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Home My WebLink About2016-00907 - plumbing e � CITY OF ORONO * 2 0 1 s - 0 0 9 0 7 * 2750 KELLEY PARKWAY DATE ISSUED: 08/OU2016 ORONO,MN 55356- (952 249-4600 FAX: 952)249-4616 ADDRESS : 3188 NORTH SHORE DR PIN : 09-117-23-32-0011 LEGAL DESC : CRYSTAL BAY PARK : LOT 000 BLOCK 004 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: (5)WATER CLOSETS,(6)LAVATORIES,(3)SHOWERS,(1)KITCHEN SINK,(1)DISPOSAL,(2)DISHWASHERS,(2)SILLCOCKS, (1)FLOOR DRAIN,(1)LALTNDRY TRAY,(1)WASHER,(1)WATER HEATER,(2)WET BARS,(1)WATER SOFTENER VALUATION OF PLUMBING 16500 APPLICANT PLUMBING FIXTURE FEE 206.25 STATE SURCHARGE PLBG(VALUATION) 8.25 GRUPA MECHANICAL CONTRACTORS INC. TOTAL 214.50 12180 19TTH COURT NW Payment(s) ELK RIVER,MN 55330 CREDIT CARD 5918 214.50 (763)441-5360 OWNER RUCINSKI,MICHEAL&HOLLY 3188 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 specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and dces not grant permission for additional or related work which requ'ves 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 assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at a ti for due caus � � � iD/ � l� Applicant Permitee Signa ure Date Issued Signature Date . � �p� City of Orono FOR TY USE ONLY O P.O. Box 66 Date Received:�d 1 -1�v 2750 Kelley Parkway Permit# �t �Q ^ �J0 ��7 y �, Crystal Bay, MN 55323 � o` (952)249-4600—Main ��'FFSHO��' (952)249-4616—Fax Approved By: Amount$: � / . Sv CITY OF ORONO— PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) http://www.dli.mn.pov/CCLDlPDF/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 retum 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) �esidential ❑ Commercial (Approval Required) [Backflow Device: ❑AVB ❑PVB] �ew ❑ 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 lnformation: Site Address: �1 b�� tn cR`�'�� S 1-�2� �2• Owner: �`��'� �U ��5 K t Mailing Address: 31 g� �� S�� 2. City: ��Z�� Zip: S'S34 � Home Phone: Alternate Phone: L� � 2 - G bb �SSS� Contractor lnformation: ' Contractor: ��v�'� ►�1��+� - Contact Person: i�� v��' Address: �z� ��"�9 7 '�'—; CT. �1�� • State Bond #: /�� 13 � City: Etl< �i�� Zip: �.r33v Expiration Date: �t•3� -1 t� Phone: T�C 3 -y�1�' S3G D Alternate Phone: [�Insurance— Current: �lU�'b BW�n�S Page 1 � . , � �� = a�� .� � . ._ . x � :�'. FIXTURE BSMT 1sT 2ND OTHER FIXTURE BSMT 1sT 2ND QTHER NpE Floor Floor TYPE Floor Floor Water Closet � f 3 Floor Drains ( Lavatory � � L� Sewer Ejector Bathtub Laundry Tray � Shower � 2 Washer � Kitchen Sink � Water Heater 1 Disposal 1 Water Softener � Dishwasher l ! Wet Bar �� Sillcocks � Miscellaneous 1. CONTRACT PRICE " is 1.25% of contract price with a (Minimum Fee of$50.00) /4, S bD � x .0125 $ Z�� • 2 S� (contract price) (minimum $50.00) 2. STATE SURCHARGE /4, sbo � _X .0005 � $ , Z.� (contract price) 3. POSTAGE 8� HANDLING (Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE (Add Lines 1-3 Above) � .2�`r • �� * 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. _ ._.. ._ , u � F ,w . . . � � � . , � _� . ,. .. , � �r '. o .. a.. � • .r . . r. � v i F. .- . �, ' � _ . �:,. .w z ». .. �> .. _ ._ , . 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 ity and the regulations of the State of Minnesota, and certifies that all statements e this ap ation are complete, true and correct. Applicant's Signature� Date: �� I r `� Building Official/ Inspector: Date: Page 2 � � nMe � CITY OF ORONO CALLED IN � ^� INSPECTION NOTIC —�c HEDt1LED =_?�/7 /o.•o� PERMIT NO. � — � 6oMPLETED �� ' ADDRESS �� ,�J DYc�� l�_� QMINER �,7��HONE NO. 7 3 " !=S CONTRACTOR � DESCRIPTION � 1y ❑ FOOTING � DEMO-FINAL EPTIC FINAL � � POURED WALL ❑ PLUMBING RI ❑ XCAV/ORADIN(iIFIWN(i Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI � SITE INSPECTION � � FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � 0 INSULATION ❑ WOOD BURNERIFIREPLACE ❑COMPLAINT `� 0 FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATIOWREMOVAL �I _ v � DEMO-SITE ❑ SEPTIC INSTALL � TO MEET YOU:_IfEB_NO � COMMENT'� 4 o - �ie -��P� or� /r�a.�om��'P/ ��. 2I� � o� , r- .orr�c��6 n s �'.,�,�n �/-a,y-/� `,aw� � W � Q � W W � � � YMORKSA7ISFACTOFiIf:PRO(�ED ❑PFiWECfCOMPLETE W �OOf�ECT WOFiK a PHOCEED O ISSUE CER'TIFICATE OF OOGIPANCY D ❑OORRECT MIORK CALL F�i REINSPECTION TB�APORARY �j BEFORE COVEiqNO PER�AANBdT ❑ppqqECT UPigAFE CONdT10N WITHIN �1�- O PHOTO TAKEN INSPECI OR 1MLL RETURN ❑STOP OHDER P08TED.CALL IN3PECTOR ❑CITATION 18SUED O INSPECTION RE�l11RED.CJ1LL T�O ARFiANdE ACCESS. caN ioru�e next�spsctio�24 nours in advm,os. (952) 249-4600 owns s� �v�� : �''f�� '. wnn.c:ov�rn�� c.�.ry covr�aa.Noue. �� DATE TIME ✓ CITY OF ORONO CALLED IN INSPECTION NOT E,�, , 7 SCHEDULED _�(� - �' PERMfT NO.'� " '��' � COMPLETED v� � ADDRESS �! ,j'f� �., ,�/� �r z� �f2.. OWNER TELEPH E NO.�� y�J��(: CONTRACTOR .��.�rT� ,�--- • � DESCRIPTION ��/i!�1�� L�-/�'�,�J � tL ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING 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 _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL � ❑ DEMO-SITE ❑ y�EP INSTALL i OWNERICOIfTRACTOR TO MEET YOU: ES_NO � COMMENTS: _ � �' /�C�� D� Kd�i•�tc O � -�.�r�•�./Gs- KD� 5 C�r/cQ �. � _ ° �� /��d��,G �b.��F/�o�e�.�t�- a.c .(es� � ��..� W — . � Q �� .5�/ 4�� /�e�re�iab�o-� �-- s�.�-o �` � �' ��c�c-r� '�P fi� P¢/r/� �S��e � r,� �..�, /� �` � l �' �r � �l�lr�'!./J o GJ c�G/ � le� !'l�it�f,S � �p f�R'C G --.� G4 /l .�c� /`G�.e3��l�r J W O WOFiK SATISFACTORY:PROCEED ❑PROJECT COMPLEfE � ❑CORRECT WORK h PROCEED O ISSUE CERTIFICATE OF OCCUPANCY W O ❑C�RRECT VYORK,CALL FOR REINSPECTION TEMPORARY V BEFORECdJERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED /'��ISPECTION REQUIRED.CALL TO ARRANGE ACCESS. b�� Ca11 forthe next inspection 2a hours in advance. (952) 249-4600 OvvnerlContractor on site: Inspecta�—� �� ^---^��+�+��Site Notics �� DATE TIME CITY OF ORONO cnLLED IN � INSPECTION NOTICE �,(�/� SCNEDULED ' PERMIT NO. t�n�b��(�lT�� COMPLETED ADDRESS 3I`��S � . S�/l O U'P 1�f� • O'WNER TELEPHONE NO..�o la-5��!R CONTRACTOR �-�la—�{�V�n�/► � DESCRIPTION � �� 1y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAVlGRADINGIFILLINQ 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 0 FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ S TIC INSTALL 2 OM1119UCONTRACTOR TO M�E`YOU:�YE8_NO c� COMMENT'� 4 � � � ' ti S � s �1.✓i. i✓� -� � �O � � �� c.J v �, �. o �� - �r�- ►�.�d . � - /c-� ,� 'S v� � ? ' p✓ � � . � - � �'i o J O � �� W K SATISFACTOiiY:PROGEED ❑PRW ECT COMPLETE � �MqECT WOpK a PROCEED O ISSUE CERTIFIC/1TE OF OOCUPANCY W 0 ❑OORRECT WOAK.CALL WR REINSPECTION TEMPORARY (� �� PERMANBdT ❑(�C'T'UNSAFE CONOI'T10N VYITHIN HOURS. p pHpTO TAKEN INSPECTOR WILL RETURN O STOP ORDER P08TED.CALL INSPECTOR ❑qTATION ISSUED ❑INSPECTION REOUIRED.CALL TO ARRAN(iE ACCESS. caM ror a�e next inspecao�z4 nou�s in advanos. (952) 249-4600 on Inspector: �� . � WMb CoVYMs�Cta�+FIN C�mry Capyl8lb NoNa �/� ' ,\� DATE TIME , / CITY OF ORONO cnLLED IN V INSPECTION O E SCHEDULED �/� � PERMR NO. � COMP ED ADDRESS � �NNER LEP ONE NO. 3 � CONTRACTOR � DESCRIPTION �� y ❑ FOOTING ❑ DE -FINAL ❑ P IC FINAL Q ❑ POURED WALL ❑ PL BING 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 � ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEM - � ❑ S PTIC INSTALL 2 E�CONTRACTOR TO �T Y�U�ES_NO � � OMMENTS: Q � (� G�� 7�-� �b 'C.. o � �a� ��..,e� c� ��J r' � � � se�e.� � � �'�� e. - l3 �x 4 �- ° s e�-e,� � ; �- � l � �e.� � /"�1 l�e �� ec, Lo �e�-�� • Q � W � � � C, �i- �� /�ess��,��-- Q W �WORK SATISFACTORY`.PFIOCEED ❑PROJECT COMPLETE � � ❑CORRECT WORK d�PROCEED O ISSUE CERTIFlCATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECdVERIN(i PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. p p�.�pTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �GTATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Csll for the next inspection 24 taurs in advance. (952) 249-4600 OwnerfCorttractor site: Inspector: �� YVhite CopyAnapectors FfN Canary Cop�rfSlb Notiee �~� �'� � 1/ DATE TIME V CITY OF ORONO CALLED IN iNSPECTION NOTICE -�cHEDULED �7 y-� PERMR NO. � r� �COMPLEfED � ADDRESS 7� �Y�I�� C I/l C�Y� ��/`� �NNER TELEPHON�. ��'3 �� '�L`�� CONTRACTOR 7 �'l_��_ /�� G� � ` ��/ �^ '� -7--� � DESCRIPTION � I �l G�r I,k.� l� l � � � , =�/'�� y ❑ FOOTING ❑ DEMO-FINAL ❑ SE P TI C FI N A L Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLINQ "j ❑ 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 �Y ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ � ❑ DEMO-SITE ❑ SEPTIC INSTALL ? O'WNERlCOf�ITRACTOR TO MEET YOU:_YES_NO � COMMENT�� 'l l� 1_� �-�S /�LG_�s-��:'�z_.�,��I��LC� ��- � � ,�-1dGY� �'� �o � o �/� � �'�r✓l5/Je� s� �o v�D��c� ��'C ° 4-d �-l? .� ��t' �r re��-•�s �e�e °G Qsr�-,o%�e� � <nsaec�cl� �('J� �� G''� Q � W ' � ��,Dec�.a.� S�.v ES D� ��e - � � � � ❑W�ORK SATISFACTORY:PROCEED �ECT COMPLETE W ❑OORRECT WORK�PROCEED O ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CONERINO PERMANENT �CORRECT UNSAFE CONDITION WRHIN HOURS• ❑pHpTO TAKEN INSPECTOR WILL RETURN ❑GTATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REW IRED.CALL TO ARRANGE ACCESS. Cail for the next inspectron 2a hours in advance. (952) 249-4600 OwnerlContraator on site- Inspector: � r h,. � Whib CopYMspectw's Fih Canary Cop�rfSih NoNc�