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Home My WebLink About2013-00019 (mechanical) , � CITY OF ORONO * 2 0 1 3 - 0 0 0 1 9 * 2750 KELLEY PARKWAY DATE ISSUED: OU08/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1513 BAY RIDGE RD PIIV : 10-117-23-34-0008 LEGAL DESC : REG. LAND SURVEY NO. 0192 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RES[DENTIAL CONSTRUCTION TYPE : MECHAN[CAL- MULTIPLE VALUATION : $ 1,654.00 NOTE: 1 KITCHGN EXHAUST GAS LINE FOR NEW KITCHEN STOVE LOCA"I�ION APPLICANT MECHANICAL 50.00 CITY VIEW PLUMBING& HEATING STATE SURCHARGE MECH (VALUATION) 0.83 1880 WAYZATA BLVD W P.O.BOX 150 TOTAL 50.83 LONG LAKE, MN 55356 (952)473-8793 OWNER SNYDER, ROBERT 1513 BAY RIDGE RD WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT 1'he work for which this permit is issucd shall be performcd according to the approved plans and specifications,applicable City approvals,and thc Statc C3uilding Code. This permit is for only the work described and docs not grant permission for additional or related work which requires scparate permits. All provisions of laws and ordinances governing this type oC 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 revo at for due cause. yYl� � , � , 1 , , pplicant Permitee Signature Date Issued By S' ature ate SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO . FOR CITY USE ONLY �/��'y'``�` City of Orono /�r¢O� �;, P.O.E3ox 66 Date Received: Permit# ��r��;,, �� 2750 Kelley Parkway �� j"�t �� Crystal Qay,MN 55323 Approved E3y: Amount$: � 31r� ,t�o`,� (952)249-4600—Main ��'�� (952)249-4616—Fax _.,:._, --_ CITY OF ORONO - PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) htt�://www.dli.mn.rov/CCLU/PDF/ c lumb lanrcv� .�d1' 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 RECENE 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 I �Residential ❑Commercial(Approval Required) ❑ New ❑ Additional ❑ Repairs �Replace ❑ In Accessory Structure? *You will need urior auaroval and may need CUP.(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: Site Address: � �J � � ��/" �+ :� � ` ' ��-- �-� Owner: P�I�''"� ->r,V%L� f Mailing Address: �`.�(.5 ��/ t�; -�1�:�� . City: ��f�Y`� '1 Zip: J �3� ( �< -, � �� Home Phone: /-��~ -�� "� �� "T Alternate Phone: Contractor Information: Contractor: �� '��I `rl l� Contact Person: �i�nv�n c�t �<� �'YI,�iCN�J Address: I��SU B I�1QS�"uolyZ��; Q�w"'�'1 State Bond #: PC 6yL� I l� � City: �`� �� Zip:5��=� Expiration Date: �� 3 � �� J � Phone: �5��I7 � �J�� Alternate Phone: ��- �� ❑ Insurance—Current: �C'_� 1 PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT IST 2�`D OTHER FIXTURE BSMT 1sT �ND OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower W asher Kitchen Sink / Water Heater Disposal ' Water Softener Dishwasher ( Wet Bar J ! Sillcocks Miscellaneous PERMIT FEE CALCULATION(S) BASED OFF - 2002 STATE STATUE ❑ 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;excludin�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 s PERMIT FEE CALCULATION S —JOBS OVER$500.00 If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) c?J a �.,� ti -- X.o�25$ (contract price) (minimum$50.00) 2. STATESURCHARGE x.0005 $ (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. [f 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. PLUMBING PERMIT APPLICATION AGREEMENT 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 stateinents made on this application are complete, true and correct. Applicant's Signature: �"� Date: � � �� Reset Form ��°t 3 ca.1� � D E TIME V CITY OF ORONO ��9 w ��3 INSPECTIONN��IC��I� SCHEDULED t -�/3 �:� PERMIT NO. �`� 3 COMPLE ADDRESS �� OWNER TE� NE N � 3 ��Z� CONTRACTOR � � -" � �: DESCRIPTION � �` '✓ �'�' `" � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP O COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a o �h ��/ ;,�V�� t' a � 0 � W � Q � z w � W � � d � W��ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WlLL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CAIL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�� OwnerlContractor on site: - Inspector. CA� � -- �- - White Copyllnspector's File Canary CopylSite Notice