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Home My WebLink About2013-00933 - plumbing , v CITY OF ORONO * Z p� 1 3 - 0 P1 9 3 3 * 2750 KELLEY PARKWAY DATE ISSUED: 09/12/2013 ORONO,MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2720 PHEASANT RD PIN : 21-117-23-23-0052 LEGAL DESC : YALE SMILEY ADDN : LOT 001 BLOCK 001 PERMIT TYPE ; PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: PLUMBING FIXTURES: LAVATORY AND SHOWER VALUATION OF PLUMBING 500 APPLICANT PLUMBING FIXTURE FEE 50.00 RIDGE, MARK STATE SURCHARGE PLBG(VALUATION) 0.25 2720 PHEASANT RD EXCELSIOR,MN 55331- TOTAL 50.25 OWNER RIDGE,MARK 2720 PHEASANT RD EXCELSIOR,MN 55331- 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 sepazate 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 aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. / / / / Applicant Permitee S�gnature Date Issued By Sig ture ate SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A E. t F R ITY USE ONLY O City of Orono Q z � NO P.O.Box 66 Date Receiv .� � Permit# O�i3 i,3i� 2750 Keliey Parkway ( Crystal Bay,MN 55323 Approved By: Amou�t� (952)249-4600—Main (952)249-4616—Fax yF ` CITY OF ORONO-PLUMBING PERMIT `Rk�sH��`� (All Commercial Permits Nlust be Approved by the State Prior to City Approval) htt�://��3�.dli.mn. o��/CCLD/PDF/ e lumb lanre��a . df 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 A 1 �Residential ❑Commercial(Approval Required) ❑ New ❑Additional ❑ Repairs �Replace ❑ In Accessory Structure? *You will need prior approval and may need Cl;P.(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: Site Address: �`1 �� S a-�-1 1�-f1o�� Owner: iM C��C-- r�4�c�fZ� Mailing Address: �. .C�. T City: l�r�'✓`� Zlp: 5��` Hame Phone: /" '�"'�- Alternate Phone: �'�� (�g1 z--�6�-3��-� Contractor Information: Contractor: Contact Person: Address: State Bond #: City: Zip: Expiration Date: Phone: Alternate Phone: ❑ Insurance-Current: 1 r � PL� t= ��"�. :,3�. FIXTURE BSMT 1 2 OTI-�R FIXTURE BSMT 1 2 OTI-IER TYPE FL FL T'YPE FL FL Water Closet Floor Drains � Lavatory Y Sewer Ejector (� Bathtub Laundry Tray Shower � Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous � t.� �A'�� A�� ;�_ � ; .�� ❑ Yes,this section applies The replacement of only one Residential fixture or appliance that meets all three of the following requirements: 1. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less;excludine the cost of the fixture or appliance:and 3. Is improved,installed or replaced by the homeowner or licensed plumbing contractor. Skip next section,if this applies; Cost of Perrnit $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 =Y .+y - ", 'yg,. ''� �ryy,}X'4�.a�e G. \ b� _ ..+F� "�J �KP.�,`'�4Y�£'�., If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract pric�th a(Minimum Fee of$50.00) ✓w• x.0125$ (contract price) (miniroum$S11.00) 2. STATESURCHARGE 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 made on this application are complete, true and correct. . ApplicanYs Signature: Date: 1 � /� � ( � 3 �� .P/� DATE TIME " CITY OF ORONO CALLED IN �� 3 INSPECTION N TICE SCHEDULED 3 � -3� PERMIT NO. � �3— ��OMPLETED ADDRESS Z-1 Z� ��-��p�l.�- �, OWNER �( TELEPHONE NO. L� �Z - g��ZO CONTRACTOR M''~ ✓ �: DESCRIPTION ��'� � � � � � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI � ❑ LAKESHOREJWETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLA�NT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEP,T,fC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:�}YES_NO � COMMENTS: a W � � J O a � O � W � Q � Z W � W � � d W� ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK 8�PROCEED C� ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR '� CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� 2Q9-46QQ Owner/Contractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice ✓ 3 DATE TIME CITY OF ORONO p�� CALLED IN iNSPECTION NOTICE � SCHEDULED PERMIT NO. �013-!�d�'19 COMPLETED - �� ADDRESS a 7aa ��'l�csa�` ��• OWNER /�4r'!C �a�� TELEPHONE NO. CONTRACTOR � DESCRIPTION s�thr /'e,rt�� ty ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � �Ff�IAL ❑ SEWER HOOK-UP � COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. �FDLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: , �^ � f C �Cr►+.�.L` /��er t��/�/ �T G4ll TC�r g � �!i'l�L LH-.S�� • � A�Y�/GD /✓L /�'CA'[/`!i!l � �' aG�3 - oQ�sf9 - � �'1/� t�K e �Iv�r(t- Q P/��sc c4<< c►�, �`o.o� � b��e ��4� � !rl�e��a.ls w rf��.,, lG c�4�s d f (aJlLLl�►!c�cs► ��t asL`w�s w �l� .a - �a�3 ' �9�.3 - - � � 0 W ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE CWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED �❑/STOP ORDER POSTED.CALL INSPECTOR 3�7.lNSPECTION REQUIRED.CALL TO ARRANGE ACCESS_ ✓ � Call for the next inspection 24 hours in advan . (g52) 249-460 OwnerfContractor on site: inspector. ��f��^- White Copyllnspector's File Canary CopylSite Notice �� i � �� D E TIME � CITY OF ORONO CALLED IN I ' ' �,�-.�� INSPECTION TICE SCHEDULED / - - �1L" PERMIT NO.� ' ^ � COMPLETED ADDRESS a�� DQe OWNER TELEPHONE NO.��Z� $�'S 3d°2� CONTRACTOR �; DESCRIPTION � �C� � � ❑ FOOTING PLUM FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ ECH CALRI ❑ LAKESHORENVETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z0 INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP � ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERfCONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � W a j j O � � O � W � Q � 2 W � W � J W ❑WORK SATISFACTORY:PROCEED OJECT COMPLETE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED O STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours i advance. �9 2 / 9-46�� OwnerlContractor on site: Inspector. � White Copyllnspector's Ffle Canary CopyiSite Notice