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Home My WebLink About2017-00253 - plumbing CITY OF ORONO * 2 0 1 7 - PJ 0 2 5 3 * � � 2750 KELLEY PARKWAY DATE ISSUED: 03/17/2017 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1975 FAGERNESS POINT RD PIN : 18-117-23-14-0006 LEGAL DESC : FAGERNESS : LOT 005 BLOCK 000 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURE NOTE: DISHWASHER VALUATION OF PLUMBING 500 APPLICANT PLUMBING FIXTURE FEE 50.00 STATE SURCHARGE PLBG(VALUATION) 025 MN PLUMBING&APPLIANCE INC. MAIL-IN FEE 2.00 14105 RUTGERS STREET NE PR[OR LAKE, MN 55372- TOTAL 52.25 (952)469-8341 Payment(s) Minnesota State License#: cont-58455-PM CHECK 8616 52.25 OWNER JOHN& SUSAN PURDY TRSTS 1975 FAGERNESS PT RD WAYZATA, MN 55391- AGREEMENT AIYD SWORN STATEMENT I'he work for which this permit is issued shall be perfonned according ro the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only thc work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type 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 180 days at any time atter 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 revoked at any time for due cause. � � � �) 0 �J , ��7, �� Applicant Permitee Signature Date Issued Signature Date �p� City of Orono FOR CITX USE�NLY � P.O. Box 66 Date Receitted: � r " � • /'' � . � 2750 Kelley Parkway `�l �,•--;�— %: � � Crystal Bay, MN 55323 ��VE� Pe.1'�'CiEt#_ �;,�,a� j � -� <.� . �� .< M� � �° (952)249-4600—Main t"�'�FSHo�' (952)249-4616—Fax � ApPC'OY�ti By; ' MAR � ry��z, �.. � Amt3u�t � ��;� �,� r � $: .,� ,�, CITY OF ORONO�PL�RfIBiNG PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) ' - htta:/lwww.dl6.mn.qov/CCLDIPDF/ae olumbnlanreva�o odf �. ��1. You may apply for plumbing permits�by mail or in��person at the City�offices.��Applicatio� ns 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 dweiiing. 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) > �.. v ..,x ,. �,.s � r� .� � _ , t ,� ., �,�, ,.. � Residential ❑ Commercial (Approval Required) [Backflow Device: 0 AVB ❑PVB] . � ❑ New ❑Additional ❑ Repairs Replace ❑ In Accessory Structure? *You will need orior accroval and may need CUP. (Per Orono City Code, Chapter 78, Article IV) J� �;. � Site Address: �7 j t�c t >�r� �-;' , Owner: -�1C> �r � �•I ' Mailing Address: 1 + c�ty:_(�ron z�p: �?�3G I Home Phone: Q J��-��1 - �� qlternate Phone: ,�: Contractor: ��Y(� � Contact Person: 1�..Q, Y1 S � � ►�nce.. �/]j 1 P �loa Address: � State Bond #: City: �i D� � � � Z�p� _Expiration Date: � -�� 7 Phone: `7 � - yjo�- g3 �l Alternate Phone: �Insurance- Current: __ c/�)P �,-�' � R •• FIXTURE BSMT 1sr ZND OTHER FIXTURE BSMT �sT 2ND OTHER TYPE Floor Floor TYPE Floor Floor Water Closet Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher I Wet Bar Silicocks Miscellaneous 1. CONTRACT PRICE " is 1.25% of contract price with a (Minimum Fee of$50.00) �� . ��j x .0125 $ �� n�, (contract price) (minimum $50.00) 2. STATE SURCHARGE X .000s $ �- a,S (contract price) 3. POSTAGE � HANDLING (Only on Mail-In Applications) $ 2.00 i 4. TOTAL PERMIT FEE (Add Lines 1-3 Above) a �o� � v2� " CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including materialsf !abor, prof#, a!�d oths�fixed costs. !t is the anount 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 contraet. 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 statements on this app'cation are complete, true and correct. Applicant's Signature: � Date: � '� I`l � � � Building Official/ Inspector: Date: Page 2 � ` � �–"" E TIME V CITY OF ORONO D IN -3—� � ,�� iNSPECTION N TICE SCHEDULED - — __�_,��_ PERMIT Na i - 53 PLETED ADDRESS � OWN TEL H E NO � CONTR TOR � � DESCRIPTION ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLINO Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERlCOKTRACTOR TO MEET Y�OU:_YES_NO � COMMENT'� ' 4 ! 1 �� 0� � O � � O � W aC yQ F� W W � J W ❑WORK SATISFACTORY`.PFiOCEED ECT COMPLETE � ❑CORRECT VNORK a PROCEED O ISSUE CERTIFICATE OF OCCUWINCY W 0 ❑OORRECT WORK,CALL FOR REINSPECTION TEMPOFiARY V BEFOREC�JERINO PERMANENT D OORRECTUNSAFECONDITiON WITHIN HWRS. O PHOTOTAKEN INSPECTOR YVIIL RETURN ❑STOP OR�ER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTiON REW IRED.CALL TO ARRAN(3E ACCESS. CsN for the next inspectlon 24 hours in advance. (952) 249-4600 OwnerlContractor�site: Inspector. VYhits CopyMspeetors Fil� Canary CopylSks Notlee