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Home My WebLink About2016-00026 - plumbing CITY OF ORONO * Z 0 1 6 - 0 0 0 2 6 * ' 2750 KELLEY PARKWAY DATE ISSUED: OU08/2016 . ' ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2790 SILVER V[EW DR PIN : 33-118-23-42-0002 LEGAL DESC : MEYER DAIRY ADDN : LOT 001 BLOCK 001 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: REPLACE PLUMBING FIXTURES: 1 KITCHEN SINK, 1 D[SPOSAL, 1 DISHWASHER VALUATION OF PLUMBING 1800 APPLICANT PLUMBING FIXTURE FEE 50.00 STATE SURCHARGE PLBG(VALUATION) 0.90 SILVER TREE PLUMBING MAIL-IN FEE 2.00 3185 TERMINAL DR #200 TOTAL 52.90 EAGAN, MN 55121- Payment(s) (651)955-2987 CREDIT CARD 8447 52.90 Minnesota State License#: mech-MB005441 OWNER MOHS,JIM& PAIGE 2790 SILVER VIEW DR LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed acwrding to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. AII provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. ) � �L /� ) � � 0 �=,-�� `�- c�' : � ,� ��?�� (�; Applicant Permitee Signatu e Date Issued By Signatu e Date FOR CITY USE ONLY • Ci of Orono � � � ��. � -, � �- G� �.��0 p.Box 66 Date Received:' � � '��Permit# �'�,''', � 2750 Kelley Parkway f�� , �U Crystal Bay,MN 55323 Approved By: �'"�C � Amount$: <�� (952)249-4600—Main y (952)249-4616—Fax F c,`fi CITY OF ORONO—PLUMBING PERMIT l�k�sti0��' (All Commercial Permits Must be Approved by the State Prior to City Approval) htt :/hvww.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 ceturn 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 Struclure? *You will need prior approval and may need CUP.(Per Orono City Code,Chapter 78,Article N) Job Site7 Owner Information: Site Address: �r I ,� s�1�'� v\e� \�r Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: �( ll��-'-�_ Contact Person: Address: �`�� ,�� b� '` �tate Bond#: �.� �5�� _ City: � Zip:� Expiration Date: z� � Phone: �� (�l Alternate Phone: �O�� lJ ❑ Insurance—Current: 1 � ' :i�„�i s� ��:� =�x��x�r-��z�sx��c,i; _� s .3 �4Y�� 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 I Wet Bar Sillcocks Miscellaneous '� Y y P ]�,-�.-�`rF �:�z �`'� � �a�� 4 . ��f�.�� C x�� £ �� i",o-�.�,i�.�tM'� �� . w5` aP y�,a r #•�„ :�sPF1� �� , }s.�� ;� r ia`j � �� t.�j�� a ¢': ��`S"/ J d f y .r�' `A :� �� '�`�f-r�:'�*,�� °$A��D_� �-� ��T�� '.A�> � � �� .�� .} ; .. . .. . . Gm .�;, , ._ , _ ,.:. �� . . . . . ❑ Yes,this section applies The replacement of only one Residential fixture or appliance that meets all tluee 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 . � ' `# ` �� ` �� U�#��'ION S =�J�BS�'>b �i�°"�SQQ��1�,�� . � �'=� .,.� :�,"��=�:,a... .�., a�� a��..... r - " If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) �~l�J�� x.0125$ JV (contract pricc) (minimum S50.00) 2. STATE SURCHARGE / 9 [ �� X.�0�$ $ r i � (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �� D ■ * 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. :. L .. P�L�M$��,,p�° � �' .�L�C��T�Q�AGBEE�$NT�'r �,�;�* ��m�� .. .- . . .....'°. 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: 3 �� DATE TIME C/ " CIn OF ORONO CALLED IN INSPECTION NO CE SCHEDULED PERMIT NO. ��0 COMPLETED _� ADDRESS � I I��fZII� ��(� OWNER TELEP ONE NO.��z"7� CONTRACTOR �1 ` ve��f"�� DESCRIPTION ��i'�� ? ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF �UMBING 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 41 ❑ AS BUILT-SURVEY ❑ SEWER OOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SE T 'INSTALL 2 OWNERICONTNACTOR TO MEET YOU: ,—NO ��., M jFNTS: ¢ �- a � ��'it� ;7 ��e, ,JC -C�u�T t �— � o ►`l�� ,lr•� 5•-z�(c � _ �. � � �� o�dl�� — W � Q � 2 - � �g� .�.-.0 ��le� � � J W ❑WORK SATISFACTORY:PROCEED �OJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca�l for the next inspection 24 hours in advance. (g52) 249-4600 OwnedCorttractor on site: Inspector._s. ��`-' , White Copyllnspector's File Canary CopylSite Notice