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Home My WebLink About2014-01314 - plumbing � � ~ CITY OF ORONO � 2750 KELLEY PARKWAY * 2 0 1 4 - 0 1 3 1 4 * DATE ISSUED: 1U07/2014 ORONO, MN 55356- (952 249-4600 FAX: 952) 249-4616 ADDRESS : 2595 LYDIARD CIR PIN : 20-117-23-11-0004 LEGAL DESC : APPLE HILL : LOT 002 BLOCK 001 PERMIT TYPE : PLUMBING (>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES- MULTIPLE NOTE: OK'D BY LYLE 2 BATHTUBS,2 SHOWERS,2 KITCHEN SINKS,2 DISPOSALS.2 DISHWASHERS VALUATION OF PLUMBING 5000 APPLICANT PLUMBING FIXTURE FEE 62.50 STATE SURCHARGE PLBG(VALUATION) 2.50 LEUPKE,JOHN TOTAL 65.00 2595 LYDIARD Payment(s) EXCELSIOR, MN 55331- CASH 65.00 OWNER LEUPKE,JOHN 2595 LYDIARD EXCELSIOR,MN 55331- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permi[is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construc[ion authorized is not commenced within 180 days of the date of issuance,or if construction is suspended or a peri of 180 days at any time after work has commenced. The appli nt is res sible for assuring all required inspections are requeste � for a ce with the State Building Code.This permit may be ��_ _ revoke a y ime for ue cause. �/ (.l�- l ��'''�`'�- l � (� 7 � , `7, App e tee Si ature Date Issued By Signature Date / . � . �' ' ,FOR CPTY USE ONLY �O . `O City of Orono (� lv P.O.Box 66 DateReceived: �'��r�� Permit# � 1� ! �// 2750 Kelley Parkway d Crystal Bay,MN 55323 Approved By: � Amount$:_�, (952)249-4600—Main (952)249-4616—Fax y�� ` CITY OF ORONO—PLUMBING PERMIT �''�6S H O� (All Commercial Permrts Must be Approved by the State Pnor to City Approval) htt ://www.dli.mn. ov/CCLD/PDF/ e lumb lanreva . d1' GENERAL 1NFORMATION 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. 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 1 ) � 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) '7ob`Site/Ownerinformation: Site Address: � / � i� �� Z � Owner: v�1r1 � Mailing Address: � id�� c(K City: )I(1�) Zip: �5 �,7 I Home Phone: !UJ��Sr�CP �J�3 Alternate Phone: %I Contractar Information: Contractor: Contact Person: Address: State Bond #: City: Zip: Expiration Date: Phone: Alternate Phone: ❑ Insurance—Current: 1 ♦ , � \ .. y ,.' � . d . M .� . �. . 9 � h ' :.�' '.'R"�� .1� M°+�:}i,'.�i S,r. --"'t.' �^a�Y4A� �1d x FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector Bathtub iI Laundry Tray l� Shower �f Washer �_ Kitchen Sink � Water Heater Disposal iJ Water Softener L Dishwasher � Wet Bar Sillcocks Miscellaneous ; ❑ 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;excludine 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 . • . ' '��u`�x�".� °`a�`��,�i:� �_ �" '�� 'a at�:. �''��, f��"��F¢��'�`�, y'*��w�,',��3��; If above does not apply; follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) 5. o0 o X .0�25$ �Z .Sv (contract price) (minimum$50.00) 2. STATE SURCHARGE `�-�, < �, V V V x.0005 $ �J� �ontract 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. 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. � � � � � , � � _ � ��; . ,. �'t ��s��sr�t'` x `.:�' , �, � �' 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 state ents made on this application are complete, true and correct. A licant's Si nature: Uv" Date: � I � PP g - V 3 �- l D `� � ATE TIME CITY OF ORONO CALLED IN ! — � INSPECTION NO IC SCHEDULED l f PERMIT NO. � COM LETED �- ADDR OWN � T EPHONE N07.�� CONTRACTOR � DESCRIPTION � � ❑ FOOTING ❑ PLUMBIN FI AL ❑ EXCAV/GRADING/FILLING Q � POURED WALL ❑ MECH IC RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHA CAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL �LUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTAACTOR TO MEET YOU:_YES_NO y COMMENTS: � 11�•� �✓ S/IPt�-�G�r✓�' ` .C/4��!��L�t�F- �.�//S — 0 " l�.t�o v �!�'I e� 4✓c �a-.�«r - . � � G'�OC/?STi/��IwJ.CiS�� -♦ UG � � G/�`l/ 6� Cliss e � . I�er .ji.c ss'�r t�n, Q C�N�.r✓rinC� � /�I�Ow�eawn�e,r��Ce•�t�►�vr��l/ Z �I/16/it tEa�r ti 4� /Xl�t:/� C�l✓�//� �5 ,�05�✓�e — � Pc�r �v!c G. - s,rc� na ,nk�v wss .XoY� j �/�e�- c%�a�s� 6,L.� ��d76lpRK SATISFACTORY:PROCEED v�� O.IECT COMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTiFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WffHIN HOURS. ❑pH0T0 TAKEN INSPECTOR WlLL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call br the next inspection 24 hours in advance. (g52) 249-46�� OwnerlContractoronsit_ /'� � �- � , Inspecto. �� White CopyAnspector's Flle Canary CopyfSfte Notice