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HomeMy WebLinkAbout2017-00105 - water heater � . . � CITY OF ORONO *�� _ 0 a 1 0 5 * 2750 KELLEY PARKWAY DATE ISSUED: 02/06/2017 ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS : 1250 SPRUCE PL PIN : 08-117-23-32-0008 LEGAL DESC : SAGA HILL REVISED : LOT 006 BLOCK 001 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURE NOTE: WATER HEATER VALUATION OF PLUMBING 600 APPLICANT PLUMBING FIXTURE FEE 50.00 STATE SURCHARGE PLBG(VALUATION) 0.30 APPLIANCE CONNECTIONS,INC. MAIL-IN FEE 2.00 12850 CHEST'NUT BLVD TOTAL 52.30 SHAKOPEE,MN 55379- (952)445-4803 Payment(s) Minnesota State License#:mech-MB004165 CHECK 8927 52.30 OWNER EASLEY,JAMES&MELISSA 1250 SPRUCE PL MOUND,MN 55364 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and speci6cations,applicable Ciry 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 permiu. All provisions of laws and ordinances governing this rype of work shall be compied with whether or not specified herein.'I'his permit will expire and become null and void if construction authorized is not commenced within l80 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. � Z-(� � � � / � / Applicant Permitee ' ature Date Issued By S' ature Date Ci of Orono �����VED � , ` tY FaR ci�r u �.��.v;�. . , � � NO P.O. Box 66 Da#e Received: � — � --I,�,^, ' � 2750 Kelley Parkway �� �j � ���� -� Crystal Bay, MN 55323 Permit# �O 1�7 �^-�c�,.,/�..5� y�"� c`� (952)249-4600—Main (;J'�'Y QF dRON �'�fSHO�'�`' (952)249-4616—Fax � Approved By: � Amount$: � CITY OF ORONO- PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) http:/Iwww.dli.mn.n�v/CCLD/PDF/n nlumbalanrevaaa qdf GEN'ERAL 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) ❑ New ❑ Additional ❑ Repairs �Replace ❑ In Accessory Structure? *You will need crior anqroval and may need CUP. (Per Orono City Code, Chapter 78, Article I� Job Site/ Owner Information: Site Address:l as� �r�� V � i Owner: � ��S Gr.. Mailing Address: ���01 j1'�� City: I�I/IIYI 0 Zip: ��3(� � Home Phone: �.��" ���"�UO ^ Alternate Phone: Contractor Information: Contractor: Contact Person: I�'1 ` � Address: appliance Connectiuns ►nc. State Bond #: I G �77' �(o�p i2 es nu v . City: Shakopee, MN 553�9 Zip: Expiration Date: `��3� ��7 Phone: Alternate Phone: / i /�' Insurance—Current: 1 Page 1 ��� � ,s.a� � �� , 4 n FIXTURE BSMT 1sr 2ND OTHER FIXTURE BSMT 1sr ZND 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 � .;�'� �r ,��.yr^ y��,44�r ��Y ' � .�w ,.}. _ .i. �rr ,;cit 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 x .0005 $ �U (contract price) 3. POSTAGE � HANDLING (Only on Mail-In Applications) $ 2.00 ��3� 4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ * 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. � ,�,,,*�r°�. •�:;� �,, -`� {f�- � '� ,����*� - Y ���f; ,�� ,,��,�t, 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 statem ts made on this application are complete, true and correct. ` \ � �/�� Applicant's Signature: Date: Building Official/ Inspector: Date: Page 2 C < < -� �/ � DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE ,_ y� SCHEDULED .�? l� —.��-�'I� PERMIT NO.�-�z�I�J COMPLETED ADDRESS �o� �(~� �S/��Z LC� �� WNER / f��i' �/ ��� TELEPHONE N . ��`� ��-����� CONTRACTOR ��x�� ' P.7 � j��� ��� ���� � . .�- � D�SCRIPTION � 1—�/��r ty ❑ 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 BURNERlFIREPLACE ❑ COMPLAINT � ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ S P IC INSTALL 2 OWNERICONTNACTOR TO MEET YOU: YES_NO y COMMENTS: � - o��c,.�/` ✓C. r �.1 o - 1 e �.� 1 � � � a � ' 0 � W . Q -' (��� �.�� a � � W � � � ti� W � � � ❑WORK SATISFACTORY:PROCEED ROJECT COMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ SSUE CERTIFICATE OF OCCUPANCY O ❑CARRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT �CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-4600 �I3��S��. �nspector: � White Copyllnspector's Ffle Canary CopylSite Notice