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Home My WebLink About2015-00987 - plumbing CITY OF ORONO * z � 1 5 — 0 0 9 8 7 * 2750 KELLEY PARKWAY DATE ISSUED: 08/03/2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 1345 REST POINT LA PIN : 07-117-23-32-0054 LEGAL DESC : TONKAVIEW GARDENS : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURE NOTE: REPLACE WATER HEATER VALUATION OF PLUMBING 4265 APPLICANT PLUMBING FIXTURE FEE 53.31 STATE SURCHARGE PLBG(VALUATION) 2.13 GENZ-RYAN PLUMBING&HEAT MAIL-IN FEE 2.00 2200 HIGHWAY 13 BURNSVILLE, MN 55337 TOTAL 57.44 (952)767-1000 Payment(s) CHECK 148689 57.44 OW1vER AHERN, GEORGE&CANDANCE 1345 REST POINT LA MOLTND, 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 rela[ed 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 l80 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. , � �. �� - c� i �--i� Applicant Permitee Signature Date Issue B gnature Date �ts -3�a3 ( � r�n� onl1� • FOR CTTY USE ONLY CE�`E� O City of Orono � NO P.O.Box 66 Date Received: Permit#� n �� 2750 Kelley Parkway � ?O�5 Crystal Bay,MN 55323 Approved By: Amount S: (952)249-4600—Main �F ORONO (952)249-4616—Fax y�'�' ��c.� CITY OF ORONO-PLUMBING PERMIT kfSHO (All Commercial Permits Must be Approved by the State Prior to City Approval) htt : www.dli.mn. ov CCLD PDF e lumb lanreva . df GENERAI.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 iOB 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 �esidential ❑Commercial(Approval Required) ❑ New ❑Additional ❑Repairs eplace ❑ In Accessory Structure? *You will need prior approval and may need CUP.(Per Orono City Code,Chapter 78,Article IV) ob Site/Owner Informations" Site Address: �� 'rJ ��e.��- �otr�� (�,�Ib� Owner: l�vt�ca ��'e-Y� Mailing Address: ��J� "�J -�gt-�aivi,�t't,0un�-. City: �'�'on o Zip: ��o� Home Phone: �,��550-1qa(n Alternate Phone: ontractor Informarion: Contractor: ��Z'° � Contact Person: ��-t-u.r►'�►'1 Address: ZZC� �N��' � 13 State Bond#: b 'JgOa-(T�� City: �r1�V e1�� Zip: � Expiration Date: Phone: q, Z-1�p�,��C7� AlternatePhone: ❑ Insurance-Current: 1 �s-31�3 FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sink Water Heater � Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous ❑ 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 Permit $ 15.00 State Surcharge $ 1.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 �,.�LaS--3�23 PERMIT FEE CALCULATION S —JOBS OVER$500.00 If above does not apply;follow guidelines below: L CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.0 ) c.� 2�`�— ��,� X .o�25$ 3- 3 � (wntract price) (minimum$50.00) 2. STATE SURCHARGE C..�� ,�'� x .0005 $ - � ( (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 c_J �_ 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 made on this application are complete, true and correct. � (�" A licant's Si nature: �� Date: � � [ J PP g 3 �'-� � � D/� �j TIME CITY OF ORONO CALLED IN � INSPECTION N HEDULED II� �' I � � PERMIT NO. � �� MP ED ADDRESS �3 OWNER PHONE NO�'�� CONTRACTOR � DESCRIPTION 4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT ❑ WATER HOOK-UP ❑ FOLLOW-UP 41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL Z ONfNERlCONTRACTOR TO MEET YOU:_YES_NO c��, COMMENTS: W � W�✓ , �i e�� re�ol. , o - ex�s��,��s /.��. � ' P�c�s�i K� (/c•�7�'i �✓ .�or.�� ✓c.,r,t 0 � W � Q 2 Gt�O�'�C C��e�.��_��ais �j�/ w �,�.�«,� �•�� _ � � ❑WORK SATISFACTORY:PROCEED ROJECT COMPLEfE W ❑CORRECT WORK 8 PFiOCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONpIT10NWITHIN HOURS. p pHOTOTAKEN INSPECTOR WFLL RfTURN O STOP ORDER POSTED.C14LL INSPECTOR �CITATION ISSUED ❑INSPECTIONREQUIRED.'CALLTOARRANGEACCESS. Ca11 forthe n�xt inspection 24 hou in advance. (g52) 249-4600 OwnerlContractor on site: Inspector. �--- White Copyllnspecto�'s File Cenary CopylSRe Notiee