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Home My WebLink About2016-01380 - plumbing � . � CITY OF ORONO * 20 16 - PJ 1380 * 2750 KELLEY PARKWAY DATE ISSUED: 10/3U2016 ORONO,MN 55356- (952)249-4600 FAX: (952) 249-4616 ADDRESS : 3442 NORTH SHORE DR PIN : 08-117-23-43-0020 LEGAL DESC : LYDIARDS PARK LAKE MTKA : LOT 017 BLOCK 000 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURE NOTE: WATER HEATER VALUATION OF PLUMBING 1000 APPLICANT PLUMBING FIXTURE FEE 50.00 STATE SURCHARGE PLBG(VALUATION) 1.00 APPLIANCE CONNECTIONS,INC. MpIL-IN FEE 2.00 12850 CHESTNUT BLVD TOTAL 53.00 SHAKOPEE,MN 55379- (952)445-4803 Payment(s) Minnesota State License#:mech-MB004165 CHECK 8693 53.00 OWNER RAY,GERALD&KATHLEEN 3442 NORTH SHORE DR 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 separate permits. All provisions of laws and ordinances goveming this type of work shal(be compied with whether or not specified herein.This permit will expire and become null and void if conswction suthorized 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 alI required inspections are requested in conformance with the State Building Code.1'his petmit may be revoked at any time for due cause. � � ��t�z.�,�d /1�,�! �/l� Applicant Permitee Signature Date Issued B ignature Date . # �V �,�: City of Orono ��G�,� �► P.o.BoX ss �� 3 ,�Qti� z�so K�t�y Q�y 1 � Crystal Bay,MN 55323 Q �� D�tic (952)249-4600—Main OF�� (952)249-4616—Fax G��j �F � . CITY OF ORONO- PtUMBING PERMtT {All Commercial Permits Must be Approved by#he State Prior to City Approval) htt�://www.dii.mn.aov/CCLD1PDFfue olumbnlanr'evapa.adf 1. You may appiy for plumbing permits by maii or in person at the City offices. Appiications will be rev'iewed and a permit will be issued within two working days. 2. Permit cards witl be sent by r�m mail after a review is completed. PERMtTS ARE NOT VALfD � UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UN11L THE PERMIT CARD IS POSTED ON THE JOB S1TE. - 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 irwolved, a separate building permit must be obtained. 5. AI!work must be done in accordance with State Code requirements. 6. Ai#work.must be inspected and air tested before it is covered. Cali (952)249-4600. (24-4�8 hour nofice required) �Residential ❑ Commeraai (Approt�ai Required) v� ❑ New a ❑Additional Q.Repairs �eplace _ ❑ In Accessory Structure? � � *You vwll need c�rior anoroval and may need CUP. (Per Orono City Code, Chapter 78, Articfe iV} Site Address:�� 10�`f�'\ � �1 � �� , --_ `'-� - ��r r�` ' C? C�.�1� '. % �� (%1 Mai{ing Address: �� 1� c�: �i�o�t � z�P: ��' 1 Ho e Phone: ��- o�-T .�i- I a� �Altemate Phone: _.� Contractor. Contact Perso�: � .1 � Address: Appliance�;or,r,�ct�ans Inc ,�tate Bofid #: k� � Shakopee, MN 55379 C�Y� Zip: Expiration Date: Phone: Altemate Phone: ❑ Insurance-CuRent: �� . , FfXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1sr 2ND OTHER TYPE Floar Floor IYPE Floor Floor Water Cioset Floor Drains 9 Lavatory Sewer Ejector Bathtub � Laundry Tray - Shower Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks ' . Miscellaneous . , 1. CONTRACT PRlCE '` is 1.25%0#corrtract price with a (Minimum Fee of$50.00) - � X .Q,2� � $ 5�: o � (��a� p�) (minimum $50.00) 2. STATE SURCHARGE � X .0�5 � l� �� - (contract price) 3. POSTAGE&HANDLING (4nly on Maii-In Applications) $ 2.00 4. TOTAL PERMIT FEE (Add Lines 1-3 Abo�e) $ 5J�`�� " CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including materials, labor, profit, and o#her fixed costs. It is the amount to be charged to the customer for the work done. If any material, equipmerrt, labor ar installations are fumished"by the owner, tenant or any other party, the reasonable market value of such items must be added to the estima#ed 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 undersigned hereby applies to the City €or issuance of a Plumbing Permit; agrees to do all work in • strict accordance with the ordinances of the Cityr and the regulations of the State of Minnesota, and certifies that aH statemerrts� e on�this appfication,are com�fete, tru�nd correct. Applieant's Signature: Date: � c� Buiiding Official/ lnspe�tor: Date: �2 � � \� � � TIME CITY OF ORONO cnLLED IN ��/�, IN.��r�N� ,�D/�U%�SCHEDULED /�' `��I�CJ PERMfT NO. �� COMPLETED ADDRESS � O'WNER � TELEPHON O.g � ��g�� CONTRACTOR �`' DESCRIPTION ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAVlGRADING/FILLIN(3 Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL 2 ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ r ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 dWN�IlCOKTRACTOR TO MEET YOU:_YES_NO � COMMENT� � .. � � � v� j 7�J /' O — � � , �/�N � '.� Q/� /"'✓[/ � � e r � ° - .� �e� ; �,� � Q - n Ol � W �� 041C , � ❑WOI'iK SATISFACTORY:PROCEED �COMPLETE W O CORRECT WOFiK 3 PROCEED ❑ISSUE CERTIFICATE OF OOC�INCY 0 O OORRECT W'ORK,CALL FOR REINSPECTION TEMPOfiARY V BEFORE CdNERINa PERMANENT ❑(�qFtECTUNSAFECONDITIONWITHIN HWRS. p pHpTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER P08TED.CAII INSPECTOR ��TATIOH ISSIJED ❑INSPEC710N REQUIRED.CALL TO ARRAN(iE ACCESS. Caq 1or the next(nspectfon 24 hours in advanoe. (952) 249-4600 OwnerlCont,r�ctor sit : Inspector: i�� '• WMN CoPI�Ansp�ctar'�FiN �Mry�Vf��