � �C� Zip: Home Phone: Alternate Phone: Contractor`Information: Contractor: ��'1 ` h� ContactPerson: Address: { �S� � t��G�V C�� State Bond#: City: s r �UeY � Zip�g� Expiration Date: Phone: ��'[ � � � Alternate Phone: ❑ Insurance—Current: 1 � � t ` T 1 :� : �.r �s-r:,- �xf �.�' e�.^�.f�,�, ',�. �K �� : te.�' � ,�,tr.��?'�E' ��S FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet (` I Floor Drains � Lavatory � � Sewer Ejector Bathtub ( Laundry Tray 1 Shower ' Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous �� w� ;� � ;g ��- �- } &��° ,� r . ❑ 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 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 section,if this applies; Cost of Permit $ 15.00 State Surcharge $ 1.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 �• � • � .� N.'�Ff5 .�� aYy°x t .. .ya.. r. ,w: a r , _. _ :: . .. ��,j� :'n' a-, �£f fr.' r A , ^ - , .,�� » 3� r , , . .9�. ,,�{' "� - y.'$.'r If above does not apply;follow guidelines below: 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. . � . , . �. , . . ' " <� �.�- ,� � �_ ��'�� . r � :, . , - . 3- .'�� .� ..W�'�,ry.,, : '., ;�� _ ' .. �. �.� xf.+, ,.. . - -.4-� 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'"�S 3 ✓ '�� DATE n e CITY OF ORONO CALLED IN �' ERM�T N�ON N/� ' I�✓�M�ETED ADDRESS �NNER TELEP ON NO. � c ��7a CONTRACTOR �' DESCRIP710N � � �'`-CL I �� (�p'l� � ❑ FOOTING ❑ D O-FINAL 'l�/'N� ❑ SEPTIC FINAL Q ❑ POURED WALL UMBING RI Q `��❑ EXCAV/GRADING/FILLING Vf ❑ FOUNDATION WATERPROOF PLUMBING FINAL p`"<T ❑ 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 _ r ❑ DEMO-SITE ❑ SEPTIC INSTALL i OWNERlCOI�(TRACTOR TO MEET YCU:_YES_NO ' � COMMENT� � j 0 � � W � Q � W W aC , W KSATISFACTORY:PROCEED ❑PROJECT COMPLETE � �CT YMORK 8 PROCEED ❑ISSUE CERi1FlCATE OF OCCUPANCY W 0 ❑COqF�CT WOF�C,CALL FOR REINSPECTIOW TEMPORARY C1 �F��Nd PERMANENT ❑OORRECTUNSAFECOPIDITIONWffHIN HOURS. p pHpTOTAKEN INSPECTOR WILL RETURN O STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. can ror tne�e�t t�,�ecao�za no�s i �a�. 9 -4600 o�rcomr��o�$�: M�tor: 1MhiN CuPY��FlN Canary CoPYISib Nolkx � -� �.�- .J DATE TIME CITY OF ORONO CALLED IN lD - �/S INSPECTION�I �/ SCHEDULED �D�/��5 3• UZ� PERMIT NO. �� COMPLEfED ADDRESS �� i�-��-p�� J OWNER TE PH NE NO.��Z-75� << �Y CONTRACTOR � � DESCRIPTION �� 'v U'� lL ❑ FOOTING ❑ DEMO-FINA ❑ SEPTIC FINAL Q ❑ POURED WALL �LUMBING R ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FIN ❑ 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 J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � � ��.�... r��aD�L - � J�r,�v � t��5 s��C-� �� . - . , � �� r� C=L t�w t/ Gc� p�f��.-� �o�/..��' o � � W � �+� � Gav�-� Q � 2 W � w � J W �WRKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (g52) 249-46�� OwnerlContractor on site: Inspector. � White Copyllnspector's File Cenary CopylSite Notice