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Home My WebLink About2012-00052 - plumbing * , CITY OF ORONO PERMIT NO.: 201�00052 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: OU25/2012 952 249-4600 FAX: 952 249-4616 ADDRESS : 1415 PARK DR PIN : 07-117-23-42-0017 LEGAL DESC : SAGA HILL REVISED : LOT 002 BLOCK O15 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: (2)KITCHEN SINKS AND(1)WET BAR UPDATING KITCHEN-ADDING(3)SINKS INCLUDING DRAINS AND WATER. ALSO ADDING(2)GAS LINES-(1)TO OVEN AND(1)TO FIREPLACE. VALUATION OF PLUMBING 1000 APPLICANT PLUMBING FIXTURE FEE 50.00 BRANTER,BRIAN STATE SURCHARGE PLBG(VALUATION) 0.50 1415 PARK DRIVE TOTAL 50.50 MOUND,MN 55364 OWNER BRANTER,BRIAN ' 1415 PARK DRIVE MOUND,MN 55364- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shal►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 o days at any time after work has commenced. The applicant i nsib or assuring all required inspections aze requested i orm e with the State Building Code.This permit may be revoked t y ti use. / / / / App i " e 'ee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. y� K 1 � '� � ,,�- '� �,�0�� City of Orono ��wr, �'� P.O.Box 66 / � 2750 Kelley Parkway a � � \�/ � � � � � Crystal Bay,MN 55323 � 4 �,� �� (952)249-4600—Main �� (952)249-4616—Fax CITY OF ORONO - PLUMBING PERMIT �-7 (All Commercial Permits Must be Approved by the State Prior to City Approva�`j �� ! htt ://www.dli.mn. ov/CCLD/PDF/ e lumb lanreva . df ��_., � �� 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 retum 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) y ± � � " t �w� �� , p �k,f � z�( � �Y � � . � J <�YX� ;y� � �.' .+- y-'. ,�`Fs,ss- °'t �� +;��d 9 . � �� .� `��`��" ��'* r �� ." `" :a�i: ,�Residential ❑Commercial(Approval Required) ❑ New �]��ditional ❑Repairs ❑ Replace � �� '`1 ❑ In Accessory Structure? *You will need arior anaroval and may need CUP. (Per Orono City Code,Chapter 78,Article IV) Job Site/Owt�er Infc�rm�id�: `" Site Address: �4-�s p�Q� �Q�t�E Owner: $�(Aa �j�C��T71��, Mailing Address: City: 01�.!'ll�0 Zip: 5S 3(�q-- � Home Phone: _(�12-(�/y-�O�o�'JI Alternate Phone: rjA1�(F Contractor Information: Contractor: Contact Person: Address: State Bond #: City: Zip: Expiration Date: Phone: Alternate Phone: ❑ Insurance—Current: l ! 1i �y .. � FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 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 UPp�T��JL9 ICTrCl�',� - �nrN� (�) s��res rNc.�� ws �� ►�-��z. ��s�, �--�D�� CZ) �� s �� 'a o v� �vJ� �N,,� �a r=d2.�P�� ❑ Yes,this section applies T'he 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 $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On IVext Page) � r • . � If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) �I��OG x.0125 $ (contract price) (minimum$50.00) 2. STATE SURCHARGE � 1, 60�0 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 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 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: � � Z��L ,�,,, �� 3 � � �:� TIME ✓ CITY OF ORONO CALLED IN ��_ INSPECTION TICE SCHEDULED �� PERMIT NO. -0�� COMPLETE ADDRESS S G��.�� OWNER TELEPHONE � - CONTRACTOR � '>; DESCRIPTION �-��ll/ — � � ❑ FOOTING ❑ PLUMBING FI A ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANIC L ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANIC FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J � �,�/e t �,4 CfZ F �4 �, � Q � 0 � Q rf}S l , � � r<zSS� �e T�S �' � � �"f 2, � �� c'P Z W � W � � � �WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CARRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR W4LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnedContractor on site: Inspector. C o 1�/ _ _ � White Copyllnspector's File Canary CopylSite Notice �� )� � DATE . TIME CITY OF ORONO �CALLED IN I � - Z� t �� INSPECTION NOTICE SCHEDULED ��2 - =3�IZ � PERMIT NO.��.,� . �C '-�� COMPLETED r` ADDRESS I �"` � J I �c�� I� (� �.� OWNER '� � �� ;��Z'r`1�(�ELEPHONE NO. - CONTRACTOR � � L (`� _ � � y � ��) >: DESCRIPTION -_� � `,��1��1 �� 1 � LV ❑ FOOTING ❑ PLUMBING FINAL EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTI INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEP I FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEEf YOU: YES_NO � COMMENTS: � W a � � O a � O � W � Q � Z W � W � � GW ❑WORKSATISFACTORY:PROCEED �ECTCOMPLETE � ❑CORRECT WORK&PROCEED C' ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR W{LL RETURN 0 STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALI TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�� OwnerlContractor o s�te: r Inspector. _ �,T s White Copyllnspector's File Canary CopylSite Notice