HomeMy WebLinkAbout2016-00429 - water heater * ` CITY OF ORONO
2750 KELLEY PARKWAY * 2 0 1 6 - 0 0 4 2 9 *
DATE ISSUED: 04/26/2016
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 1978 SHADYWOOD RD
PIN : 17-117-23-24-0026
LEGAL DESC : SHADY-WOOD
: LOT 000 BLOCK 000
PERMIT TYPE : PLUMBING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WATER HEATER
NOTE: WATER HEATER REPLACEMENT
VALUATION OF PLUMBING 3000
APPLICANT PLUMBING FIXTURE FEE 50.00
STATE SURCHARGE PLBG(VALUATION) 1.50
PRONTO HEATING&AC MAIL-IN FEE 2.00
7415 CAHILL RD
EDINA,MN 55439- TOTAL 53.50
(952)835-7777 Payment(s)
CHECK 11863 53.50
OWNER
PETERS,BRIAN
1978 SHADYWOOD ROAD
WAYZATA,MN 55391-
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
pertnits. 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 I80 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.'fhis permit may be
revoked at any time for due cause. �
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Applicant Permitee Signatur Date Is ued By ature Date
From:Pronto Heating and Air 962+767+BY�0 04/26/20�6 05:2� #069 P.002/003
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�'�pN�,, City of Oronp FOR CI U E ONLY
i O � P.O.eox 66 Date Received:�_, c2���
' 'i 2750 Kelley Parkway � �
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� Crystai Bay,MN 55323 P@rmit# �O/� —� 7"�
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CITY OF ORONO- PLUMBING PERMIT
(All Commercial Permits Must be Approved by the State Prior to City Approval)
http://www.dli.mn.qov/CCLD/PDF/pe plumbpianrevaqp.pdf
GENERAL INF�RMATION
1. You may apply for piumbing 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 mait after a review is completed. PERMtTS ARE NOT VALID
UNTIL YOU RECEiVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Ptumbing permits may be issued ONLY to licensed plumbing contractors and to property owners
residing in the dwelling.
4. When any new canstruction 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) [Backflow Device:Q AVB ❑PVB]
❑ New ❑Additional ❑ Repairs � Replace
❑ tn Accessory Structure?
"'You will need nrior aparoval and may need CUP. (Per Orono City Code, Chapter 78,Article IV)
Job Site/Owner Information:
Site Address: �� � �'���
1 �
Owner:����/��I/1 ��{,��5 Mailing Address: `� �,/��(LG�,(�
c�cy:��1t151nC� z�P: ���'! l
Home Phone: ��2 ' �L• ��-��Q Z Altemate Phone:
Contractor Information:
Contractor:��-_�'v�'y�����, 1� ontact Person: ��,
�
Address:�I�l� Ct'�an,t 1�� State Band #: ��j v�Y�
�
City: YI�.1 V�G� Zip: `��_Expiration Date: -�� i�"I�
Phone: ��2'� ��- �1'�,`��, Alternate Phone:
(� Insurance - Current: �.5�` �V�� �A�-� � . 11Q_ l 1
Page 1
From:Pronto Heating and Air 962+767+97'10 04/26/20�6 Ob:22 #069 P.003/003
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_.. ':. t "-' _. P,L1lMBIIa1G FI�T'UR�S:�E��IG 1NST�1.:L��. ,�,, ' , ;�
FIXTURE BSMT 1sT 2"o OTHER FIXTURE BSMT 1sr 2No OTHEF2
TYPE Floor Floor IYPE Floor Floor
Water Closet Floor Drai�s
Lavatory Sewer Ejeotor
Bathtub Laundry Tray
Shower Washer
Kitchen Sink Water Heater j
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Miscellaneous
. .. ,... �..,>. . , ; P�1�MlT�FE� GA1.�UL/#TI(�I�1 . ' ,�' . ...�: .,.. 4�.:.. ��
1. CONTRACT PRICE '`is 1.25%of contract price with a (Minimum Fee of$50.00)
31��(� x .0125 $ �j�,U (?
(cantract price) (minimum $50.00)
2. STATE SURCHARGE � �b
��� x .0005 $
(contract price)
3. POSTAGE�HANDLING (Only on Maif-In Applications) $ 2.p0
4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ �� •��
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amaunt charged for the
permitted work including materials, labor, profit, and other fixed costs. lt is the amount to be charged to
the customer for the work done. If any material, equipment, iabor or installations are fumished by the
owner, tenant ar any other party, the reasonable market value of such items must be addeti ta 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,
: . =. ..... : . . ..< PLl1MBIRIG Pk�A�IIT APPLiCATION�GR�EMI�tV�..;; ` ;; -�
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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
certiftes that all statements made on this application are complete, true and correct.
� ..�- �.%� /�
Applicants S�gnature: L� Date: ��.1 l���
Building OfficiaU Inspector: Date:
Page 2
� � cC� DATE TIME �
CITY OF ORONO cnLLED IN �—
INSPECTION NOTICEj (f� SCHEDULED
PERMIT NO. �D!�D � "'� COMPLETED
ADDRESS � g�� <SG� �.c�U Lt �� �r,I�
OWNER TELEPHONE N y�a��-�Tl�
CONTRACTOR —�Z?�"L2-�f�
� DESCRIPTION /- !l� c� / LtJCt-��%Z l�Gz-��-
4r ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
� ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF �PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
? O'WNERICOKTRACTOR TO MEET YOU:_.�JIES_NO
4
� COMMENTS:
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� ❑WOFiK SATISFACTOFlY`.PROCEED C�OJECT COMPLETE
w ❑OORRECT WORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
O� ❑CORRECT VYORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CONERIN(i pERb1ANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHpTOTAKEN
INSPECTOR WILL RETURN
O STOP ORDER POSTED.CALL INSPECTOR �GTATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANtiE ACCESS.
Cafl for the next inspection 24 taurs in advance. (952) 249-4600
Owner/Corttractor on site:
Inspector. �o��
WhiN CcPYAnspecMr's Ffl� C�nary CoprlSit�Notia