The URL can be used to link to this page

Home My WebLink About2014-00167 - plumbing � . CITY OF ORONO * z 0 1 4 - r� 0 1 6 7 * 2750 KELLEY PARKWAY DATE ISSUED: 02/25/2014 ORONO, MN 55356- (952) 249-4600 FAX: 952) 249-4616 ADDRESS : 480 SUSSEX LA PlN : 04-117-23-31-0013 LEGAL DESC : FOX BEND : LOT 002 BLOCK 003 PERMIT TYPE : PLUMBING(> $500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES- MULTIPLE NOTE: WATER HEATER VALUATION OF PLUMBING 3265 APPLICANT PI,UMBING FIXTURE FEE 50.00 STATE SURCHARGE PLBG(VALUATION) 1.63 CITY VIEW PLUMBING& HEATING TOTAL S1.63 1880 WAYZATA BLVD W P.O. BOX 150 Payment(s) LONG LAKE, MN 55356 CHECK 34330 S1.63 (952)473-8793 OWNER MCMILLAN, WILLIAM & MARY 480 SUSSEX LA LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and thc State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this t}'pe of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issua�ice,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with[he S[a[e Building Code.This permit may be revoked at any time for due cause. _ a/a-5� �� --� � ,�, � Applicant Permitee Signature Date ssue y Signature Date � , - �F/�R C Y USE ONLY �� v City of Orono e�j'75� r�� o�Vo P O Box 66 Date Recerveb'r` � Permit# Ar+��! 2750Ikelley Parkway � Crystal Bay,MN 55323 Approved By: Amount$: (952)249-4600—Main -+ � (952)249-4616—Fax yF c,� CITY OF ORONO—PLUMBING PERMIT ��KESNo�� (All Commercial Permits Must be Approved by the State Prior to City Approval) htt ://www.dli.mn. ov/CCLD/}'DF/ e �lumb�lanreva . df GENERAL INFORMATION I. 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 revie�v is completed. PERMITS ARG NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST I�OT 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 V \ ❑ In Accessory Structure? *You will need prior approval and may need CUP.(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: Site Address: �� x �� Owner: 'J�IL -�rn��r r��m��I�-� Mailing Address: `"l� �� 5�� 1� �� c�ri: D�vVl� z�p: �.�35� Home Phone: Alternate Phone: Contractor Information: � Contractor: C�� .C(,� ��,� ContactPerson: S�� <<D''� Address: �g$b^� w`"s+ �/c�,�(�"U' �«�tate Bond #: G `l LI � City: �h L�� Zip�� Expiration Date: � � ( � Phone: �J ��3'g�3 Alternate Phone: `� � �J �I V � ❑ Insurance—Current: �-�.� 1 . , � r FIXTURE BSMT 1 ST 2ND OTHER FIXTURE BSMT 1 ST 2t'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: 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 $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 . � If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) 3��5 X.o�25$ SG.c� (contract price) (minimum 550.0(1) 2. STATE SURCHARGE � �� S x.0005 $ I • G� (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. 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. A licanYs Si nature: Date: �� PP g 3 T TIME V CITY OF ORONO CALLED IN � / INSPECTION OTI E SCHEDULED • � PERMIT N � COMPLETED ADDRESS �f"� OWNER ' LE NE NO.-��/ ( CONTRACTOR � DESCRIPTION �� L� � � ❑ FOOTING �PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING 0 MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP � PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � � a W2��r ��r - ��, ti s -� �4��i.rc. j � — y o PX��sid �vo�K Ca�d/a,{� � ��c.�S �' O� � 0 � W � Q � 2 W � W � j d � ❑WORKSATISFACTORY:PROCEED �ROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED_CALL TO ARRANGE ACCESS. Call f xt inspectiQn 24 hours in advance. (952� 249-460� OwnerlC nVactor on site: �� Inspector. White Copylinspector's File Canary CopylSfte Notice