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Home My WebLink About2014-00096 -plumbing µ � CITY OF ORONO * Z 0 1 4 - 0 PJ 0 9 6 * 2750 KELLEY PARKWAY DATE ISSUED: O]/30/2014 ORONO,MN 55356- 952 249-4600 FAX: (952 249-4616 ADDRESS : 1447 PARK DR PIN : 07-117-23-42-0021 LEGAL DESC : SAGA HILL REVISED : LOT 008 BLOCK O15 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: PLUMBING FIXTURES: (1)KITCHEN SINK,(1)DISHWASHER AND(1)WATER HEATER VALUATION OF PLUMBING 3000 APPLICANT PLUMBING FIXTURE FEE 50.00 STATE SURCHARGE PLBG(VALUATION) 1.50 BEN SCHERER PLUMBING&HVAC INC. TOTAL 51.50 4520 85TH STREET SE Payment(s) DELANO,MN 55328- (763)972-8137 CHECK 7412 51.50 OWNER PALM,MARK&PAMELA 1447 PARK DR MOLJND, MN 55364- AGREEMENT AND SWORN STATEMENT The work for which this pertnit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construc[ion is suspended for a period of 180 days at any time aRer work has commenced. The applicant is responsible for assuring all required inspections aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. ��`�' ��b�� l i ,3� �/ `� Applicant Permitee Signature Date Issue y Signature Date . . 7�i� - F R CIT U ONLY City of Orono � �j r aD` � l—J'� �-ONO P.O.Box 66 Date Receive :��/ / Permit# 2750 Kelley Parkway `/-� Crystal Bay,MN 55323 Approved By: Amount$: �� (952)249-4600—Main y }. (952)249-4616—Fax �' �` CITY OF ORONO — PLUMBING PERMIT lqk�sHOR�' (All Commercial Permits Must be Approved by the State Priorto Ciry Approval) htt ://H�ww.dli.►7�n.�ov/CCLD/PDF/ �e lumb lanreva i ._df GENERAL 1NFORMATION 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 wili be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL 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 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) TYPE OF PERMIT (Check All That Apply) �Residential ❑ Commercial(Approval Required) ❑ New �Additional ❑ Repairs ❑ Replace ❑ In Accessory Structure? *You will need prior annroval and may need CUP. (Per Orono City Code, Chapter 78,Article IV) Job Site/Owner Information: Site Address: � � � � �c-;�1 �t`�� !�`''� Owner: / '��- f�� m Mailing Address: City: Zip: � Home Phone: Alternate Phone: �4-��Z �� Contractor Information: Contractar: �� '°�-"�� l�� Contact Person: �� Address: y��) �� Sk�'�� 5�--� State Bond#: �� y"� S � � City: ►JS�k�� Zip: �'ti�� Expiration Date: � � '3� �' �v/�/ Phone: �Q 12� �3a' � ��-�`S� Alternate Phone: � L ❑ insurance— Current: E'� 1 .. PLUMBING FIXTURES BE1NG INSTALLED FIXTURE BSMT 1 2 OTHER FIXTURE BSMT ] 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 PERMIT FEE CALCULATION(S) BASED OFF - 2002 STATE STATUE ❑ Yes, this section applies The replacement of only one Residential fixture ar appliance that meets all three of the following requirements: l. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less; excludinQ 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 Next Page) 2 PERMIT FEE CALCULATION S) —JOBS OVER:$500.00 If above does not apply; follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) ��-�'��"�� x .0125$ (confract price) (minimum$50.00) 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 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. PLUMBING PERMIT APPLICATIONAGREENIENT 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: / ''� C� ` � L 3 � D� TIME � CITY OF ORONO CALLED IN INSPECTION I��ICED�„p� SCHEDULED — � PERMIT NO.d y �� COMPLEfED ADDRESS �� v OWNER TELEPHONE NO.��Z �Z gs9�!' C�NTRACT�R � ��a�'�- �� DESCRIPTION � � � ❑ FOOTING ❑ PLUMBING FI ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL O MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL 0 TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP 0 PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v �LUMBING RI ❑ SEPTIC FINAL ❑ FOUNbA110N/REMOVAL 2 OWNERlCONTRACTOR TO MEET YOU:_YES_NO � y COMMENTS: ��^ove z�fc� ��e.1, �/�. - � � - � /t-''d�D�. �� I roe u. G`�T��!tJ v n T 0 �J� r�C c�7�tG• �U ' W'`�. . ,�a . � S�GGtJ2/"- ). � �O _ W {��Slt L /�S��t�te r - !L//l O�.�S a ` � Q � � W � � J O VIPORK SATISFACTORY:PROCEED ❑PRW ECT COMPLETE � ❑CORR CT V1fORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WRHIN HOURS. ❑pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CAIL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. - Ca ne • ron 2a hours in advance. (952) 249-4600 Owne ctor site: e �' Inspector ite Copyllnspector's File Canary CopylSke Notice