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Home My WebLink About2015-00336 - plumbing a T � CITY OF ORONO * Z � 1 5 — 0 0 3 3 6 * 2750 KELLEY PARKWAY DATE ISSUED: 03/24/2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 1359 PARK DR PIN : 07-117-23-41-0082 LEGAL DESC : SAGA HILL REVISED : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING(<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURE NOTE: GAS DRYER APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 STATE SURCHARGE PLBG(<$500) 5.00 MN PLUMBING&APPLIANCE INC. MAIL-IN FEE 2.00 14105 RUTGERS STREET NE PRIOR LAKE, MN 55372- TOTAL 22.00 (952)469-8341 Payment(s) Minnesota State License#: cont-58455-PM CHECK 1547 22.00 OWNER EASTMAN, ROBERT&SUSAN 1359 PARK DR MOUND, MN 55364- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. � , �U� �� I �,��'� 1,� C. �. l:l'l'`l C� � l � %�. l' / �� Applicant Permitee Signature Date Issued By Signature Date • ' I�CT�°Y'�UR��' �A r City of Orono ` < ��a P.o.aoX 66 �n��ta�ivaa: ��_�___._.�� 2750 Kelley Parkway Crystal Bay,NIN 55323 Appro�red By: ' ��$: (952)249-4600—Main .t �a. (952)249-4616—Fax y� �� CITY OF ORONO—PLUMBING PERMIT t��s�tQ�``�` (All Commercial Permits Must be Approved by the State Prior to City Approval) ht.t :Uwww.dli.mn. ov/CCLll/PDF/ e lumb lanreva . df ��N�.tA�Il��R�A�`TTC'��T' ` 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 cazds will be sent by return mail after a review is completed. PERMITS ARE NOT �IALID 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 wittt State Code requirements. 6. All work must be inspected and air tested before it is covered. Call(952)249-4600. (2448 hour notice required) ` T�'�+��i�IIT ; � ,, , C�c�:�'�'�A ; l, [�Residential ❑Commercial(Approval Required) ❑New ❑Additional ❑Repairs Q�Replace ❑ In Accessory Structure? *You will need orior anoroval and may need CUP.(Per Orono City Code,Chapter 78,Article I� ��/(,h�ne��f�rm�ivn• Site Address: ,�J rJ� t'�r K �r• � 135°� �ar K �� Owner: SU S�� -��11Y I�ll�ln Mailing Address: c�ri: 0 r n h n z�p: S 5 3(� �1 Home Phone: � 12` ��n" $2�Z- Alternate Phone: ;�t�'�o�T�!�ori: _ Contracto r: 'Mr P�v�mb i �, �Contact�Person: ��/�'1.Q, �� rn(Nf�1 ✓1 � �� Addt�ss� �� o OS� S�' �' S e Bond#: �5 a � f�0( ��,• �� K'e Zip:J 2 Expiration Date: Phone: �5 2�� g�y� Alternate Phone: ❑ Insurance—Current: 1 ' . FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER Typg FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower W�h� Kitchen Sink Water Heater Disposal Water Softener Dishwasher W�B� Sillcocks Miscellaneous t �S ,�� Yes,this section applies The replacement of only one 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;excludin�the cost of the fixture or appliance:and 3. Is improved,installed or replaced by the homeowner or licensed plumbing contractor. Skip next section,if this applies; Cost of Permit $ 15.00 State Surcharge $ 5.0 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ L2.�C� (Permit Fees Continued On Next Page) 2 , j . If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) x.0125 $ (contract price) (minimum 550.00) 2. STATE SURCHARGE x.0005 $ (contract price) 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 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 aze 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 piuposes. 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 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. C Applicant's Signature: � Date: 3� �� 3 DATE �TIME CITY OF ORONO CALLED IN INSPECTION N-^�O/T�I/C�E IQ�� SCHEDULED -•-' � PERMIT NO.�V �C��—�'T� COMPLETED � ADDRESS i3s y /'�Q i�C ��/- OWNER TELEPHONE NO. CONTRACTOR /��'�- �S "'� �0� ' � DESCRIPTION l~N ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP ? ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � I'1�'!� 9f s �r4er � o - �x,S�'r�t c f/e�tL`� �� ' v� � � � LJcr sL i�. 9 �1rt �� l C ' �� O � W wU�� 3�s'�t � Q � . 2 � � �S�s�t•L J 'rl�� J � ❑WORKSATISFACTOFlY:PROCEED �CT COMPLETE w ❑CORRECT W'ORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE C41/ERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN H��- ❑pH0T0 TAKEN iNSPECTOR YVILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REWIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952) 249-4600 OwnedContractor on site: Inspector:�/�� White CopyAnspectw's Flle Canary CopylSite Notice