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Home My WebLink About2016-01408 - plumbing �, CITY OF ORONO * 2 0 1 s — 0 1 4 0 e� 2750 KELLEY PARKWAY DATE ISSUED: 1U07/2016 ORONO,MN 55356- (952 249-4600 FAX: (952)249-4616 ADDRESS : 3145 NORTH SHORE DR PIN : 09-117-23-33-0013 LEGAL DESC : REG. LAND SURVEY NO. 1 I 13 : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRLTCTION TYPE : FIXTURES-MULTIPLE NOTE: PLUMBING FIXTURES (2)WATER CLOSETS,(2)LAVATORIES,(2)SHOWERS VALUATION OF PLUMBING 11500 APPLICANT PLUMBING FIXTURE FEE 143.75 STATE SURCHARGE PLBG(VALUATION) 5.75 VICTORIA PLUMBING TOTAL 149.50 1855 WEST 80TH ST Payment(s) P.O.BOX 174 CHECK 9118 149.50 VICTORIA,MN 55386 (952)443-0034 Minnesota State License#:PLUM-644463 OW1vER PETERSON, SVERON 3145 NORTH SHORE DR WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and speci6cations,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 of the date of issuance,or if construction is suspended for a per f 1 days at any time after work has commenced. The applicant is re pons le f assuring all required inspections are request in nfo anc with e State Building Code.This permit may be e a an t' for d cau e. � � `l _ z_ �� -�►,�� ant Permitee Signature Date Issued y Signature Date City of Orono FOR CITY USE ONLY � � �O P.o. Box ss Date Received: , 2750 Kelley Parkway y �, Crystal Bay, MN 55323 Permit# �'�� c,` (952)249-4600—Main A roved B KESHo�- (952)249-4616—Fax pp y' Amount$: 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 AlI That Apply) �Residential ❑ Commercial (Approval Required) [Backflow Device: ❑AVB ❑PVB] ❑ New �Additional �'] Repairs ❑ Replace ❑ In Accessory Structure? *You will need prior aparoval and may need CUP. (Per Orono City Code, Chapter 78, Article IV) Job Site/ Owner Information: Site Address:�� r�1� .5��`C ��-Ut Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: ,-. �-. Contractor Information: Contractor: ` r' ► ' Contact Person: . �.Gv�h�• Address: p,D �7 � State Bond #: City: tJ'r L�o1`a� Zip: 5.5.3�(„ Expiration Date: C2-3!_ /.(� Phone:cl�Z.- �y.3� �6�� Alternate Phone: � �Z ��lb' Z�� ❑ Insurance— Current: C.c�vc�(��f.� �n��nr,a..L� Page 1 . i,"- � � � '., q� J ` �� ' -_' 3 �. �_� ^ .� � . .. .. ... � � �: -� ' e .. .'P . - '�.:i...�, � FIXTURE BSMT 1sT 2ND OTHER FIXTURE BSMT 1sT 2ND OTHER TYPE Floor Floor TYPE Floor Floor Water Closet Z Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower � Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous . w�� . _ ,� � ° , a� , � � , , �� : �� , � , �� . n � . �A w,s 1. CONTRACT PRICE * is 1.25% of contract price with a (Minimum Fee of$50.00) �� , sn,ti x .0125 $ (cont act 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. ��;�: - - � m :.. . ..,., . ...... . . `� ,' '.�.�4+��. y i_�j� ��A��... ��u�'�r�N�"��•: „td€�+�'��^+�'�. �- _ . �_ - � s -� ., . ._ :. .. The undersigned hereby applies to the Cit issuance of a Plumbing Permit, agrees to do all work in strict accordance with the ordina ces of e C y and the regulations of the State of Minnesota, and certifies that all statemen e this ap li ti n are complete, true and correct. Applicant's Signature: Date: ` �'' 7� �(� Building Official/ Inspector: Date: Page 2 � " ��.�--- DATE / TIM CITY OF ORO O CALLED IN �- r' 'ls`'' —��.— INSPECTION NOTICE �/ scHeou�E� f /D -1.�%` � PERMIT NO. �'�`��/" � Gp MPL D ADDRESS �/ ��L47-�. �`�Z,vt,�_: OWNER �"` TEL P E NO. 2 r�� I -`� CONTRACTOR '�� -' ��'-' � t_� : � DESCRIPTION �� ' 4~j ❑ FOOTING ❑ DE - INAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PL ING RI ❑ EXCAV/GRADING/FILLING �O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAI.FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNENCONTRACTOR TO MEET YiOU:_YES_NO y COMMENTS: � - � `' L1 c � � s` <r' � � � •� i/' {-.n, �-c �' — � � � c.✓2� � O ` � — !`� .-, W C. C � .� � �i j �t, Q z � � � � � � �1 � � � 'r � piO�QRK SATISFACTORY:PROCEED ❑PROJECT COMPLETE W��CORRECT WORK 8 PROCEED ❑ISSUE CERTIFlCATE OF OCCUPANCY O0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CONERINQ PERMANENT ❑CORRECT UNSAFE CONDiTION WITHIN HOURS. ❑pHOTO TAKEN INSPECTOR WFLL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cae for the next inspection 2a hours in advanoe. (952) 249-4600 OwnerlContractor on ite: Inspector: �� I�� - White CopYllnaPsctor's Fite C�nary CopYlSlb Notics ��____._ DAT� � TIME CITY OF ORONO CALLED IN - INSPECTION NOTICE `I SCHEDULED – —�� 'GZ'' PERMIT NO. =- ->>�-G� r��COMPLETED ADDRESS C �� ,S �'�� GIeY�C �'z v�- OWNER TE ONE NO� 3� �'� �3 CONTRACTOR 'l �� -- ��j � � ' 4�� DESCRIPTiON � j ❑ FOOTING ❑ DEMO-FI A ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBI I ❑ EXCAV/GRADING/FILLING �O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL 2 ❑ 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 ? OMINERICOI�fTRACTOR TO MEET YOU:_YES_NO y COMMENTS: 0� J � ^ � i � � 4 ` �'�C�r►n(?r r� � i��// L/'l`�1�// o r prC�-!��L---1)ti�'�� G��?�.P� /IIt��E'�f'' r` � � o _ S/r � -{'� ,n�:i r�� W � Q 2 -� O� t� /�� 1"'c�� '.��' �� n Y ��'� � �3 /�/ /Q��p��% � � ` , W j�WORK SATISFACTORY:PROCEED �PROJECT COMPLEfE ��d CORRECT VMORK 3 PROCEED O ISSUE CERTIFlCATE OF OCCUPANCY � O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COMERINO PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP OROER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REW IRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OMrnedContraator on site: Inspector: /Y'l��'�� yVMts CopYMspecM�'s Fik Canary CopylSfts Notkx