HomeMy WebLinkAbout2016-00866 - water heater ! . �
CITY OF ORONO * Z 0 1 6 - 0 0 8 6 6 *
2750 KELLEY PARKWAY DATE ISSUED: 07/25/2016
ORONO,MN 55356-
952)249-4600 FAX: (952) 249-4616
ADDRESS : 2100 SHADYWOOD RD
PIN : 17-117-23-31-0041
LEGAL DESC : WILEYS PARK LAKE MTKA
: LOT 030 BLOCK 001
PERMIT TYPE : PLUMBING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WATER HEATER
NOTE: (2) WATER HEATERS
VALUATION OF PLUMBING 8500
APPLICANT PLUMBING FIXTURE FEE 106.25
STATE SURCHARGE PLBG(VALUATION) 4.25
AIR MECHANICAL,INC. MAIL-IN FEE 2.00
16411 ABERDEEN ST NE
HAM LAKE,MN 55304 TOTAL 112.50
(763)4347747 Payment(s)
Minnesota State License#:mech-MB005122 CHECK 048081 112.50
OWNER
TAMTE,MICHEAL&MEGAN
2100 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 dces
not grant permission for additional or related work which requires separate
permits. 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 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 wnformance with the State Building Code.This permit may be
revoked at any time for due cause.
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Applicant Permitee Signature Date Issued y Signature Date
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�pN City of Orono �CC�►CIVtU FOR CITY USE ONLY
O P.O. Box 66 Date Received: 7-v75 l�
2750 Kelley Parkway JUL 2 2 2016 Permit# 0�0l�-Da�'�
�� � Crystal Bay, MN 55323
'��1 �c> (952)249-4600—Main Approved By:
KEsr,oa (952)249-4616—Fax Cm(OF ORONO
Amount$:
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 plumbplanrevapp.pdf
GENERAL INFORMATION
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 will be sent by return mail after a review 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 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) [Backflow Device: ❑AVB ❑PVB]
❑ New ❑ Additional ❑ Repairs ,� Replace
❑ In Accessory Structure?
*You will need prior approval and may need CUP. (Per Orono City Code, Chapter 78, Article IV)
Job Site / Owner Information:
Site Address: 2(�� �ShQ(�L( \/�/(Z(�R�•
Owner�,i ICe : M.�,01�ih,T'�Y1�,' `�t/lailing Address: rLIhD S4'1l�G�V1 WDOG�. RG�-�
City: ��/1ZA.�"� Zip: ��� �
Home Phone:�l�'JZ-�3�13 ��P I LP Z Alternate Phone:
Contractor Information:
Contractor: }�i►� I�/1,C�Ct-i�i CQ-� Contact Person: l ,Q,1'1,�C�('�eSS
Address: ��,Q� ll I�hEVG���h ,Si- I�PJ State Bond #: PGIp�'��.58
City: H�-tYl �.kPJ Zip: ���3 D� Expiration Date:S'�
Phone: �110.3 �3y� Tl�-}�1 Alternate Phone: -11D2✓ -�� �P �3��8
� Insurance - Current:
Page 1
. , �
PLUMBING FIXTURES BEING INSTALLED
FIXTURE BSMT 1sr 2ND OTHER FIXTURE BSMT 1sT 2ND OTHER
TYPE Floor Floor TYPE Floor Floor
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
1. CONTRACT PRICE " is 1.25% of contract price with a (Minimum Fee of$50.00)
B,�n D � D D x .0125 � 6 0(� �25
(contract price) (minimum $50.00)
2. STATE SURCHARGE
�5d D �DD X .000s � � ��5
(contract price)
3. POSTAGE 8� HANDLING (Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ � 0 �•5 d
* 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 APPLICATION AGREEMENT'
The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do al� work in
strict accordance with the ordinances the City and the regulations of the State of Minnesota, and
certifies that all statements made is a lication are complete, true and correct.
Applicant's Signature: Date: � � � � � ��
Building Official/ Inspector: Date:
Page 2
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CITY OF ORONO CALLED IN �' ��
INSPECTION NOTICE scF+Eou�� — '3:3 0
PERMR NO.a�h-�A`� coM�ErED
ADDRESS �--�
O'WNER TELEPHONE . � � ��'a"'
CONTRACTOR
� DESCRIPTION �� "v�� -
ly � FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q 0 POURED WALL ❑ PLUMBIN(i RI ❑ EXCAV/GRADIN(iIFILLINf3
O � FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑TREE REMOVAL
Z ❑ RADON SU►B ❑ MECHANICAL RI ❑ SITE INSPECTION
� ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑WOOD BURNERIFIREPLACE ❑COMPLAINT
r "��INAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
4�1�❑AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATIOWREMOVAL
_
r ❑ DEMO-SITE ❑ SEPTIC INSTALL
� TO MEET YOU:_VES_NO �.
� COMMENT� ��x�� ' �
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W� O WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE
W o oo�crwo�c a PAoceen ❑issuE cain�►�oFooa�cr
o O CONRECT WOFiK,CALL FOR f�iNSPECTION TBAPORARIf
�1 ����� PERMANBdT
❑(�pRF1ECT UNSAFE CONOITION WITHIN HOURS• O PHOTO TAKEN
INSPECTOR 1MLL RETl1RN
0 STOP ORDER P08TED.CALL INSPECTOR O GTATION ISSI�D
�BR�CTION REQUIREO.CALL TO ARRAN(iE ACCESS.
cs��or�ne�t �no�s a,�►�+o.. (952) 249-4600
�O/m omr�ator on site���
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C � TE TIME
CITY OF ORONO CALLED IN � �'�b
INSPECTION NO�C�i�'y DULED ��� �
PERMIT NO. �'`'` �� c�APLETED
ADDRESS ��s� , '
�
OWNER TELEPH NE NO. ��3�
CONTRACTAR � ��c ���Z-"ZXZ�-
'' DESCRIPTION
� 5��� - c� c ��
� ❑ FOOTING ❑ DEMO-FINAL ���Q� ❑ S�PTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI �` ❑ EXCAV/GRADING/FILLING
`Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL� ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ��� SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
v INAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 01MNERICONTRACTOR TO MEET ll�U:_YES_t�
� COMMENTS:
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� ❑WORK SATISFACTORY:PROCEED �JECT COMPLETE
� ❑CORRECT W'ORK d�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECONERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS_ ❑pHOTO TAKEN
INSPECTOR WFLL RETURN
O STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for�e next inspection 24 hours in advarxx:e. (952) 249-4600
OwnerlContractor on site:
Inspector.���_� v., - -
White Copyflnspector's File Canary CopylSke Notke