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Home My WebLink About2017-01085 - plumbing I11111111111111111111111 CITY OF ORONO * 2 0 1 7 - 0 1 0 8 5 2750 KELLEY PARKWAY DATE ISSUED: 09/07/2017 ORONO,MN 55356- 952)249-4600 FAX: (952)249-4616 ADDRESS : 225 NORTHGATE RD PIN : 36-118-2341-0048 LEGAL DESC : NORTHGATE TWO : LOT 001 BLOCK 004 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WATER HEATER NOTE: WATER HEATER VALUATION OF PLUMBING 2000 APPLICANT PLUMBING FIXTURE FEE 50.00 CITY VIEW PLUMBING&HEATING STATE SURCHARGE PLBG(VALUATION) 1.00 1880-B WAYZATA BLVD W TOTAL 51.00 P.O.BOX 150 Payment(s) CHECK 37282 51.00 LONG LAKE,MN 55356 (952)473-8793 Minnesota State License#:plbg-MB005208 OWNER WEBB,ELIZABETH 225 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. plicant is responsible for assuring all required inspections are reques in conformance with the State Building Code.This permit may be revoked a y time f e cause. 7 / A p ant ermitee ignature Date Issued Signature Date j City of Orono FOR CITY USE ONLY O P.O. Box 66 Date Received.- 2750 eceived:2750 Kelley Parkway Crystal Bay, MN 55323 Permit# (952)249-4600—Main Approved B krsHo�` (952)249-4616—Fax Amount$: Jam• � CITY OF ORONO — PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) http://www.dii.mn.gov/CCLD/PDF/pe plum bplanrevapp.pdf GENERAL INFORMATION 1. You may apply for plumbing permits by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two working days. 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners residing in the dwelling. 4. When any new construction or remodeling is involved, a separate building permit must be obtained. 5. All work must be done in accordance with State Code requirements. 6. All work must be inspected and air tested before it is covered. Call (952) 249-4600. (24-48 hour notice required) TYPE OF PERMIT(Check All That Apply) Residential ❑ Commercial (Approval Required) [Backflow Device: ❑AVB ❑ PVB] ❑ New ❑ Additional ❑ Repairs ❑ Replace ❑ In Accessory Structure? *You will need prior approval and may need CUP. (Per Orono City Code, Chapter 78, Article IV) Job Site / Owner Information: r Site Address: Owner: �7Ii fO64+� Fr)uey Mailing Address: City:_ 000AO Zip: 6,63gl Home Phone: Alternate Phone: Contractor information: Contractor: C:L tt�t"k , Contact Person: Address: '$V WLL4 �y ( State Bond #: 4J4 1 l U City: Lund l'ae' Zip: Expiration Date: AAMr/ Phone: - ✓ D 4_1_9`3 Alternate Phone: 6, Insurance — Current: __/9 Page 1 PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT 1sT 2ND OTHER FIXTURE BSMT IST 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 PERMIT FE --CALCULATfQN 1. CONTRACT PRICE * is 1.225% of contract price with a (Minimum Fee of$50.00) 9- 000 x .0125 $ (contract price) (minimum $50.00) 2. STATE SURCHARGE V 0 6 6 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 PERMIT APPLICATION,AGREEMENT 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 de on this a�p' ation are complete, true and correct. i Applicant's Signature: Date: / Building Official/ Inspector: Date: Page 2 DATE TIME ►/ CITY OF ORONO CALLED IN INSPECTION XOTICE SCHEDULED - --� PERMIT NO 0�COMPLETED ADDRESS OWNER 4 NE 0. 3713 CONTRACTO l DESCRIPTION4 T 4vwl Am-*p ❑ FOOTING ❑ D O-FINAL ❑ SEPTIC FINAL 13 POURED WALL [3 2! RI ❑ EXCAV/GRADING/FILLING Q ❑ 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 ❑ FOUNDATIONMEMOVAL v [3 DEMO-SITE ❑ SEPTIC INSTALL A OWNERICONTRACTOR TO NEETYOU:_YES—NO COMMENTS: C '� eDC•`�«c�s li4G W r<-�� Mi ❑WORK SATISFACTORY:PROCEED OJECT COMPLETE W 0 CORRECT WORK a PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY C D CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN INSPECTOR WILL RETURN ORATION ISSUED O STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. can for the next knpwtkm 24 hours in advance. (952) 249-4600 Ownor$Confractor on eta: Inspector: Whft W c `b RIO Canary Copymft Nodce