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Home My WebLink About2016-00792 - plumbing iiiiiiiiiiiiiiiiiiiiiFollillillillillillillililI ^� CITY OF ORONO * 2016 - 00792 * 2750 KELLEY PARKWAY DATE ISSUED: 07/08/2016 ORONO,MN 55356- (952)249-4600 FAX: (952)2494616 ADDRESS : 220 NORTHGATE RD PIN : 36-118-2341-0051 LEGAL DESC : NORTHGATE TWO LOT 001 BLOCK 007 PERMIT TYPE PLUMBING PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE FIXTURES-MULTIPLE NOTE: (2)WATER CLOSETS,(4)LAVATORIES,(2)SHOWERS,(1)KITCHEN SINK,(1)DISPOSAL,(1)DISHWASHER,(1)LAUNDRY TRAY AND(1)WASHER VALUATION OF PLUMBING 7500 APPLICANT PLUMBING FIXTURE FEE 93.75 KAB PLUMBING LLC STATE SURCHARGE PLBG(VALUATION) 3.75 20725 196TH AVE NW TOTAL 97.50 BIG LAKE,MN 55309- Payment(s) (763)219-3599 CREDIT CARD 6396 97.50 Minnesota State License#:plbg-690863 OWNER SEE,HENRY&GAIL 220 NORTHGATE RD 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 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 rmance with the State Building Code.This permit may be revoked at for due ca e. r �\ Applicant ermitee Signatur4 Issued 1#Signature Date City of Orono FORE O LY O P.O.Box 66 Date Received: "' 2750 Kelley Parkway .+ Crystal Bay,MN 55323 Permit# 792 ��c, (952)249-4600-Main Approved By: kFSHO (952)249-4616—Fax y amount$: 7 CITY OF ORONO— PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) http://www.dii.mn.nov/CCLD/PDF/pe plumbplanrevaap.adf 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 All That Apply) %Residential ❑ Commercial (Approval Required) [Backflow Device: ❑AVB ❑PVB] ❑ New ❑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 Information: Site Address: a 2 D Lad �Y�® Owner:J34 � �Y VqU MailingAddress: City: t Zip: Home Phone: (51 3678 3WA Alternate Phone: Contractor Information: Contractor: RJM61 Contact Person: P� . Address: abs a 1-qU� PAZ P k-0 State Bond #: L('qmo� City: -e, Zip: SS3047 Expiration Date: 1`7 Phone: `j akq 3 T 5 Alternate Phone: ❑ Insurance— Current: Page 1 PLUMBING FIXTURES BEING:INSTALLED FIXTURE BSMT IST 2ND OTHER FIXTURE BSMT IST 2ND OTHER TYPE Floor Floor TYPE Floor Floor Water Closet Y x Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower X Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous PERMIT FEE CALCULOON 1. CONTRACT PRICE " is 1.25% of contract price with a (Minimum Fee of$50.00) �5-06) x.0125 $ (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. PLUMBING PERMITAPPLICATION AGREEMENT The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all work in strict accordance with the ordinanices of the Ci and the regulations of the State of Minnesota, and cartes that all statements a his appli n are complete, true and correct. Applicant's Signature: Date: l Building Official/ Inspector: Date: Page 2 DATE TIME CITY OFNO CALLEDIN INSPECCTIONION NOTIC . scHEDULED PERMIT NO. . �' COMPLEyT�ED ADDRESS OWNER TELEPH NE NO. CONTRACTOR DESCRIPTION ty ❑ FOOTING [I DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL PLUMBING RI ❑ EXCAV/GRADING/FILLING 0 ❑ 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 W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ S PTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU: YES_NO t� COMMENTS: W V'Su ✓fic. A�7 ✓ re"404�,_/ Qc PAL— cc Q 2 bIC � _ v�✓ W z W _ QC /p✓rte G /� ✓ � G�i� JS�! S�-.� J w ATISFACTORY:PROCEED ❑PROJECT COMPLETE t {'❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 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. CII forth inspection 24 hours in advance. (952) 249-4600 Owner ctoro Inspector. White CopylInspector's File Canary Copy/Site Notice DATE TIM CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. -Ub 72 COM ED ADDRESS OWNER / TE ONE NO. CONTRACTOR DESCRIPTION W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O [IFOUNDATION 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 W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J El DEMO-SITE ❑ SEPTIC INSTALL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: cc LQ J W de I W Z W cc LAj j ❑WORK SATISFACTORY:PROCEEDPROJECT COMPLETE ac X W ❑CORRECT WORKS PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C1 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. i- 1� White Copyllnspector's File Canary CopylSite Notice