HomeMy WebLinkAbout2010-00588 (fixture-dishwasher) , CITY OF ORONO PERMIT NO.: 2oiaoossg
. 2750 KELLEY PARKWAY
ORONO, MN 55356- DATE �SSUEn: 07/15/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 2408 CASCO POINT RD
PIIY : 20-117-23-12-0023
LEGAL DESC : NAVARRE
: LOT 000 BLOCK 002
PERMIT TYPE : PLUMBING(<$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURE
NOTE: 1 DISHWASHER
APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00
APPLIANCE CONNECTIONS STATE SURCHARGE PLBG(<$500) 5.00
1313 DANITA CR.
SHAKOPEE, MN 55379 MAIL-IN FEE 1.50
(952)445-4803 MISC FEE 0.00
Minnesota State License#: 057209PM TOTAL 21.50
OWNER
GASCH,JAMES
2408 CASCO PT RD
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMEIVT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
S[ate Building Code. This permi[is for only the work described and does
not grant permission for additional or related work which requires separate
permi[s. All provisions of laws and ordinances goveming this type of work
shal]be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within l80 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the S[ate Building Code.This permit may be
revoked at any[ime for due cause.
`_�1�t.d�C� (/l1� / / ��y'l,(.�,�-� l l
Applicant Permitee Signature Date Issued By ature
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO .
� ;
� FOR CITY USE ONLY
� � ¢p� City�of Orono .
O. O P.O.Box 66 Date Received: Permit#
2750 Kelley Parkway
� ���� j� Crystal Bay,MN 55323 Approved By: Amount$:
����6` (952)249-4600
CITY OF ORONO—PLUMBING PERMIT
(All Commercial permits must be approved by thc Building Oflicial 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 working days.
2. Permit cards will be sent by return mail after a review is completed. PERM]TS 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 6�e
obtained.
5. All work m:�st 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)
T�PE OF PERMIT
Check All That A 1 �
�&esidential ❑Commercial (Approval Required)
❑ New ❑Additional ❑ Repairs ❑ Replace
❑ In Accessory Structure?
*You will need arior approval and may need CUP.(Per Orono City Code,Chapter 78,Article IV)
Job Site/Owner Information:
Site Address: _�����`' �u���l:� Y��I 1���` �t,�
Owner: � J(�,X11.t�S o�C��( �� Mailing Address:
City: � �(Urn� Zip:
Home Phone: � � �t ��� � "l ��-i Alterna:e Phone:
Contractor Information: �
Contractor: Contact Person:
A�;�ag�r��:e ����r�ectior�� 0��
Address: � ^ ' �-, State Bond #:
�
���,: Shakopee, _�1 ;S�S3�9 Expiration Date:
Phone: ' Alternate Phone:
- ❑ • Insurance—Current: •
l
'�""''�ryx,'�" ,�;,`, ,?�.,�fP��TMBINC�';FI�TLJRES BEII*TGriNS�ALL�A:`:;. ���.,,�.��r,,s; ":'�.
FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Draips �
Lavatory Sewe�Ejector
Bathroom Laun�i�y Tray
Shower Washer
Kitchen Sink Water Heater
�
Disposal Water Softener
Dishwasher ' � Wet Bar
Sillcocks , Miscellaneous
' P�RMIT FEE CALCULATION(S) ' ;' � ' :� �
+; r,: r �
�r . � �<� �, :,.s� ��� BASED OFF -�2002 STATE�STATUE �� � r���, ,. ., ''
� Yes,this section applies
The replacement of a 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;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 $�
� Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee , S�=L;
�
�
(Permit Fees Continued On Ne�Page)
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