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Home My WebLink About2015-01037 - plumbing � . , CITY OF ORONO * z 0 1 5 - 0 1 0 3 7 * E 2750 KELLEY PARKWAY DATE ISSUED: 08/17/2015 ORONO, MN 55356- 952 249-4600 FAX: (952 249-4616 ADDRESS : 2730 SILVER VIEW DR PIN : 33-118-23-42-0007 LEGAL DESC : MEYER DAIRY ADDN : LOT 006 BLOCK 001 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: 1 KITCHEN SINK, 1 D[SPOSAL, 1 DISHWASHER VALUATION OF PLUMBING 1800 APPLICAi�TT PLUMBING FIXTURE FEE 50.00 STATE SURCHARGE PLBG(VALUATION) 0.90 STEINKRAUS PLUMBING INC. MAIL-1N FEE 2.00 112 E STH ST SUITE 101 TOTAL 52.90 CHASKA,MN 55318 Payment(s) (952)361-0128 CHECK 30630 52.90 Minnesota State License#:mech-MB003824 OWNER MONSON,DALE&CAROL 2730 SILVER VIEW DR LONG LAKE,MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shali be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. ^ � (��r � � I-`�-`�C� -1 ��S �-c,�k, � a Applicant Permitee Signature Date Issued By Signatu Date t � FOR CITY USE ONLY /� City of Orono ry �7 t /y �� ONO P.O.Box 66 Date Received: � 1/ Permit# G��S 1 V3� � 2750 Kelley Parkway �j p� f Crystal Bay,MN 55323 Approved By: [.� Amount$:�2 . � (952)249-4600-Main -� .� (952)249-4616-Fax y�' c` CITY OF ORONO-PLUMBING PERMIT ��xsF�o�`� (All Commercial Permits Must be Approved by the State Prior to City Approval) �--�___-� htt ://www.dli.mn.rov/CCLD/PDF/ e �lumb lanre��a� . �df GENERAL INFORMATION L 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 l ) �Residential ❑ Commercial(Approval Required) ❑New �Additional ❑Repairs ❑Replace ❑ In Accessory Structure? *You will need prior approval and may need CUP.(Per Orono City Code,Chapter 78,Article[V) Job Site /Owner Information: Site Address: `��3o S`'�`'��'cW �� Owner: /��Sa�� 1�� Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: �i�'�►�u, �w��;; ='hC Contact Person: ,(7t� /��;�v,ti Address:Nz � St� Sr �� °� State Bond #: O�S6SS� City: L'�``�'�i Zip:S�S31� Expiration Date: � �- 3�� j�5� Phone: �S-Z- 3��-G�Z�' Alternate Phone: ❑ Insurance-Current: �c S 1 � • FIXTURE BSMT 1 2 OTI�R FIXTURE BSMT 1 2 OTI�R TYPE FL FL TYPE FL FL Water Closet Floor Drains ' Lavatory Sewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sink t Water Heater Disposal I 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 - F.....- . . .�.,..:..y,.. ,r � { ..:_:. ...._. ...y . _... ..; . ; . �V If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) ( �0 Q �_ x.0125$ � ¢ (contract price) (minimum$50.00) 2. STATE SURCHARGE � � �f�0� x.0005 $ � �� (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ .S�� `�� ■ * 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. � Applicant's Signature: � Date: � `�^/s� 3 V �� ( �C/1 iE/� TIM CITY OF ORONO CALLED IN INS�ECTION NO IC CHEDULED �_ �� PERMIT NO. "�1 3�OMPL o ADDRESS � ��(/ �� I�l�'�w � r/ OWNER � TELE NE NO.�✓�� '-�1�-�l Za CONTRACTOR � S /S � DESCRIPTION ^ G�Yv � ll� ❑ FOOTING ❑ E O-FINAL ❑ SEPTIC FINAL � ❑ POURED WALL UMBING RI ❑ EXCAV/GRADING/FILLING Q 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 _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL � OWNERICONTRACTOR TO MEET YOU:_YES_NO v�, COMMENTS: ✓[5u�4� � k�t��r� /'c•.�c�Q�l �' � a � •�ue c��s� i�s .L'�oke.� S•-sk 1/e.�� - o ��,cD c KGo Cxcs� �� ✓e�t- �fiG f��.0�— � / s ss�o�v — � �� / � �G�tit��K�f' 0 � Q �' pN-VUC � W��✓ Jr .� � � � oK �- C�ve � W � j W�O�Rif"SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE W�CORRECT WORK 8 PROCEED O ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WFLL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED_CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�0 OwnerlContractor on site: Inspector. �/`^�' � White Copyllnspector's File Canary CopylSite Notice ' 3 ��-- � � DATE TIM CITY OF ORONO CALLED IN �/- 2 -�S INSPECTION Na�S- Q`O3 SCHEDULED /l-4-l� � PERMIT NO. c PLETED ADDRESS � 7�� (/`�� (/I�/� OWNER TELEPHONE NO.�✓�3�� CONTRACTOR �S � DESCRIPTION ��'�/ W ❑ FOOTING ❑ DEMO-FINA ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING I ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF BING FI ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHAN�!(T'AL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER H�JOK-UP ❑ FOLLOW-UP 41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL Z v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W � � �� r,�.K��.L— 0 '' ; G�v�/�?t. � ° r��( G�-b�'K Q7 rv�lp� W � Q � � Z y- _/ � �/rK o` ��G!i� W � j � ❑WORKSATISFACTORIF.PROCEED �p,IGCLCQMPLEfE W ❑CORRECT W'ORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECONERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIREO.CALL TO ARRANGE ACCESS. Cail forthe next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector: I h-� Whits Copyllnspector's File Canary CopylSMe Nodee