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Home My WebLink About2017-00045 - plumbing ^ CITY OF ORONO * 2 0 1 7 - 0 PJ 0 4 5 * • 2750 KELLEY PARKWAY DATE ISSUED: OUi9/2017 ORONO, MN 55356- (952) 249-4600 FAX: (952)249-4616 ADDRESS : 2685 SHADYWOOD RD PIN : 21-117-23-23-0050 LEGAL DESC : REG.LAND SURVEY NO. 1453 : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WATER HEATER NOTE: WATER HEATER&MIXING VN VALUATION OF PLUMBING 4100 APPLICANT PLUMBING FIXTURE FEE 51.25 STATE SURCHARGE PLBG(VALUATION) 2.05 BENJAMIN FRANKLIN PLUMBING MAIL-IN FEE 2.00 5718 INTERNATIONAL PKWY NEW HOPE,MN 55428- TOTAL 55.30 (612)238-9709 Payment(s) Minnesota State License#:plbg-PC643703,mech-MB004722 CREDIT CARD 0169 55.30 OWNER BROWN,RICHARD W&MARION H 2685 SHADYWOOD RD ,MN 55331- AGREEMENT AIYD SWORN STATEMENT The work for which this pertnit 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 dces not grant permission for additional or related 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 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. _ n„„ /(,{Cl �' YIa� I ��` �� n�� 1 , �9 , ,� Applicant Permitee Signature Date Issued By Signature Date O1/18/2017 wED 19: 1a FAx Ark KdnagOrnent �002/OOa � � G� �j �.�� °� 3�� FOA CITY USE ONLY O Clty of Orono � �O P.O,Box 66 Dele Rtaeived: �'/ Pecmil# 20 O�/ -�"j 2T50 KOIbY P�rkwqy �j� O Cryelal 0ay,MN 5532] Appr0�6d 8y, i"� AIriOWU S;_ S S • (952)249-4600-Main y� `� (932)249�46 f 6-Fax CITX OF ORONO--PLUMBING PERMIT rq sNo�`�' (All Commercial Parnits Muat be Approved by t6e State Prior to City Approval) htt ://www.dli.mn. v/CCLD/PDF/ c lumb lanreva . df C�ENERAL INFORMATION 1. You may apply for plumbins permits by mail or in person at the City offices. Applications will be reviawed and a permit will be issued within two workins days. 2. Parmit cards will be�ea►t by retum mail aRcr a rcvicw is comploted. PERMIT'S ARE NOT VAWD UNT[L YOU RECEIVE A PEItMYT. WOtt1C MUBT NOT BEGIIV UNTIL THE PERMIT CARD 1S P05TE�ON THE JOB SITE. 3. Plumbing pcm�its may bc issucd ONLY to licensed plumbing contractors and to propetty owners residing in the dwelling. 4. When any new construction or remodeling is involved,a separate building pamit must bc obtained. 5. All work muxt bc donc in aocordance with State Code requirements. 6. All work muet be inepected and air tested beforo it is covaed. Cali(9S2)249-4b00. (2A-48 hour Qolice r,cquircd) r�E oF rE�rr Check All That A 1 idential ❑Commercial(Approval Require�l) � ❑New ❑Additionel ❑Repairs ❑Replace � , i ' ❑ In Acocasory Structiudl "'You wtll need nrlor aonrovxl and may nced CUP.(Ptr Orono City Codc,Chapter 78,Article I17 7ob Site/Qwner Ynfonmat�on, Site Address: �lU � �J ��dl�`-1 �A�O�� U�' � ��J�/� l� Owner: �� Visiling Address: . � � �� c�ty: `r XC,�` 51 Ur z�p: 1 Home Phone; ``��"��f `1 Alternate Phone: � Co�►tractor��n�o�aatio�; � Ben Frankfin Plu� .�� ,� Contrac ��,pnal Park��y��0�`: .�� New Hope, MN 554��Bond#: ��_(�Q �`��"C�� Address: City: Zip: Expiration Date; Q � Phone: Alternate Phone: �`'� ��'��-Cx'-� [] Insurance—Current: �1��.Q (\� � rl Sl,(�G� �-- ---r— 1 O1/18/2017 wao 19: 15 F�t 1�rk Ksnagement �J003/OOa , � ." ' �;PL�7.�I�� `��1;�;� �'�� ;,,�. . ;�,��,; -,s.:. ' .t .:n FiXTURE BSMT 1 2 0'a'I-��R FIXTURE OSMT 1 Z OTHER � TYPE FL FL TYPE FL FL Water Ciosel Floor prains Lavatory Sewer Ejector Bathtub Laundry Tray Showa Washer �Citchen Sink Haater Di6posal a Saftener Dishwsshcr Wet Bar Sillcocks iscellanepu V�n� X i t`� �J'�V . . � �, � �"��r;g�:�.��Txo��.•; �� .; . , ' �� ' � �AS I��.�Y �.�Qq��.,�TATB.S�;4T�iE.,,� - , , , , ❑ Yes,this ion applies TMe replacement of only on idential fixturc or li nce that mests nee of the following requirements: 1. Does nat rcquire modificatio electrical or ervice� 2. Hae e total cost of SS00.00 or les�, cludi c ooat of the fixture qr appliance�and 3. Ys improved,inetalled or replaeed by t ome�owner or licex�sed plumbing contractor. Skip next section,if this appli � Cost o it � 15.00 State Surch S 5.00 Mail-In Feo(]f A 'c�ble) S 2.00 Totnl Permlt Fee S (Permit Fees Continued On Next Page) 2 O1/18/Z017 ATED 19: 15 F� Ark Kdndgement �OOa/OOa �a' a.ri.i�' '°�''•!, LL.'•�i+N9�'1Jr�-4�i?li1L� ��';��!%�A��1;v,'� Q 'i. .'I''r•��•",:.r [f above does not apply;follow guidelines below: 1. CONTRACT PR10E 'is L.25%of contract price with a(Minlmum�ee of SS0.00) `-��0 o x.oizs a_ _ �( .'�- -� (conlnct pricc) (ml�loum SS0.00) 2. STATE SURCHARGE ��J�� O� � �� x.0005 $ (wntmct pricc) 3. POSTAGE&HANDLING(Only an Mail-In Applications) $ 2 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) S � J- �� • * CONTRACT PRICE or JOB COST meens ehe actuel or estimatod dollar amount charged for the permitted work including materials,labor,profit,and other fixed costs. It is the amount to be charged to thc cusEomcr for the work done. If any material,equipment,labor or installations�re fumished by the ownet,tenant or any other perty,the reasonable msrket value af such itema must be added to the es[imated cost or contrect price for permit feo purposes. In thc evcnt Ihat th�is a dispute on the amount of che job cost,the City may roquest tbe submission of a eigned copy of the actual contract. .. ,,� � ,,R�, ;,�L•L��G�� ''�P�T�Y�A'I'�OI�T,��1t�3 � The unde�signed hereby applies to tha City for issuance of a Plumbing Permit, agrees to do all work in strict accordanee witii the ordinances of the City and tht regulatior�s o�'the Stats of Minnesota, end eenifies that all statements made on this appl�cativn a� complete, true and oarrect. Applicant's Signature: Datc: � � 3 �-S ��- � TIME CITY OF ORONO cnLLED IN INSPECTION NA�CE Q�D��HEDULED �� 7 �� PERMIT NO. �� O ETED ADDRESS � �NNER LE ON N a�`�'7� CONTRACTO �� DESCRIPTION ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � ❑ POURED WALL ❑ PLUMBING 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 Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ � ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OMINERlCONTRACTOR TO MEEi Y�U:_YES_NO � COMMENTS: Q � � F rl� �i . 0 1 v C7 � � O �!v�r, � W � Q � W W � � W ❑WORK SATISFACTOHY:PROCEED ECT COMPLEfE � ❑CORRECT WORK�PHOCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W O O CORRECT WORK�LL FOR REINSPECTION TEMPORARY V BEFORE CO�VERING PERMANENT ❑(�RRECT UNSAFE CONDITION WRHIN HOURS. p pH0T0 TAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION RE(]UIRED.CALL TO ARRANGE ACCESS. CaN forthe�xt inspection 24 hours in advance. (952) 249-4600 Ovme�IContractor on ite• �n�� WMte CopyMnapsctor's Flb Canary CopylSife Notks