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Home My WebLink About2016-00261 - water heater < <� CITY OF ORONO * 2 0 1 6 - 0 0 2 6 1 * 2750 KELLEY PARKWAY DATE ISSUED: 03/2U2016 ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS : 2460 SANDSTONE LA PIN : 33-118-23-11-0029 LEGAL DESC : STONEBAY : LOT 026 BLOCK 001 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WATER HEATER NOTE: WATER HEATER REPLACEMENT VALUATION OF PLUMBING 2200 APPLICANT PLUMBING FIXTURE FEE 50.00 BENJAMIN FRANKLIN PLUMBING STATE SURCHARGE PLBG(VALUATION) 1.10 5718 INTERNATIONAL PKWY M.°►IL-IN FEE 2.00 NEW HOPE,MN 55428- TOTAL 53.10 (612)23&9709 Payment(s) Minnesota State License#:plbg-PC643703,mech-MB004722 CREDIT CARD 0169 53.10 OWNER MATESKI,THEO&LYNNE 2460 SANDSTONE LA LONG LAKE,MN 55356- 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 dces 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 construction is suspended for a period of I80 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. o �� `� l �/ i /� Applicant Permitee Signature Date Issued y ignature Date 03/18/2016 FRI 18: 53 FAx 612 822 5a48 F►1' b K�Ater Plumbimg �005/007 � • � , ,,, -• � `� � �o�� ,c, �1 � � �C�'�� S o� 1,�yo�c rx usw oK�,Y CityofOrono '„ I y� / , � ¢,.;� �a�� O P.O.Box 66 Duu I�aei�� i�Petiuit ll'�� z�so rconcy rorkWay � � . � /D Cryaai ssy,Mr�55323 �Appcoved By: ' ,,'Ayiount S:�`� (952)249-4600—Mcin ' ' '' (952)249-0616—Fnx • y� �� CX'�'Y OF O�ONO—PLUMBING PERNIIT `�k s Hd�� (All CommerCial Permit�Must be Approved by the State Prior to City Appraval) ht ://www.dli.mn. ov/CCLD/Pl)�'/ � lumb lanrevn . df �; ;'GENE�LAL INk'ORMATTQI�T W;,' ' �� , � � � ' , •�� ' 1. Yau may apply For plumbins permits by mail or in person at the Ciry off ces. Applications will be reviewed and a permit will be issued within two working days, 2. Permit card�wil]be sent by return moil aiter a review is completed. PERMiTS ARE 1VOT i VALID UNTTL YOU RECENE A PERMIT. WO�.1v�Sx NOT IiEGI1V'UNTR,T�� PERMIT CARD TS POSTFD ON 1'HE,�0�SI'I'E. , 3. Plumbing permits may be issued ONLY to licensed plumbing contrac�ors and to property owners rc.�iding in the dwelling. 4. Wl,eu any new construetion or remodeling is involved,a separatc building permit must be obtained. 5. All work mast be done in accordanee with State Code requirements. G. Al]work must be inspected and air tesked before it is covered. Call(952)249�60U. , (?.4-48 hour notice rcquircd) �Z�'I7jI,S!rf,�i}��1r�' , � ,�!'�•'u�,�r, ;, I, ,;,Ir,;„ , ,I�!��n !r;'�1� I�'�,1;�!1 '� ,I.I,1�j% � ;1 1�'1'I ;'�� ` f�r' ;�� '�,'�,I '�1, I' (�'"I{;`1 lil'1 1,��ili;,� rl t��11 •� ' "fi'Sii�'i i4f�•�II��' �i1 ��0�'� �I �'i';�I��i��' (�IlI� 1 rf�l��i �1��4�;�{y� If t �r, (';, ;,�i ',i, ;.r,v g„ '7 �� ,'�,Ih i i�ri��;��,i,�, �r'„� � ti. '�C y�p�•f�g�H i'�4i �!,' � , � �)i 1 '�;,�'�Ir, I," 11 � '1, � •�i��ri�,��),;F�,��'�L{(tj'4n,J�� .4 �;,+��'�%�u�;1l�-�,i�< f�Y��1•'��AOCr�y�T�+�+��l�X�, �� II;��t��{�'��:P�,�"rl�i P�',q;r��,a��i, �esidcntial ❑Commercial(Approval Required) Q Ncw ❑Additional ❑Repairs Re e ❑ ln Acccssory Structiuc? *You will need orior aoornval and may need C:i�P.(�er Orono Ciry Cocie,Chapter 78,Article I� �„�„,,,,��, j , �„ �,� .��,;� ��r,� d�r,'n,�;i �a0a�;s1�8,��!�Ll�:r!��111,41��aCl;Q;k�Yl„"�li��,i, �i�,„],ilyi'j�,IC�ir�lY�idatl, � site Aadress: �� G�l.Cll. ��o�a�. �r� � Owner: ��a �1 �r(�PS�� 1V�aili.ng Address: �\�'� �� Cily: 7ip: `� Home Phone: ��`��O "�y�3 Alternate Phone: 'i��1+1Q�, ��.!h��l'�I1�Q�R�i"�5�i1��7ii��bfl4%��N tN,��'�atlf'"+'� ��i I��'Y� 1`1 e a h �C cl , p g� �J'�r1 j Gq IM I 1�1 T +I CoAtractor: (��u h (,� (r�., P j 4+Mb�i� Contact Person: �J-�Yl'Y�1 �V`�� I a Address: � � l� I v�F-fi�dl�i�•w� State Bond#: � ��L I P�ry 0`U`� Ciiy: /1�.ew Zip: Expiration Date: � � �� i Phone: (p(��, � , A�ternate Phone: �� i ; � . � ❑ Insurance—Gurrent: �v�a/5 ��S��n c� � � 1 ' 03/18/2016 FRI 18: 53 FAx 612 822 5a08 AI.' A M�ptpY Plumbimg �006/007 I . . ,i , > ,� I, i � � I � a � � u , FTX'�URE BSMT 1 2 QTHER FIJ('I'U�LE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Wa�cr Closet Floor brains Lavatory Sewer Ejector Sathtub Laundry Tray Shower Washer ` Kitchen Sink ater Heater � Dispos�a[ Watcr Softenor Dishwashcr W�t Bar Sillcocks Miscellanzous � � ; � � �� 5 �� . ��s ❑ Ycs,this section ap � The replacement of only one Residenh• xturc or a liance that�r►eecs all three of the following requirements; 1. �requir�modification to cicctn or gas r..erviCe. 2. �ias a�ot�l eoat of$500.00 or lcsac;cxcludin ie cost of the fixture or appliance:and 3. Is impruvcd,insrtallcd or replaced by dte homeo zr ur liccnscd plumbing contractor. Skip ncxt scction,if this applies; Cost of�ecmit S 15.Q0 State Surcharg� $ --sr.9�� $ �^ i Tol�tl Permit Fee $ ; I j l (Pcrmit Fccs Continuccl On Next Page) 2 ' � _... -, ... . I 03/18/2016 FRI 18: 5a FAx 612 822 5408 A1' e Mseter plumbimg �007/007 � , . . • �� 1 a �, k �rr, �J.► r '0�',�O' '41 If above does not apply;follow guidefines below; � 1. �Olv1CRA,.C�I'JPJftIC� "'is 1.25°�of contracc price with a(Minimum�'cc of 550.00) p��UQ x.or2s� ��I'� � (conlracl price) (roiNmam 550.00) I' 2. STATF SLJRCRARGF, ��.[� C7 � x.0005 $ � '�D { (wntcacc price) ' 4. '�O'�A,�,P�It1VQT T�E(Add Lines 1-3 Above) � • I L/ • * CONTRACT PRIC� or J0� COST means the actual or estimatal dollar amount charged for the pern,itted work includ;ng mateiials.labor,proft,and other fixed costs. It is t�e amount to be charged ; to d,�customer fox the work done. If a�►y material.equipmen�,labor or ins�llazions are fumished by ! tlte owner,tenant or aay other party,the reasonable market value of such i�ems must be added to the � estimated cost or contract price for permit f�e purposes. ln the evcnt that there is a dis�putz on the � amouet of the job cost.the Ciry may requesn the submission of a signai copy of the actual contract. The undarsigned hereby applies cp thc City for i3suancc o£a P�um�bin��crmit, agn:cs to do all work in strict accordance wit�i the ordinances of the City and th� regulations of the State of Minnesota, and certifies that all statements made on this application are complete, true and correct. Applicant's Si tu Date: � 3 � � � �� I� J� TIME CITY OF ORONO CALLED IN � INSPECTION N �C� � SCHEDULED � PERMIT NO. � COMPLETED ADDRESS � OWNER T EPHO E NOf..S��—�7�d`� CONTRAC I �� DESCRIPTION t~i� ❑ FOOTING ❑ DEMO AL ❑ SEPTIC NAL Q ❑ POURED WALL ❑ P MBING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ M HANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERlCONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � a � J O �. � O � W 2 Q � 2 W � W � � J d W ❑WORKSATISFACTORY:PROCEED OJECT COMPLEfE � ❑CORRECT YVORK 3 PROCEED ❑ IS UE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORECOVERING PERMANENT ' ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN INSPECTOR WFLL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED .� ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (J52� 9- OwnerlContractor on site: Inspector. White Copyllnspector's File � Canary CopylSite Notice