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Home My WebLink About2009-00006 - plumbing CITY OF ORONO PERMIT NO.: 2009-00006 , �, 2750 KELLEY PARKWAY ` ORONO, MN 55356- DATE ISSUED: OU06/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 4040 DAHL RD PIN : 07-1 17-23-1 1-0021 LEGAL DESC : P[RATES COVE : LOT 017 BLOCK 001 PERMIT TYPE : PLUMBING (<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WATER HEATER NOTE: WA"I�ER 1 fEA"I'ER APPLICANT WATER HEATER I5.00 NORBLOM PLUMBING CO. STATE SURCHARGE PLBG(<$500) 0.50 2905 GARFIELD AVENUE S. MINNEAPOLIS, MN 55408- MAIL-IN FEE 1.50 (612)827-4033 MISC FEE 0.00 TOTAL 17.00 OWNER LEPPLA, MR& MRS JOHN 4040 DAHL RD MOUND, MN 55364 AGREEMENT AND SWORN STATEMENT The��ork for��hich this permit is issued shail be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this rype of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of I 80 days at any time after work has commenced. "1'he applicant is responsible for assuring all required inspections are requested in conformance with[he State Building Code.This permit may be revoked at any time for due cause. ��1�L�f. �L, / / � � Applicant Pcrmitee Signature Date Issued B �gnature _ _ Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRI D ABOVE. � � , .%�''�43�'p`�� City.of Orono FOR QTY"USE'�ONLY • �� `�� P.O.Box 66 �ate Receive� �. Peimit# - �� ` 2750 Kelley Pazkway :� � , it� �}�� ':. �;% Crystal Bay,MN 55323 Approved B� Amount$ � w��'�`1$a`./ (952)249-4600 ; . . ,. ��o¢.;� CITY OF ORONO—PLUMBING PERNIIT (All Commercial permits must be approved by the Building O�cial or Inspector) GENERAL 1NFORIvIATION ` . 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. A�work must be inspected and air tested before it is covered. Call(952)249-4600:- (24-48 hour notice required) - ..: :» ; - , , ; .: ,. TYPE;OE`PERMIT,� � ; ; : , , Check All'Tliat A 1 :' - Residential ❑ Commercial(Approval Required) ❑ New ❑Additional ❑Repairs �Re lace P ❑ In Accessory Structure? ' *You will need arior approval and may need CUY.(Per Orono City Code,Chapter 78,Article I� "Job Site/Owner Inforination: _ .... . . _,. Site Address: l O � � � Owner: �J rj� n ��I �i�1 Mailing Address: �C/(�-� c��: �'i��Yl (; ? z�p: ��Z.�, - �' -- Home Phone�� -J2 �� '�S� Alternate Phone: �^ Contracfor Information: . .. . _ f'� —� Contractor: I��bI� I'I l�l,�l b�� Contact Person: Address: �� l.�� • State Bond#: �� City: �,V1� �vW Zip:�l.0 Expiration Date: � � � Phone: � �I`�) ��^�"�U�J� Alternate Phone: ❑ Insurance—Current:` 1 � R t; ,� � �: +P�� _�, �P�'��VIBIN'��l:R��:�ET�tG-II��TAL � �E:;��_.._�`��`;--�`,�rt.a�'� FUYTUIZE BSMT I 2N OTHER FIXTURE BSMT 1 T 2rlD OTF�R TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector r Bathroom Laundry Tray Shower Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneons � �^� ` ' L'�R�iIT FE�C �L Ci TI �G1C)1�t S} _ _ ` ; ` �� ;: � I " .: ; �, _ �.: f f3�1�LI��t)F,1. 2OtL Sfl`AIL,SI�,��-LI�L : �� Yes,this section applies / � The replacement ot a Residential f�acture or applianca that meets ali three of the following requirements: 1. Does"not require modificarion to electrical or�as service. 2. Has a total cost of$500.00 or less;excludin�the cost of the fi�ture or appliance: and � 3. Is improved,installed or reptaced by the homeowner or licensed contractor. '' Skip next section,if this applies; Cost of Permit $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 1.5o Total Permit Fee $'� (Permit Fees ConEinued On Next Page) - 2