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Home My WebLink About2017-01500 - plumbing / . 4 CITY OF ORONO * z 0 1 7 - 0 1 5 P1 0 * 2750 KELLEY PARKWAY DATE ISSUED: 11/2?J2017 ORONO,MN 55356- 952)249-4600 FAX: (952)249-4616 ADDRESS : 4064 NORTH SHORE DR PIN : 07-117-23-44-0085 LEGAL DESC : HIGHWOOD LAKE MTKA : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: WATER CLOSET,LAVATORY,BATHTUB VALUATION OF PLUMBING 1500 APPLICANT PLUMBING FIXTURE FEE 50.00 STATE SURCHARGE PLBG(VALUATION) 0.75 JANET M OBRIGEWITSCH,DAN H PHIPPS& TOTAL 50.75 4064 NORTH SHORE DR MOUND,MN 55364 Payment(s) CHECK 8086 50.75 OWNER JANET M OBRIGEWITSCH,DAN H PHIPPS& 4064 NORTH SHORE DR MOUND,MN 55364 AGREEMENT AND SWORN STATEMENT 1'he 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. 1'his permit is for only the work described and dces not grant permission for addiHonal 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 1 any tune after work has commenced. o�"`"�� The applicant is responsibl for assurin all required inspecNons ere requested in conformence 'th the Sta Building Code.This permi ay be revok any tim for d caus � ` YW �� 'L�. `!— Appl' t Permitee Signature Date Issued By ature Date j , ♦ �Q� City of Orono FOR CITY USE O Y � P.O.eox 66 Date Received: //—/ — /7 2750 Kelley Parkway a Crystal Bay, MN 55323 , Pemlit# O��j'�' —;Q�,�Q(„� ��^ o� (952)249-4600—Main �qkfSHo��' (952)249-4616—Fax Approved By: Amat�nt$: .� 5� CITY OF ORONO— PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) htta:/Iwww.dli.mn.aovICCLD/PD�/pe plumbplanrevaa4 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 finro 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 contra�tors 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 P�RMIT{Ctieck All That Appiy) � Residential ❑ Commercial (Approval Required) [Backtlow Device: �AVB ❑PVB] ❑ New �Additional [�j Repairs ❑ Replace ❑ In Accessory Structure? *You will need prior aaproval and may need CUP. (Per Orono City Code, Chapter 78, Article I� Job Si�e/Owner Information: Site Address: �O�0 4 A-� S{�c a fZ,� � � Owner.�� J � ; � t�5 Mailing Address: S,74yv1 � City: � �R..� l.�� Zip: S S � �� Home Phone:t��Z .�( �_ ��Altemate Phone: Contractor lnformation: Contractor: O w v� �. / c�c.��m�A _�. Contact Person: ��—�� Address: State Bond #: City: Zip: Expiration Date: Phone: Alternate Phone: ❑ Insurance— Current: Page 1 i � � JXTIJRES:� 1�ICtiA 11�5T,AL�.f D e 'u =,Y `T ` `� r k r ..... , �LL1�i8i�vC � FIXTURE BSMT 1sT 2ND OTHER FITMPE E BSMT Floor Fioor OTHER -rypE Floor Floor Water Closet Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous x� 'r K. � ,� � i� ]Y►�� 3+. � -�L� i '`� �,r;.�, t s� :�;� a.� ...�. .�r � - 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 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 estirraated 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. � ,�'Li�:��31�1C� P�RM1'��P��;�1�31��;��lll�fi ^� _ .�,:� � t: _ - 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 cert�es that all statements made on t ' ap ' tion are complete, true and correct. Applicant's Signature�! Date: �� 7 Building OfficiaU Inspector: Date: Page 2 b` r � � � ci� � .. r � u� � } �'m F- ".. c_ � Li �.a 't3 �-' � 1J � �_ T _: h � .-. �.� c�� iL1 � � `•;; ,�i __ :�d �,.,, D � c� r.�j � , � , � [Y � _ �.'¢ �i�I Z'- 'J � . � _ `� , ` � �cu N � W � � �, w �.i `� �� , �_ . _ y'� ;� �_ �` �"` x , O °� � `. c�_ �., ,:� ,F �:, .:, -; � T � � J � ° � � ` - ._ : r�. `: =� ;� J Z `� � Z = � � .: `.,� -- � tiw � �' ...- ;::� C� .', -� '� ' � ^ �. � ... 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I....... i '� Q .� I � , __.f ... __ -{ I�p ,�,+ � I I � - - ' � z ! 'tp, V i = � v Q � , I C � � � , �-� tJ _ I ! ;o �, � � S ' � � a � �--�- hj - _---- � � o � RI � -- - �N �''_ i ? � I v_� _ ` � � � � m � I a ' � _ - , , ; _ �, � ; \ - o ��- -- v Y�� v � �, ___ S� � ; I � c� �- --- .� - �. � � � _ --- --___ . , . . i � i ' I ___ _- ; i ; , - _.,_ _ _� � __ � r - _____ _____ - , _. �_ ---- _ ---._ - - . � ___ __ _ __ _ r ; � - � �. � � � ; � L . , � o � I v � � -_ _ _ �____..�_�. __.___ __ __ ____ �____________.______.____,_-_ _. . fe.±— r- — DA-la TIME CITY OF ORONO _b /50/CALLED IN / —/ /7 INSPECTION T E, 61 Sh7)SCHEDULED //— a/' �' 7 PERMIT NO. e1�(//�� / VV COMPLETED ADDRESS - 7z6 - 5k We--' OWNER / ! S Pa• TELEPHONE NO.b/�O 7 CONTRACTOR/ 3.".- DESCRIPTION ,C/h5- ' 1 ( a%� dt ,_W ❑ FOOTING 0 u o-FINAL 0 SEPTIC FINAL Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING Q ❑ FOUNDATION DRAIN TILE PLUMBING FINAL 0 TREE REMOVAL ❑ LATHE 0 MECHANICAL RI 0 SITE INSPECTION Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS • ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT %FINAL 0 WATER HOOK-UP 0 FOLLOW-UP W 0 AS BUILT-SURVEY 0 SEWER HOOK-UP 4-7, ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE 0 SEPTIC INSTALL // - /�_�� Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO u, COMMENTS: u-z_. &Z% r ,�!— IQ - 4rt_5 - Se 4- 5e..oc/aC2 � Al/( *sic,rk< cb yore- ape.-.,i--- 0 cc LL - t rc. t - E-,,..e z s -�. i CC - • 4_ -4- c_o . - - - z H/7 14j.11- lam,-.-c, /. .e a - Lu ❑WORK SATISFACTORY:PROCEED Od.e$QJECT COMPLETE CCW 0 CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 9O 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN CI ❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED 0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector_ `:: ,--.0,--, 7{f — White Copyllnspector's File Canary Copy/Site Notice