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Home My WebLink About2008-00059 - plumbing � � CITY OF ORONO PERMIT NO.: 2oos-000s9 . 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 07/17/2008 952 249-4600 FAX: 952 249-4616 ADDRESS : 1275 LYMAN AVE PIN : 02-117-23-21-0027 LEGAL DESC : ORONO ORCHARDS HIGHLANDS : LOT 002 BLOCK 001 PERMIT TYPE : PLUMBING(<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURE NOTE: WATER HEATER APPLICANT PLUMBING FIXT'URE FEE(<$500) 15.00 DRAIN PRO PLUMBING INC. STATE SURCHARGE PLBG(<$500) 0.50 8815 W 209TH ST. LAKEVILLE,MN 55044 MAIL-IN FEE 1.50 TOTAL 17.00 OWNER MCMILLAN,HOWARD&ELIZABETH 1275 LYMAN AVE WAYZATA,MN 55391 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires sepazate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due oause. `'�►,c,a,c.� �r�. 7� i 7 i v f� �� r 7i D Applicant Permitee Signature Date Issued B y i nature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRI ABOVE. � ' , � FUR CiTY USE Qi�I�.X 0��,0 City of Orono �' P.O.Box 66 Date ReCeirved: Permit# 2750 Kelley Parkway �� Crystal Bay,MN 55323 Approved By: Amount$: � (952)249-4600 CITY OF ORONO—PLUMBING PERMIT (All Commercial permits must be approved by the Building Ofticial 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 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 aanroval and may need CUP.(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: Site Address: ��J� �'{, �� V� Owner: �W �� 1ll IOI� Uviailing Address: �� Gll�l:/�� City: � �� l. � Zip: J�� Home Phone: W�r � l�/ l�� Alternate Phone: Contractor Information: Contractor: I� ��U�tU.fYI�J� ontactPerson: ��1�1�, + (� �1 S�' �D � Address: � �� I State Bond#: City: ��`�' �` � Zip:��xpiration Date: f� �� Phone: '1T'Jo��`�� Alternate Phone: � ❑ Insurance—Current: 1 � ' e FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTf-IER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector Bathroom Laundry Tray Shower Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous ❑ Yes,this section applies The replacement of a 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, instalied 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) $ 1.5 Total Permit Fee $� (Permit Fees Continued On Next Page) 2 . If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00) x.0125$ (contract price) (minimum$35.00) 2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum Fee of$.50) x.0005 $ (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 4. TOTAL PERMIT FEE(Add J ines l-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. ■ ** The STATE SURCHARGE is .0005 of the contract price under$],000;000 or$.50—whichever is greater. For valuations over$1,000,000 call the Building Department at(952)249-4600 for the price. The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all work in strict accordance with the ordinances of the City and the regulations of the State of Minnesota, and certifies th all statements made on this application are complete, true and conect. Applicant's Signature: �iJ(�tJ��"`J Date: � S � �� , ,,��, ,�., 3 MINNESOTA DEPT.OF LABOR AND INDUSTRY CONSTRUCTION CODES AND LICENSING PLEASE CHECK YOUR CARDS FOR ACCURACY 4-�3 LP.FAYETI"t RD. IF YOU FIfVD AN ERROR,PLEASE CALL 651.284. :ST. PAi:L,h,"�i 55755 If,Ql�AEDIATELY. WALLET DISPLAY CARD THIS LICENSE MUST BE IN YOUR STATE OF MINNESOTA DURING WORKING HOURS. �Y' �:� rusTER Pu�ER PLEASE NOTiFY CONSTRUCTION License# 060613-PM � LlCENSING OF ANY ADDRESS CH � Expiratan Date 12/31/2008 :� �•� � Original issued Date 11/05/2001 TROY D ORDORFF 24149 HI6HVIEW AVENUE LAKEVILLE, MN 55044 - � - � �BG3�+8��'Y .' P�u�b��[� ��n��n�u�a€��C� C�r�"��: . i ' , , C,n��ru�tien Co�do�ap(EE�oi�`}�Misidn Lioe�9 and�ee�rt$�i�i�q� A+��l�i��t�d�6t-�a� � ' . , WiBiif�i� �,r�s�as . � " � ,�> < - s ` ,. � ' _ '� ; :�as is ta ne�y tt�t�e:�efiodder'is m��phatrx�ip�h�i!"tt�s�bta-�t�es§32S"�,.��.2 for c�ae��2E�4 .�'� .- _.. <.�i�k+:#be�urg tr��11 a►'eas of fhe St�te of`M�ese�a � �'' , . _�:: '�Y�f��F L�t�se 6�16�#"3�PM{PI�QQ�5�3� ; . , �+t P�it?•�'L�.�N��C ; �3llrt�l'E1 ST . _ : . . , _ . >C:��li'�1/l1.L�,�! �14�4 :. 2 O O� Bond ID: RLI554507 Liability Insurance ID: PBP2297871 OLD REPUBLIC SURETY COMPANY STATE AUTO INS CO , , . -