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Home My WebLink About2011-01583 - water heater CITY OF ORONO PERMIT NO.: 2011-01583 ' 2750 KELLEY PARKWAY � ORONO,MN 55356- DATE ISSUED: 12/22/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 2040 SHADYWOOD RD PIN : 17-117-23-31-0013 LEGAL DESC : GUST S JOHNSONS ADDN : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING(<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WATER HEATER APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 APPLIANCE CONNECTIONS STATE SURCHARGE PLBG(<$500) 5.00 1313 DANITA CR. SHAKOPEE,MN 55379 MAIL-IN FEE 2.00 (952)445-4803 MISC FEE 0.00 Minnesota State License#:057209PM TOTAL 22.00 OWNER ZOSCHKE,DAVID&JUDY 2040 SHADYWOOD RD WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant pertnission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified hereia This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. / �`'""`�l ��. / / l l Applicant Permitee Signature Date Issued By Si ture ate SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB . Cit��of Orono FUR CiTY USF.ONLY � �Q��Q ��O1�'�' Date Received: Permit# 2?i0 Kellcv Parkwav � a ,•'r. + Crysttil Buy,MN 55i2; Approvcd BY� Amount$: ?�, ��"+;�;;.�o�� f9�?)_'-39-1600-Vtain �taitso$�' �y��49-4616 Fas CITY OF ORONO — PLUMBING PERMIT (All Commcrcial Pcrmits Must be Approved by the State Prior to City Approval) ��t't,;:��;'��>��.�ii.iz�os.�raE��if��'�.�)/I'U��/�e �ivai�b �lans-e�a > >.�df� GENERAL INFORIV[ATION 1. You may appl_v f�or��lumbing permits by mail or in person at the City oftices. Applications will be rcviewed and a permit will be issucd�vithin two working days. 2. Permit cards�v�ill he sci�t by return mail after a revicw is completed. PERMiTS ARE NOT VALID UNTIL YOU RECF.IVE A PERMiT. WORK MUST NOT BEGIN UNTIl.THE PER'�tIT CARD IS POS7'ED ON THE JOB SITE. 3. Plumbing permits may be issucd(�NLY to licenscd plumbing contractors and to property owners residing in the dwelling. -�. When any new construction or remodelin� is involved, a separate building pern�it must be obtained. 5. All work must bc done in accorciance with State Codc requirements. 6. All work must be inspected and air tested before iC is covered Call(952)249-4600. (24-48 hour notice required) TYPE OF PERMiT (Check All That A 1 ) J�j Kesidential ❑Commercial(Appro��al Required) �/ ! ❑ New ❑ Additional ❑ Repairs ❑ Replace ❑ in Acccssory Structure:' *You will need orior approval and may need C_t_i'. (Per Orono City Code,Chapter 78,Article N) Job Site/Owner Information: Site Address: � CJ ��C�cl.� � lr',i Z,`. t�a�t_ ` � . Owner: �.� �i�� ,��G� � Mailing Address: ��.-� �'� ��A-�`-�'�� City: �.:'VU�'�� z�p: ��5 �`�i Home Phone: �SZ. �-171 �jW�� Alternate Phone: Contractor Infarmation: � n:, � " Coutractor: 1111eC��ontact Person: �,��Lt.� �-- �� Address: �� . 1313 Dani"'� `�''' �,. �c� , �� j�t�lte Bond#: .,, . ^*`�n<� C��'' �'��`:� � Expiration Date: Phone: Alternate Phone: Insurance-Current: 1 PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT ]sr ?no '—_ — --- --- _— — O7HER FIXTURE BSMT 1'� 2`D OTHER � TYPE FL FL TYPF 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 Miscellancous PERMIT FEE CALCULATION(S) � f BASED OFF - 2002 STATE STATUE ❑ Yes,this section applics The replacement of unly one Residential tixture or ap�liance that meets all three of the following requirements: I. Does not require modification to electricai or gas service. 2. Has a total cost of 5500.00 or Icss;excludinz the cost of thc fixture or appliance: and 3. Is improved, installed or replaced by the homeowner or licensed plumbing contractor. Skip next section,ii�this applies: Cost of Permit � 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee g �v �2, - (Permit Fees Cuntinued On Next Pabe) 2 1 PERMIT FEE CALCULATION(S)-JOBS OVER $500.00 If above does not apply; follow-guidelines bclow: 1. CONTRACT PRICE * is 1.2�°io of contract price with a(Minimum Fee of$50.00) x .0125$ lcontract price) (minimum$50.00) 2. ST.ATE SURCNARGE x .0005 $ (contract pricc) 3. POSTAGE& HANDLING(Only on Mail-In Applications) $ 2 pp 4. TOTAL PERMIT FEE(Add Lines ]-3 Above) $ ' * CONTRACT PRICE or JOB COST means thc actual or estimatcd dollar amount charged for the pennitted work including materials, labor, profit, �nd othcr fixed costs. Tt is the ainount to be charged to the customer for the work done. Tf any mate;rial, equipment, labor or insCallations are furnished by the owner, tenant or any other parry, the reasonable market value of such items must bc added to the estimated cost ��r contract price for permit fec purposes. Tn the event that there is a dispute on the amount of the job cost, the City may request the submissiot� o�f a signed copy of the actual contract. PLUMBING PERMIT APPLICATION AGREEMENT The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all work in strict accorda�ice with the oi-dina�lccs of the Ciry and the regulations of thc State of Minnesota, and certifies that all statements ��ade on this application are coinplete, true and correct. A Applicant's Signature: Date: � 1� Reset Form � � ,� �' ,�"-� - �/ ,� � TE TIME CITY OF ORONO ` �a��ED IN � ��' ��' INSPECTION NOTI E c� SCHEDULE � PERMIT NO. ��C'l�l �-G'��-�k 3 COMPLETED -�� J ADDRESS '��' ��L -��Y"�:,-I � a(,: ��'l"`�"- 7 -�� --� � c �o OWNER � �(u�'s !�� /� TELEPHON NO.��" ��yC�' CONTRACTOR r�% ��C�;�''c C{�'<,-�� , � DESCRIPTION ��t_�� -'�..- �-�Li� <<� ��'- f-��s��t��l � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL � ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLA�NT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTI INAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEEf YOU: ES_NO � COMMENTS: W �, � ' ,. . � � ,' n ��r^�/�:�i�� O �. � O � W � Q � Z W � W � � d W� ❑WORK SATISFACTORY:PROCEED o�ROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP OROER POSTED.CALL INSPECTOR � CITATION ISSUED C INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� ZQ9-46QQ OwnerlContractor on site: ' ; Inspector. 1 White Copyllnspector's File Canary CopylSite Notice