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Home My WebLink About2009-00626 - water heater � .�. CITY OF ORONO PERMIT NO.: 2009-00626 " 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 09/23/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 80 SMITH AVE PIN : 02-117-23-21-0004 LEGAL DESC : ORONO ORCHARDS : LOT 042 BLOCK 000 PERMIT TYPE : PLUMBING(<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WATER HEATER APPLICANT WATER HEATER 15.00 NORBLOM PLUMBING CO. STATE SURCHARGE PLBG(<$500) 0.50 2905 GARFIELD AVENUE S. MINNEAPOLIS,MN 5540& MAIL-IN FEE 1.50 (612)827-4033 TOTAL 17.00 OWNER MCMILLAN,TAMMIS 80 SMITH AVE WAYZATA,MN 55391 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. 1'his permit is for only the work described and does not grant permission for additional or related work which requires sepazate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction suthorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cawse. ` � / / / / Applicant Permitee Signature Date Issued B Si ture ate SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOV � :FOR'CIT�C I7�E�ON�Lt1' � ' ,¢�� , City of Orono ' � � ` P.O.Box 66 Date�teceived; Ferrt�it# � �I 2750 Kelley Parkway � , �� Crystal Bay,MN 55323 /��ppxo'xed By , � .�rmount�$ ' � ,, (952)249-4600 ' - ' � ..t�"� . ��"�� I, ' CITY OF ORONO—PLUMBING PERMIT (All Commercia]permits must be approved by the Building Official or Inspector) C'rENERA,�,='INF� �RN,[;E�T;��l�T - x,, � � ; 1. You�may apply for plumbing pemuts 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 pemut 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) - t � " � �'�P� OF��R1�1T'� 4. � � �:� � i�� ° '��"� 'i ^'�� ,rr�,�+; ,��'+�i��1'��t.� 1 � • � i� t �Residential ❑Commercial(Approval Required) ❑ New ❑Additional ❑Repairs ❑Replace ❑ In Accessory Structure? *You will need nrior annroval and may need CUP.(Per Orono City Code,Chapter 78,Article IV) ;,�J'�o��S�te�� er�.�fc��a�an`�'��3��= �,° °•r�5 z�� . , - mr� ��-a�.��,..�ro�,t s� ,S: Tam _ , . ..:, . Site Addres mis Mcmillan 80 Smith Avenue Owner: Orono, MN 55391 •ess: 9524731631 City: Home Phone: Alternate Phone: '�C.ontraetor:Infoxma.tionc�, � I,, r ;�12. . �. - . . Contractor:� � V�b1'n ��[/ � Contact rarson: Address: ' 2�05 �al�'�1��d � 5�. State Bond#: ��5� � City: � �s Zip�b$ Expiration Date: � I ��lv 1 ��r2�$2�- �fa3�3 .-- Phone: Alternate Phone: � Insurance—Current: 1 i� , s J FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2' OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains ' Lavatory Sewer Ejector ' Bathtub Laundry Tray ' Shower Washer Kitchen Sink Water Heater I ! Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous � � ❑ Yes,this section applies ' i The replacement of a Residential fixture or a� liance that meets all three of the following reqilirements: 1. Does not require modification to electrical or gas service. ' 2. Has a total cost of$500.00 or less; excludinP the cost of the fixture or appliance:';and 3. Is improved,installed or replaced by the homeowner or licensed contractor. Skip next section,if this applies; Cost of Pernut $ 15.00 State Surcharge $ � .50 Mail-In Fee(If Applicable) $ I 2.00 Total Permit Fee $�° (Permit Fees Continued On Negt 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) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) x.0005 $ (contract price) (minimum$ .50) � 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. T,OTAL PERMIT FEE(Add Lines 1-3 Above) $ I� , `'� ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the pernritted work including materials, labor,profit, and other fixed costs. It is the amount to be charged to the cu�stomer 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 pernut 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$1,000,000 or$.50—whichever is greater. For valuations over$1,000,000 call the Building Department at(952)249-4600 for the price. 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 certifies that all statements made on this application are complete, true and correct. Applicant's Signature: Date: �/I� l D� 3