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Home My WebLink About2010-00442 - gas line only CITY OF ORONO PERMIT NO.: 2010-00442 , 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE �SSVE�: 06/10/2010 ' 952 249-4600 FAX: 952 249-4616 ADDRESS : 2695 DEER RUN TR E PIN : 04-117-23-13-0012 LEGAL DESC : CRYSTAL BAY PRESERVE : LOT 005 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : GAS LINE ONLY VALUATION : $ 1,050.00 NOTE: GAS LINE TO GRILL APPLICANT MECHANICAL 50.00 EARL W. DAY& SONS, INC. STATE SURCHARGE MECH(VALUATION) 0.53 520 BRIMHALL AVE P.O. BOX 294 TOTAL 50.53 LONG LAKE, MN 55356 (952)473-8403 OWNER SWENSON, CAROL 2695 DEER RUN TR E LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issucd shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. "I'his permit is for only the work described and does not grant permission for additional or rclated work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specitied 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 re�,ok�d at any time fafl due caus� /2j�� b _ _r:��ti,� �--�`'l�tir �� i /l' i i G �� ,� c��? i `-� �- %D --�c Applicant Permit e Signature � Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � FOR CITY IiSE ONLY " " City of Orono //� O � � / ¢ � �� P.O.Box 66 Date Received_ Permit# '��;,- ��i 2750 Kelley Pazkway � i� �i`'R,. i; Crystal Bay,MN 55323 Approved By: Amount$: ��,�syo� (952)249-4600 -- 1'1`��',i'l CITY OF ORONO— - - '"' PERMIT (Ail Commercial permits must be approved by the Building Official 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. PERMITS ARE NOT VALID UNTTL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD 1S 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 perrnit must be obtained. 5. All work must be done in accordance with State Code requirements. 6. All wark 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 Apply) Q Residential ❑Commercial(Approval Required) ❑ New ❑Additional ❑Repairs ❑Replace ❑ 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: 2965 Deer Run Trait Owner: Carol Swenson Mailing Address: same City: Zip: r Home Phone: �952)476-9282 Alternate Phone: Contractor Information: Contractor: Earl W. Day&Sons inc Contact Person: Jeff Johnson Address: �20 Brimhall Ave PO Box 294 State Bond#: 31983PM Lony LaKe p.55356 p rt • IL/J 1%IU City: T�. __ Zi . Ex iration Date: _ Phone: (952)473-8403 Alternate Phone: (612)600-6411 �✓ Insurance—Currenl: 1 . PLUMBING FIXTURES BEING INSTALLED 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 Tray Shower Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous � C� .'k�'Yl'�- � V��'""`- � PERMIT FEE CALCULATION(S) BASED OFF -2002 STATE STATUE ❑ Yes,this section applies The replacement of a Residential fixture or appliance that meets all three of the following requirements: 1. Dces not require modification to electrical or gas service. 2. Has a totat 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 contractor. Skip next section,if this applies; Cost of Permit $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 3 PERMIT FEE CALCULATION S -JOBS OVER$500.00 • If above does not apply;follow guidelines below: 1, CONTRACT PRICE * is l.25%of contract price with a(Minimum Fee of$50.00) 1,050.00 x.0125$ 50.00 (contract price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of 5.50) 1,050.00 x.0005 $ b.50 (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 50.50 ■ * CONTRACT PR10E or JOB COST means the actuai or estimated dollar amount charged for the permitted work including materials, labor,profit,and other fi�ced 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 STATE SURCHARGE is .0005 of the contract price under$1,000,000 or$.50—whichever is greater. For valuations over$1,000,000 call the Building Department at(952)249-4600 for the price. PLUMBING PERMIT APPLICATION AGREEMENT The undersigned hereby applies to the City for issuance of a Plumbing Permit, agees 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. � --•,. ' -, C_ ; . Applicant's Signature: � � '?'1.�. " � Date: 06/08/10 Reset Form 3 �' � C�_ D9T TIME / CITY OF ORONO CALLED IN L` � INSPECTION NOTICE /J SCHEDULED � -�� PERMIT NO. Q� �v � COMPLETED ADDRESS�%��S L�z �� OWNER TELE: HONE NO. a��'73�g��3 CONTRACTOR N �� r >; DESCRIPTION �v - • � l� ❑ FOOTING ❑ PLUMB FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS � O ❑ FRAMING ❑ 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 � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W 0. � 5 � 'P s .� . j�. !' --r��` 0 � �' .� � �5--r� � �� .-;.�a- �Q� s�r� � C'c3.� n� � �� C�.� � Il S • � 2 Q � ,��L �...� �2cr s� � ��-v � c� ti � �� " � t S. � � - W � � GW �RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED '� ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� OwnedContractor on si : Inspector. �� White Copyllnspector's File Canary CopylSite Notice