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HomeMy WebLinkAbout2008-00237 plumbing . .-- . CITY OF ORONO PERMIT NO.: 2oos-oo23� 2750 KELLEY PARKWAY ORONO,MN 55356- DATE IssUEn: 09/19/2008 952 249-4600 FAX: 952 249-4616 ADDRESS : 45 MYRTLEWOOD RD PIN : 36-118-23-33-0015 LEGAL DESC : MYRTLEWOOD : LOT 003 BLOCK 002 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: REPLACE KITCHEN SINK,DISHWASHER AND SILCOCK VALUATION OF PLUMBING 1000 APPLICANT PLUMBING FIXTURE FEE 35.00 DITTY PLBG&HEATING INC STATE SURCHARGE PLBG(VALUATION) 0.50 22IN 2ND STREET TOTAL 35.50 DELANO,MN 55328- (763)972-2947 OWNER BROWN,JESSICA 45 MYRTLEWOOD RD 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 Stafe 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 consVuction authorized is not commenced within 180 days of the date of issuance,or if consVuction 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 revo ed at any time for du,fe �use. �c��L�"l (Y ! l!9 / �� // �j/ a � Applicant Permit Signature Date Issu d By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. t > wy, w Ci of Orono ��i';4,�¢'�¢�`:;�'� � �� ,���`��"����� M o,�,'°�,o P.o ox66 ���_ � ���ri����,,���� �,,�_���������� �� 2750 Kelley Pazkway '._ � s���������,�y�G �';�.�3� ,��r�.y� ��� Crystal Bay,MN 55323 � �. �'„�[�Ib�u3#�u�„rx"��a��k '� ku (952)249-4600 .�. :�>�... � ��.�:�� �a���r��` ^z��i :�f",�,a>,�'s�.� CITY OF ORONO—PLUMBING PERMIT (All Commercial permits must be approved by the Building Official or Inspector) � ._� �.: .,... .... �. 4, „� � a �� , , . �t�s�tii�� r�� �a ee� � y. 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 UNTII..YOU RECENE 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 properiy 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 6our notice required) , -� . � � � � :, � � � ia 4� �� rr.��r��� F '�£ '�"X �w, � b h� y ,��� � +yq��� ���� ��.i. �1r� ry.����, � �aA�� " �# . �+ �R �? � f� Y '�3� ,d���. ''M` ..+a�1,j ��.��s�11k� �tu,�i�.,a..��ro�,..� . �Residential ❑Commercial(Approva(Required) ❑New ❑Additional ❑Repairs ❑Replace ❑ In Accessory Structure? *You will need nrior auuroval and may need CiTP.(Per Orono City Code,Chapter 78,Article IV) - , � , y. • m:�., ,.w_, r.Ks.��'o .�v�tk.. .,e,�v� ,a�c �,�.'� a`w.*.��.:. Site Address: �S /��? f(�Gvt�o D t��a� Owner: ��-�-� �Cl. � 1 P�u-s Mailing Address: 9(� 3 `� I�q�Q/lOc,I�v`� f.�e 1 r��ro µ�V city: Q�''o�tl 0 zip: .s5�3 2 g° Home Phone: � f Z ��0' S�Z5 Alternate Phone: ��,� a *�.�. ,��.�. w��, v�^��°'kRi-.'**�yr�r� c,�,�,.�,�*����a���.�t�fr.,..� ..x�. e�,.,�,. ���9. �rr���?�Gn`` � �'° '•,��rt�,�v��� Contractor: �j, P f �a -�N� Contact Person: � , Address: Z Z�� ��"�� State Bond#: �C�U° k,33 7 b City: L�-��'"v Zip:5S32�Expiration Date: (� � Phone: �b�� Z — 2 °)�f 1 Alternate Phone: ❑ Insurance—Current: ��� 1 �► ,�w t ► FIXTURE BSMT 1 2 OTF�R FIXTURE BSMT 1 2 OTI�R TYPE FL FL TYPE FL FL Water Closet F1oor Drains . Lavatory Sewer Ejector Bathroom Laundry Tray Shower Washer _ Kitchen Sink + Water Heater l Disposal Water Softener Dishwasher � Wet Bar Sillcocks � Miscellaneous ❑ Yes,this section applies The replacement of a Residential fixture or apnliance 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(icensed contractor. Skip next section,if this applies; Cost of Permit $ 15.00 State Surchazge $ .50 Mail-In Fee(If Applicable) $ 1.50 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 � A �� J 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 Lines 1-3 Above) $ ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollaz amount chazged 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$1,000,000 or$.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: `�!� — �� i� , 3 D� TIME V CITY OF ORONO CALLED IN � INSPECTION NOTICE SCHEDULED -Z -� .'D PERMIT NO.a�4Q�"DD a�.37 COMPLETED l� �� ADDRESS �S 4� i'�C OWNER CONTR. ��� ������� v TELEPHONE NO. � DESCRIPTION � � � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE Q ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP i _ ❑ PLUMBING Rf ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O � � O � W � Q � Z W � W � � � d W ; ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑"CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWiTHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CAIL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. �95Z� 249-46�0 Owner/Contrac ite- Inspector_ � White Copyllnspector's File Canary CopylSite Notice