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Home My WebLink About2010-00216 - plumbing � 4 CITY OF ORONO PERMIT NO.: 2oiaoo2i6 2750 KELLEY PARKWAY ORONO,MN 55356- DATE IssuEn: 04/12/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 1280 LYMAN AVE PIN : 35-118-23-34-0014 LEGAL DESC : LYMAN WOODS : LOT 001 BLOCK 001 PERMIT TYPE : PLUMBING(<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURE NOTE: SUMP PUMP APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 FREEDOM MECHANICAL 11135 HWY. 7 STATE SURCHARGE PLBG(<$500) 0.50 WATERTOWN,MN 55388 TOTAL 15.50 (612)363-6198 Minnesota State License#:004042PM OWNER HANSON,HARLAN&MARCIA 1280 LYMAN AVE WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires sepazate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in confo anc with the Stat uilding Code.This permit may be revoked at any ' fo cause. / � yl /�o?l LD �� /o�y. ,`l� Applicant Permitee Signature Date Iss By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � � , �CITY USE ONLY O,¢D�O City of Orono �� P.O.Box 66 Date Recei�e �—'"Ts=— Permit# ��f� "�� 2750 Kelley Parkway � ��. ,, y� Crystal Bay,MN 55323 Approved By:; Amount$: '—� �!� (952)249-4600 ��os CITY OF ORONO-PLUMBING PERMIT (All Commercial permits must be approved by the Building Official or Inspector) GENERAL INFORMATION 1. You may apply for plumbing pernuts by mail or in person at the City offices. Applications will be reviewed and a pernut 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 pernuts 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 PERNIIT ' (Check All That A ly ❑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 Inforrnation: Site Address: � � L Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: ' � Contractar: �� ontact Person: Address: /�� J �j \ � State Bond#: City: ��7(7G�"1'�..� Zip: Expiration Date: Phone: � ��dj -� f� Alternate Phone: ❑ Insurance-Current: 1 . , � � ... , , ,. ;,�.� 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 Sk,..p P ❑ Yes,this section applies The replacement of a Residential fixture or ap liance 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 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 Nezt Page) 2 � � , . � If above does not apply; follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) � � �0�0 � x.0125$ (contract price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) x.0005 $ (contract price) (minimum$ .50) 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 pernut 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'he 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. 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 made on this application are complete, true and correct. Applicant's Signature: Date: �- � /��0(U 3 .� � �D� 2 ��e.�— / DATE TIME ( / CITY OF ORONO CALLED IN � f �I b �� INSPECTION NOT,J.�€aOIO SCHEDULED ��D 9 �rr� PERMIT NO. �U�v� COMPLETED A D D R ESS ��O F�--.0 VYl��"V'�� OWNER TELEPHONE NO.�a�� —�n14Q CONTRACTOR �rP.P� 6�Y1 �Y�2'�I�V]� �j,`(`�^ I >; DESCRIPTION �� -�'1'11�,� �1 �_� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILIING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ 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 J ❑ PLUMBING RI ❑ SEPT INAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � W � � J O >. � O � W � Q � Z W � W � � d W� ❑WORKSATISFACTORY:PROCEED ROJECTCOMPLETE W ❑CORRECT WORK 8 PROCEED ❑ I E CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: Inspector. ,�-�/ White Copyllnspector's File Canary CopylSite Notice