The URL can be used to link to this page

Home My WebLink About2014-01084 - plumbing � � CITY OF ORONO �� 2750 KELLEY PARKWAY * 2 0 1 4 — 0 1 0 8 4 * DATE ISSUED: 09/23/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2054 SHOREL[NE DR PIN : 10-117-23-34-0015 LEGAL DESC : HARTWOOD : LOT 002 BLOCK 001 PERM[T TYPE : PLUMBING (>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WATER SOFTNER NOTE: 1 WATER SOFTNEIt VALUATION OF PLUMB[NG 950 APPLICANT PLUMBING FIXTURE FEE 50.00 STATE SURCHARGE PLBG (VALUATION) 0.48 ROBERT B. HILL CO. MAIL-IN FEE 2.00 7101 OXFORD STREET MINNEAPOLIS, MN 55426- TOTAL 52.48 (952)925-1444 Payment(s) CHECK 46447 52.48 OWNER ALT SR, THOMAS H 2054 SHORELINE DR WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permihis issued shall be performed�according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the woFk deseribcd and does- not grant permission for additional or related work which requires separate pemiits. All provisions of laws and ordinances governing this type of work shall be compied with whether or-not specified herein.This permit will expire and become null and void if construction authorized is not commenced within I 80 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. �� -� ��s.--� �---�--� �� - �,'� l P�� / � Applicant Permitee Signature Date Issued By ignature Date ( + City of Urono 2750 Kelley Parkway Orono MN 55356 952-249-4600 Receipt No; 3.011852 Sep 23, 2014 Robert b.Nill Previous Balance: .00 Fermits i14-01084 2054 50.00 �reline dr -32530 ^ hanical/Septic/Otfier mits 14-01085 33U9 crystal .48 rd -20802 to govts-State nits 14-01085 33U9 ;;rystal 2.G0 rd �34440 i Permits-mail in fees 1: 52.�18 ----------- k eck No: 46447 52.4� yor: �ert b.Hill l Appliad: 52.48 Changa Tt��cie;��i i: i�� U�.�, �,�.� �i-;;'M FOR CITY USE ONI,Y /'�O,� `� City of Orono f �- 1�/ P.O.Box 66 Date Received: Permit# �' 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By: Amount$: (952)249-4600—Main � .k (952)249-4616—Fax �'��' �` CITY OF ORONO-PLUMBING PERMIT r�k�sxa�� (Al(Commercial Permits Must be Approved by the State Prior to City Approval) htt ://www.dli.mn. ov/CCLD/PDF/ e lumb lanreva . 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 retum 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. ��CE�vE� 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. SF P � � 1 i�j� 6. All work must be inspected and air tested before it is covered. Call(952)249-4600. (24-48 hour notice required) CITY OF ORON� TYPE OF PERMIT Check All That A 1 �Residential ❑Commercial(Approval Required) �� ❑New ❑Additional ❑Repairs •�Replace ❑ In Accessory Structure? *You will need prior aanroval and may need CUP.(Per Orono City Code,Chapter 78,Article N) Job Site/Owner Information: SiteAddress: -�� ^;�� 1< �� t` ► � ��' ��(C�fl(�'� ��t�l `,'��1� Owner:��,fCY�� Mailing Address: ,�� )�� "''�f �il�~�s ��' Ciry: �"�C�`�C� zip: �� }� . �' �-- �. Home Phone!`- � � ( ' Alternate Phone: � Contractor Information: 1y., '` f �_'.. Contractor: �(�.f� [_l`ti1l�l�('p j Contact Person: c ��-l.'�-"� C� � y Address: ��;� [�� State Bond#: �,�;�.( �.(�l p C_• � ��-�� l t City: _ � �� • ip:e�'-�Yl�'xpiration Date: ��Y �� i� Phone: `��-� `I��C Alternate Phone: �1 1� ❑ Insurance-Cunent: 1 � � � �'LUMBING�'�TURE��E1�T+�;TN � ... ° � �-�� ,` ` ' �. . -� ��: � FIXTURE BSMT 1sT 2ND OTHER FIXTURE BSMT 1sT 2xD 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 ,/ 7`l Dishwasher Wet Bar Sillcocks Miscellaneous � ' PERMIT FEE CALCULATI�N(S) � � BASED OFF- 2002 STATE STATUE" ❑ 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$SOO.Oi)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 $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 PERMIT FEE C�LC�A'��Q!� � =�{�BS'QVER$5�{?.fl� ��'e� � "` If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) �'1��.�'.�� x.0125$ Cx� ,�� (contract price) (minimum$50.00) 2. STATE SURCHARGE C4�,��`�f"� x.0005 $ � �i '� �� ' (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. �r .�-��.�z�y>, .�`; LUMBTNG P��+r��T APPLICATI�I�T�:GREEMEi�I��, � ,�; 3�as��ar "' f / 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. � � ` �' ' ' � �� 1 Applicant's Signature: � Date: C 3 ;;, . '� ��`� MIHN6&OTAOSPARTMENTOR WATER �CONDITIONING CONTRACTOR � LAB�R& INDUSTRY Construction Codes and Licensing,Division Licensing and Certification Services 443 Lafayette Road N St.Paul,MN 55155 Website: www.dli.mn.9ov/ccld.aso Email: dii.license@state.mn.us Phone: 651.284.5034 This is to certify that die cectificate holder is licensed as a WA'CER CONDITIONING CONTRACTOR in the state of Minnesota and is in compliance with Minnesota Statutes 326B.55,and may perform or offer to perfonn water conditioning installation and water conditioning service on systems serving a single family residential unit in all areas of the state during the license period;provided the responsible individual is at all times a WATER CONDI'TIONING MASTER and the certificate holder man�tains compliance with the required bond,general liability insurance,and workers'compensation laws. License : WATER CONDITIONING CONTRACTOR � Lic Number : WC646096 ROBERT B HILL CO � Effective Date : 01/01/2014 7101 OXFORD ST e Expiration Date : 12/31/2015 ST LOUIS PARK, NfN 55426 � T VERIFY UP-TO-DATE STATUS, BOND,AND INSURANCE INFO AT www.dti.mn.aov/ccld/LicVerifv.asp (ENTER NUMBER). '�,