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HomeMy WebLinkAbout2017-00062 - plumbing CITY OF ORONO I*I 111111111111111 III 1111 � [Ili II017 - 0006 2 * 2750 KELLEY PARKWAY DATE ISSUED: 01/20/2017 ORONO, MN 55356- (952)249-4600 FAX: (952) 249-4616 ADDRESS : 370 NORTH ARM LA PIN : 06-117-23-24-0008 LEGAL DESC : NORTH ARM ESTATES : LOT 002 BLOCK 001 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURE NOTE: (1)DISHWASHER VALUATION OF PLUMBING 500 APPLICANT PLUMBING FIXTURE FEE 50.00 STATE SURCHARGE PLBG(VALUATION) 0.25 MN PLUMBING&APPLIANCE INC. MAIL-IN FEE 2.00 14105 RUTGERS STREET NE PRIOR LAKE,MN 55372- TOTAL 52.25 (952)469-8341 Payment(s) Minnesota State License#: cont-5845.5-PM CHECK 8347 52.25 OWNER SMITH,HARRIET 370 NORTH ARM LA MOUND,MN 55364- 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 does not grant permission for additional or related work which requires 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 any time for due cause. � dG � ,o , l `� Applicant 'ermitee Signature Date Issued Signature Date �gp, City of Orono • •; 0 P.O. Box 66 �� �� 2750 Kelley Parkway RECEIVED =; . : .t ` 4. Crystal Bay, MN 55323e.l� : �c` (952)249-4600—Main rsKoi' (952)249-4616—Fax JAN 2 �I � y U i1�9�1 u�` CITY OF ORONO - PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) http://www.dli.mn.00v/CCLD/PDF/pe plumbplanrevapp.pdf 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) b ktesidential ❑ Commercial (Approval Required) [Backflow Device: ❑AVB ❑PVB] ❑ New 0 Additional 0 Repairs Replace 0 In Accessory Structure? *You will need prior approval and may need CUP. (Per Orono City Code, Chapter 78, Article IV) Site Address: _ -s-i(� P 'XV\ j0 Owner: k \(.{f r a,+ Lj�i-4 I' ) Mailing Address: 37o N t. Arm Lam ) .. City: nrO nC Zip: -�53py Home Phone: qSa`L}-70- (,P104',Alternate Phone: Contractor: Ml\i�l l_)�'lbtContact Person: i4vvckyt.n, 14141 St)n tAppk f-Z c,_n3ta (PLO qG Address: l y � � �V 2,. State Bond #: ?\4 City: ��-r DC Zip: Expiration Date: 431 Phone: 7c02- 4,99- g31-i/ Alternate Phone: Insurance - Current: bde_5-1- 1 FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER TYPE Floor Floor TYPE 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 1. CONTRACT PRICE * is 1.25% of contract price with a (Minimum Fee of$50.00) x .0125 $ Ste) , c (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. 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 on this app'cation are complete, true and correct. Applicant's Signature: Date: I Building Official/ Inspector: Date: Page 2 "Av Lt. Se:511- TIME IF CITY OF ORONO CALLED IN I —r-17 INSPECTION N9jjI fJ /��f�j)/�-SCHEDULED- I— X17 o7' 170 PERMIT NO. ,i--u/ /`600,'/ COMPL ED ADDRESS j -71°' ' ' Ay y dr 0' ' ' / OWNER ... . L&I I,$ S EP ONE NO. �,� ?' �7A- ��j`// CONTRACTOR / 4 0 (-), 11 / �- --- DESCRIPTION 40 1 : VV it ' ., r W 0 FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL 1.1 2 ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION 5 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS is ❑ INSULATION 0 WOOD BURNER/FIREPLA.CF 0 COMPLAINT , FINAL 0 WATER HOOK-UP 0 FOLLOW-UP W 0 AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL Z r ❑ DEMO- ITE 13,sEPTIC INSTALL 2 OR TO MEET YOU YES_NO a OMMENTS: LU cL ci)J6Ala-s4cv- reip lec,l re A t - Et f ecom i&eGt I-cZ r. 44 at o 1,06 f K G15,1,4 f (e t® .( la/-€.-• if a t...tu D� OC Q 2 W Z j /,6)Crm-e- c ielf, IQ ❑WORK SATISFACTORY:PROCEED -FROJECT COMPLETE W ElCORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector. ' ----- /h"' White Copy/Inspector's File Canary Copy/Sits Notice