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Home My WebLink About2013-01004 - mechanical J !� • CITY OF ORONO * 2 0 1 3 — fd 1 0 fd 4 * 2750 KELLEY PARKWAY DATE ISSUED: 09/26/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 REPRINTED ON 9/26/2013 ADDRESS : 2003 SUGARWOOD DR PIN : 34-118-23-21-0010 LEGAL DESC : SUGAR WOODS : LOT 002 BLOCK 002 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 3,000.00 NOTE: REPLACE(2)WATER HEATERS APPLICANT MECHANICAL 50.00 LEGACY MECH SERVICES STATE SURCHARGE MECH(VALUATION) 1.50 114 THOMAS CIRCLE#106 MONTICELLO,MN 55362- 1�1f1IL-IN FEE 2.00 (763)314-0877 TOTAL 53.50 OWNER BRINK,JEFFREY&VICTORIA 2003 SUGARWOOD DR LONG LAKE,MN 55356- 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 related work which requires sepazate 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 aze requested in conformance with the State Building Code.This permit may be revoked�y time for due ca e. � � � ,�,� � ,� ,� Applicant Permitee Signature Date Is d By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. . � � � City of Orono �� R C Y USE ONLY - �-O� P.O.Box 66 Date Recei Permit f�� 2750 Kelley Parkway SEP"`' 2 5 201 Crystal Bay,MN 55323 Approved By: Amount��, (952)249-4600-Main C�/OF OR (952)249-4616-Fax Q�JQ y�' c.� CITY OF ORONO—PLUMBING PERMIT l�kFSHO�� (All Commercial Permits Must be Approved by the State Prior to City Approval) htt ://www.dli.mn.aovlCCLD/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 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 1 Residential ❑Commercial(Approval Required) ❑New ❑Additional ❑ Re airs �place P ❑ [n Accessory Structure? *You will need arior aaaroval and may need CUP.(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: Site Address: 2a l� 3 �, � �: _ Owner: � [—d � 1'Ll'1.� Mailing Address: � City: ��/�Yi � Zip: �� Home Phone:��7�.�� f�� Alternate Phone: l� � � � �� t v Contractor Informat�on: .. p ��h � � ��1 C�S f � Contractor: �.1. �l� ��l'lµ-��'k�i�Person: J�/��'1� � i /� -�-1�`L ,p/� �^_ i �, /� Address: 1 �� li(� State Bond#: ��( L 11`'f`'C � � � � n� •Y � City: I C(., Zip:!"�� Expiration Date: � Phone: �� `�'� �� l � Alternate Phone: � Insurance—Current: 1 FIXTURE BSMT ls 2No OTHER FIXTURE BSMT 1 T 2�1D 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: l. 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 $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ �! . ��/ (Permit Fees Continued On Next Page) � C//7/' / ri � � 2 � � S3 . . • '• , ► If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) x.0125 $ (contract price) (minimum$50.00) 2. STATE SURCHARGE x.0005 $ (contract pnce) 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. The undersigned hereby applies to the City issuance of a Plumbing Permit, agrees to do all work in strict accordance with the ordi nce of e City and the regulations of the State of Minnesota, and that all state ent mad n t s application are complete, true and correct. Applicant's Signature: � �� /� 3 � ^ � �Q� AT TIME ✓ CITY OF ORONO CAL� �� INSPECTION NOTICE SCHEDULED I�� Q'j PERMIT NO. c-,ZD�� '��COMPL ADDRESS � �� OWNE ELE E NO.��-��' �� CONTRAC c.-yl� � DESCRIPTION o` � S � � ❑ FOOTING � PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q � POURED WALL ❑ MECHANICALRI ❑ LAKESHORENVETLANDS y � FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPIACE ❑ SITE INSPECTION Q p RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL p FOUNDATION/REMOVAL <�r�NTRACTOR TO MEET YOU:�YES_NO ��., COMMENTS: � W a � J O � � O � W � Q � Z W � W � � � � ❑WORK SATISFACTORY:PROCEED �ECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REiNSPECTION TEMPORARY V BEFORE COVERING PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WFLL RETIJRN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALlTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector. / White Copylinspecto�'s File Canary CopylSite Notice