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Home My WebLink About2009-00107 - plumbing ` ` ' CITY OF ORONO PERMIT NO.: 2009-00�0� 2750 KELLEY PARKWAY ORONO, MN 55356- DATE IssuEn: 03/13/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 90 MYRTLEWOOD RD PIN : 36-118-23-33-0012 LEGAL DESC : MYRTLEWOOD : LOT 007 BLOCK 001 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: PLUMBING FIXTURES: (1)WATER CLOSET,(2)LAVATORIES,(1)SHOWER VALUATION OF PLUMBING 4600 APPLICANT PLUMBING FIXTURE FEE 57.50 DIMAR STATE SURCHARGE PLBG(VALUATION) 230 18213 HWY 169 TOTAL 59.80 MILACA,MN 56353- (320)224-3786 Minnesota State License#: 69943626 OWNER THOMPSON,KEVIN 90 MYRTLEWOOD RD WAYZATA,MN 55391- AGREEMENT AND SWORN STATEME1vT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of l80 days at any time after work has commenced. The applicant is responsible for assuring all required inspections aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. ��.�,.,�� 3 � �3 / o� � ,� �-� /3� O Applicant Permitee Signa re Date Iss ed By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. _ , � FOR•CPTY USE ONLY O,¢��,0 City of Orono ' ; P.O.Box 66 Date Receiued; Permit# 2750 Kelley Parkway a ,' `� Crystal Bay,MN 55323 Approved By:" Amount$: ��y (952)249-4600 CITY OF ORONO—PLUMBING PERMIT (All Commercial permits must be approved by the Building Official or Inspector) 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 O�'�'Ei�1VTIT (�heck A1I That A 1y ` �]Residential ❑Commercial(Approval Required) ❑ New ❑Addirional ❑Repairs ❑Replace ❑ In Accessory Structure? *You will need nrior aoproval and may need CUP.(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: SiteAddress: �TQ �y�T[�waa.i7 �c� Owner: k�c�� JN�,,.,�s��./ MailingAddress: l�o �yR7[Fw�oe � City: ��v�vcc� Zip: 5-S3stP Home Phone: Alternate Phone: Contractor Information: Contractor: t��wr�-�i '�/�M►,,,.�� Contact Person: �v1.F�2k i��Z�► Address: /dzi3 us• yh�y �co� State Bond#: G��5'3�.2 L City: NI�I�,« Zip: �lo3S3 ExpirationDate: �4� 3� 2�� Phone: 32�-zz��-��frtp Alternate Phone: ❑ Insurance—Current: 1 .►►--� , FIXTLTRE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains � Lavatory z 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 a Residential fixture or ap liance 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; excludinQ the cost of the fixture or appliance: and 3. Is improved,installed or replaced by the homeowner or licensed contractor. Skip next secrion,if this applies; Cost of Permit $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Nezt Page) 2 s . • If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) y�Poo � x.0125$ (contract price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) x.0005 $ (contract price) (minimum$ .50) 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 esrimated 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 installarions 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 permit fee ptuposes. 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 STATE SURCHARGE is .0005 of the contract price under$1,000,000 or$.50—whichever is greater. For valuarions over$1,000,000 call the Building Department at(952)249-4600 for the price. 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 �/3 —0 9 3 C� DAT TIME CiTY OF ORONO CALLED I � INSPECTION NOTICE SCHEDULED ` PERMIT NO.o?�D q�0/07 COMPLETED ADDRESS 7� � ' OWNER CONTR. �/lil GT.�� TELEPHONE NO. � DESCRIPTION �!/".J �� —��C-/1`��1 � ❑ FOOTING ❑ MECHANICA I ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL INAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE Q ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEM ITE ❑ SEPTIC MAINT. ❑ COMPLAINT v ❑ MO-F�NAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP = PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOH TO MEET YOU:_YES_NO � COMMENTS: � W a � � o � �c� � "�'� � � �'�fe �Q,�oa�I W � Q � 2 W � W � � d W� WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑ RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC01/ERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALI INSPECTOR �CITATION ISSUED ❑ INSPECTION REWIRED.CALLTOARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on si� Inspector. � . White Copyllnspector's File Canary CopylSite Notice eT�� pA�E TIME CITY OF ORONO CALLED IN �o INSPECTION NOTICE SCHEDULED .'OZ� PERMIT NO.�C�g-DO lD 7 COMPLETED ADDRESS 9D /Y1G�/�,L�P��cJQ�G� /�' OWNER CONTR.��h'la-r' �"�u�L6 . TELEPHONE N0. lD�a lP��lO ��PI� � DESCRIPTION T �� 1�� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHOREM/ETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WA�L BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP i ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL v ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOH TO MEEf YOU:_YES_NO v�, COMMENTS: � W a � � O � � O � ti � Q � 2 W � W � � d � �WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W �CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WFLL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR �INSPECTION REQUIRED.CALLTOARRANGE ACCESS. Ca11 for the next inspection 2a hours in advance. (g52) 249-4600 Owner/Contractor on site: Inspector. .� � �S White Copyllnspector's File Canary CopylSite Notice