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Home My WebLink About2016-01338 - mechanical ' `-` CITY OF ORONO 2750 KELLEY PARKWAY * 2 0 1 6 — 0 1 3 3 8 * DATE ISSUED: 10/20/2016 ORONO,MN 55356- (952)249-4600 FAX: (952) 249-4616 ADDRESS : 650 NORTH ARM DR PIN : 06-117-23-43-0001 LEGAL DESC : AUDITOR'S SUBD.NO.362 : LOT 001 BLOCK 000 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL C01�1STRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 1,500.00 NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. WATER HEATER REPLACEMENT APPLICANT MECHANICAL 50.00 LEGACY MECHANICAL SERVICES STATE SURCHARGE MECH(VALUATION) 0.75 114 THOMAS CIRCLE#106 MAIL-IN FEE 2.00 MONTICELLO,MN 55362- TOTAL 52.75 (763)3140877 Payment(s) CHECK 8262 52.75 OWNER SCHOONOVER,JEFFREY BRAUCHLE&ELISA 650 NORTH ARM DR MOLTND,MN 55364 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 dces 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 conskvction 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 confortnance with the State Building Code.This permit may be revoked at any time for due cause. -- ��L � �O / GY'/ � Applicant itee Signature Date Iss d By ature Date [ r a RECE E Fo CITY USE ONLY �O A T City of Orono �� ,y,/,A b� � �y P.O.Box 66 Date Received: �Permit#��l�_ � 2750 Kelley Pazkway `� Crystal Bay,MN 55323 �C� 2 O 5'��p�ved By: Amount$: ��.7� (952)249-4600—Main (952)249-4616—Fax BpNp �' �� CITY OF �1��PLUIVIBING PERMIT ��kESHo��' (All Commercial Permits ust be Approved by the State Prior to City Approval) htt ://www.dli.mn «o��/('('1,D/PDF/�c lunab�lanrcv� � . df GENERAL INFORMATION 1. You may apply for plumbing permits by il or in person at the City offices. Applications will be reviewed and a permit will be issued withi two working days. 2. Permit cards will be sent by return mail aft r a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PE T. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE OB SITE. 3. Plumbing permits may Ue issued ONLY to licensed plumbing contractors and to property owners residing in the dwelling. . 4. When any new construction or remodeling is involved,a separate building permit must be obtained. 5. All work must be done in accordance with tate Code requirements. 6. All work must be inspected and air tested efore it is covered. Call(952)249-4600. (24-48 hour notice required) TYPE F PERMIT Check A1 That A 1 ❑Residential ❑Commercial(Approval Required) ❑ New ❑Additional ❑Repairs �Replace ❑ In Accessory Structure? *You will need urior aaoroval and may nee CUP.(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: Site Address: (l/�J�� / V �/1r �/� . Owner. r`� ing Address: City: y�/� LU Zip: Home Phone:�� Alternate Phone: Contractor Information: Contractor: N1 eC�'1 (.CJ�- Contact Person: �l/(.��I�1-� �.((��(,�(/1'�� 5�rvi� � u Address: I 1�l�omrs�� s rc��Ipb State Bond#: p � City: ��C�\� Zip: 5 Expiration Date: Z 3� �I Phone: `-llc3- 3+�1- b$-(�i Altemate Phone: �(a3- a.q5-(71�� .�� ❑ Insurance-Current: /� ��u{�f� 1 I I � , I I �C -,'1�f��{��f �iv�,�"�p;"�yy,ay'�,.�'N�+ y,.,y 1 �e. �■/,�{y�'Y [`�� f'( .A fy��J1 !l �l i f'. � r C' 1;±!h;�S� TSi1?��!+4:�W,�f�� al' � '��Pf�J:J:L1��1V,��V' �'4��..y�r ".h � x�� FIXTURE BSMT 1 2 ° OTHER FIXTURE BSMT 1 2ND 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 4 d¢°� ��^ � - �; � t��v � t " ��'.a "�'�pr� � � a �. � �� ' � x� e�j�,,,�� ' .' � ....�'+��' � SE�'r�'�' a�M.'�p3��r �,.. S�a;uj , �'° �..,.,,.,,.a � s � , ..... . .. ....._.. ..�. . ,� . . , [:; r ,`�as ��4<�<<s,'�a6�-„�,� '��. ❑ Yes,this section applies The replacement of only one Residential fixture or liance that meets all three of the following requirements: 1. Does not require modification to elec 'cal or gas service. 2. Has a total cost of$500.00 or less;exc udin the cost of the fixhue or appliance:and 3. Is improved,installed or replaced by t e homeowner or licensed plumbing contractor. Skip next section,if this applies; Cost of Permit $_ 1 State Surcharge 5.00 Mail-In Fee(If Applicabl $ 2.00 � Totai Permit Fee S� (Permit Fees Continued On Next Page) 2 � � i , , . .::��s��r�� - t�� s��: -��c��.o,��x��o:o�oo ;,�sr� s If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of ontract price with a(Minimum Fee of 550.00) l� � x.0125$ ( onlract price) (minimum$50.00) 2. STATE SURCHARGE � x.0005 $ (contract pricc) 3. POSTAGE&HANDLING(Only on ail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1- Above) $ �� ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including materials, labor,pro t,and other fixed costs. It is the amount to be charged to the customer for the work done. If any ma rial, equipment, labor or installations are fumished by the owner, tenant or any other party,the reaso able market value of such items must be added to the estimated cost or contract price for permit fe purposes. In the event that there is a dispute on the amount of the job cost, the City may request e submission of a signed copy of the actual contract. ;3� �k..1(�z "�"�Y�•�X'M'i1��... .......; T.�.... ,.. ��4?� ` k�'r�v,'Lt�li��1�� C� `"4Y�1�1.�1"ly.J}( '� f'f,t�l� },t��.;:. , .. � A __ i T'he undersigned hereby applies to the City fo issuance of a Plumbing Permit, agrees to do all work in strict accordance with the ordinance of the City and the regulations of the State of Minnesota, and certifies that all statements ade on this application are complete, true and correct. Applicant's ignature: Date: { � �� 3 �-� � ✓ '1� TIME CITY OF ORONO cnLLED IN � INSPECTION N TICE ��33Q SCHEDULED /� % PERMR NO. p COMPLETE ADDRESS ` �� 1 �J OWNER �REL�PHONE NO. � -3�6'�"3�`"�J CONTRACTOR � t � � �� '' DESCRIPTION v`� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLINQ 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 v �FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ � ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 O'WNERICOKTRACTOR TO MEET YWJ:_YES._NO � COMMENTS: � �'t/ ✓ e�,ev �6,0(. - p `��L� ►��.��'�� . ' � ` ck��Lr%c� ��s l.n� �O W Q (�)a��l��— � W W � j a ❑YYORKSATISFACTORY:PHOCEED O.IECT COM�PLEfE W ❑CORRECT WORK 8 PROCEED ❑ISSUE CEFiTIFICATE OF OCWPYINCY O ❑OORRECT WORK,CALL FOR REINSPECTION TEAAPORARY V BEFORE CdVERIN(i PERMANENT ❑CORRECT UNSAFE CONDITION WffHIN HOURS. p pHpTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRAN(3E ACCESS. CaN tor the next inspection 24 hours in advanoe. (952) 249-4600 OwnedContractor on site: Inspector: �� 1Mhite CopyAnspecMr's FII� Canary Coppf8lb Notia