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Home My WebLink About2010-00690 (PLumbing) � CITY OF ORONO rERM�T�vo.: 2oiaoo690 • 2750 KELLEY PARKWAY ORONO, MN 55356- DATE IssuED: 08/10/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 1416 BALDUR PARK RD PIN : 08-117-23-34-0015 LEGAL DESC : BALDUR PARK : LOT O11 BLOCK 001 PERMIT TYPE : PLUMBING(<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURE NOTE: KITCHEN SINK APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 APPLIANCE CONNECTIONS STATE SURCHARGE PLBG(<$500) 5.00 1313 DANITA CR. SHAKOPEE, MN 55379 MAIL-IN FEE 2.00 (952)445-4803 MISC FEE 0.00 Minnesota State License#: 057209PM TOTAL 22.00 OWNER MARCIA PETERSON,JEFFREY ULKU/ 1416 BALDUR PARK RD WAYZATA,MN 55391- 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 [he 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[his type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction au[horized 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 cesponsible for assuring all required inspections are req�ested in conformance w�th the State Building Code.This permit may be revoked at any time for due cause. `%'✓�—� `1, / / / / Applicant Permitee Signature Date Issue y i nature ate SEPARATE PERMITS REQUIRED FOR WORK OTHE HAN DESCRIBED ABO FOR CITY USE ONLY � ' ¢0� City of Orono • � 0. � P.O.Box 66 Date Received: Permit# 2750 Kelley Parkway �� Crystal Bay,MN 55323 Approved By: Amount S: �o� (952)249-4600 CITY OF ORONO—PLUMBING PERMIT (All Commercial permits must be approved by ihe Building OfTicial or Inspector) 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 warking 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 ❑Rep�rs ❑Replace ❑ In 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: .:-� �;; �'�'j;�1 G��{ �- I,, � �. �=/�,i.�.- 1; ;`� � .�„� ✓ , " � ;�� l/ �i Owner: _�`�-C `- �`�-'�� -�� Mailing Address: ��-t t� L��.��-� �(�+ �� City: i,'�� Z � �� Zip: `��_'�-"t � Home Phone: L��7 �� „� `'�` �r Alternate Phone: Contractor Information: � ' Contractor: Contact Person: Addr��ma�c� ��ne��ns �t�°;State Bond#: � 'l313 Dr,�a��a �:�• City: Sh ��.,, Expiration Date: � Phone: 952-445-4803, Alternate Phone: - ❑ . Insurance—Current: _ 1 � � � , . , .; 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 Ttay Shower Washer Kitchen Sink Water Heater � � v Disposal Water Softener .� Dishwasher Wet Bar Sillcocks , Miscellaneous PERMIT FEE CA�.,�ULATIQl�1(S) �." � BASED OFF��2002�TATE STATUE ` _- .�� ❑ Yes,this section applies The replacement of a Residential fixtwe or appliance that meets all three of the following requirements: 1. Does not require modification to electrical or gas service. 2. Has a to 1 co of$500.00 or less;excluding the cost of the fixture or appliance:and 3. Is improved,installed or replaced by the homeowner or licensed contractor. Skip next section,if this applies; Cost of Permit $ 15.00 ' � State Surcharge $ S.OU �� Mail-In Fee(If Applicable� $ 2.00 Total Permit Fee � $ �: x '' � �. . • �.. i (Permit Fees Continued On Next Page� " . , ' 2 � / � � �-'� ATE TIME � l/CITY OF ORONO CALLED IN �� /�� INSPECTION N TICE SCHEDULED -� � PERMIT NO. � � -C �j COMPLETED ADDRESS � � o � -� /�I Lrf � ��C Q OWNER TELEPHONE NO. ��-�7�-�2��9 CONTRACTOR � �h�- �: DESCRIPTION ��'�'� � �� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ 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 ��ING RI ❑ SEPTI�FINAL ❑ FOUNDATION/REMOVAL OWNE ONTRACTOR TO MEET YOU:j'�YES_NO � COMMENTS: � � W � � J O � � O � W � Q � Z W � W � � GW ❑WORKSATISFACTORY:PROCEED /�ROJECTCOMPLEfE � ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CAIL INSPECTOR � CITATION ISSUED ❑ INSPECTION REOUIRED.CALI TO ARRANGE ACCESS. Call tor the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on ite: Inspector. � � l' �� ' White Copyllnspector's File Canary CopylSite Notice