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Home My WebLink About2013-00296 - water heater - expired � CITY OF ORONO ' 2750 KELLEY PARKWAY * 2 0 1 3 - 0 0 2 9 6 * DATE ISSUED: 04/29/2013 � ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1371 REST POINT LA PIN : 07-117-23-32-0061 LEGAL DESC : SUBD REST POINT PARK LAKE MTKA : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING(<$500) J PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WATER HEATER I�'�� P APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 APPLIANCE CONNECTIONS STATE SURCHARGE PLBG(<$500) 5.00 12850 CHESTNUT BLVD SHAKOPEE,MN 55379 MAIL-IN FEE 2.00 (952)445-4803 TOTAL 22.00 Minnesota State License#: 057209PM OWNER EGGERT,KENNETH&RENEE 1371 REST POINT LA 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 Ciry 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 sepazate permits. All provisions of laws and ordinances goveming this type of work sha(1 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 aze requested in conformance with Me State Building Code.This permit may be revoked at any ti�e for due.�cause. ��i� � `-V'''✓C � / / / / Applicant Permitee Signature Date Issued y Si ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. FOR CITY USE ONLY • O¢0�o City of Orono p_p_g��(�(, Date Received: Permit� 27i0 Kelley P.irk��ay � �.`'�� ' Crystal Bay,MN 5�32; Approved By: Amount�: ,a >- �.�,o. (952)24)-4600—Main �rsxo� (952)249-461G 1ax CITY OF ORONO — PLUMBING PERMIT (All Commercial Pcrmits Must be Approved by the State Prior to City Approval) iittp://��w�r�.d16.►nn.��o��iC�Ci.U/ND6�II�e ulumbt�lanrc�a��u.udf' GENERAL INFORMATION 1. You may apply for plwnbing permits by mail or in person at Che Ciry offices. Applications will be rcviewed and a perinit will be issucd within nvo�v�rking days. 2. Pennit cards will be senl by rctttrn mail aCter a revicw 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 pcn��its may be issued ONLY to liccnscd plmnbii�g contractors and to property owners residing in the dwelling. 4. When any i�ew construction or remodeling is involved,a separate building permit must be obtained. 5. All work must bc donc in accordancc with Statc Codc requircmcnts. 6. All work must be inspected and air tested befoie it is covered. Call(952)249-4600. (24-48 hour notice required) TYPE OF PERMIT (Check All That A 1 �Resideiltial ❑ Comir�ercial(Approval Required) ❑ New ❑ Additional ❑ Repairs �Replace ❑ Tn Acccssory Stn�cturc? *You will need prior approval and may need(.:1,!1'.(Per Orono Ciry Code,Chapter 78,Article iV) Job Site /Owner Information: Site Address: i �J ��"� �Ul"1 L„Vl Owner:� I � � I�� Mailing Address: ��'�'' Ciry: z�p: Home Phone:�U1�'��'J�(�a Alternate Phone: Contractor Information: � Contractor: Contact Person: '1' Address: APPliance Connections �n�tate Bond#: �G�� IVd. Shakopee, MN 55379 )a ' I �(� ��h'= 952-445�13— Expiration Date: Phone: Alternate Phone: ❑ Insurance—Current: 1 . PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT 1`� 2"D OTHER FIXTURE BSM"C 1'� 2�D OTHER TYPF FL FL TYPF. FL FL Water Closct Floor Drains Lavatory Sewer Ejecror Bathtub Laundry Tray Shower Washer Kitchen Sink Water Heater � Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellancous PERMIT FEE CALCULATION(S) BASED OFF - 2002 STATE STATUE � Ycs,this section applics ;r� The replacernent of only one Residential tixCure or appliance that meets all three of the following requirements: I. Does not require modification to electrical or gas service. 2. Has a total cost of�500.00 or less;excludir�the cost of the fixture or applianec: and 3. Is improved, installed or replaced by the homeowner or licensed plumbing contractor. Skip next scction, if this applies; Cost of Perinit $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $��Q�% C7`Q' � (Permit Fees Continued On Next Page) 2 . 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) (miciimum 550.00) , i 2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum Fee of 55.00) • x.0005 $ (contract price) ' (minimum S 5.00) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) S y ■ * CONTi2ACi PRICE or 3UB COST meac�s the actuul flr estimated dollar amount charg,ed for the permitted work including maierials,labor,profit,and other fixed costs. It is the amount to be chazged to the customer for the work done. If any material, equipment, labor or installations are fumished 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 STATE SURCHARGE is.0005 of the contract price under$1,000,000 or$5.00—whichever is greater. For valuations over$1,000,000 call the Building Departrnent at(952)249-4600 for the price. T'he 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 a11 statements made on this application aze complete, true and correct. � Applicant's Signature: Date: �� - . k C {� � ` ` ` . \ 1 ' � � '� � � r . , , : � � DATE � TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO.,ad/�3 � O� Z�COMPLETED _�,//�� ADDRESS 1�-�� t'IJf. �a . OWNER TELEPHONE NO. CONTRACTOR Q�� t �ds?��tv�LS � DESCRIPTION ��✓ g�� ' �c��- � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ��jB'FiFJ� ❑ SEWER HOOK-UP ❑ COMPLAINT J O DEMO-SITE ❑ SEPTIC MAINT. OLLOW-UP i ❑ DEMO-FINAL � SEPTIC INSTALL ❑ H D COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 �IIfNERlCONTRACTOR TO MEET YOU:_YE3_NO y COMMENTS: 4' /' �" � A 1-�. Id� �— GG/� �✓ � a CrMt r o�C�G�- • j �' • � 7'/rl� !/7 S if�� O � W o� � ��Q d�� Q o� � a � �csQ Ga6l D/'aKv c��'c, �ra 6! � �i�`� � CI ��K�� ws%I�r�rc�, �r G�a� �� /.��1�.� W ❑WORKSATISFACTORY:PROCEED ❑PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W O ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOYERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑pHOTOTAKEN INSPECTOR WILL REfURN �P ORDER POSTED.CALL INSPECTOR �CITATION ISSUED INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952) 249-4600 Owner►Cor�tractor on site: Inspector: ` White CopyAnspector's Ffle Canary CopylSMe Notice