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Home My WebLink About2012-00284 - water heater CITY OF ORONO * z 0 1 2 - 0 0 z B 4 * . •. 2750 KELLEY PARKWAY DATE ISSUED: 04/13/2012 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 65 STUBBS BAY RD N PIN : 32-118-23-34-0004 LEGAL DESC : LJNPLATTED 32 118 23 : 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(<$500) 5.00 1313 DANITA CR. MAIL-IN FEE 2.00 SHAKOPEE,MN 55379 (952)445-4803 TOTAL 22.00 Minnesota State License#:057209PM OWNER KROEGER,A 65 STUBBS BAY RD N MAPLE PLAIN,MN 55359- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved pians and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires sepazate permits. AII provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections aze requested in conformance with tl�e State Building Code.This permit may be revoked at any time for c�ue cause. ��V�(Q•(.� Li1. / / / / Applicant Permitee Signature Date Issued ignature ate SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB . � CitV uf Oruno ��FOR CITY USE ONLY �� P.O.Bos 6h � Date Received: Permit i# 37�0 Kcllc��Parkway a ��"''"� � Crystal 13ay.MN 55;?; A rovedB � �.} ,; F Pp Y Amount$: <' � *.��o�� (9�2)2-19--t600—Main ��p6 I`>5_')249-46 I 6 1=a a CITY OF ORONO - PLUMBING PERMIT (All Commcrcial Pcrnlits Must be Approved by the State Prior to City Approval) ��tdi3:;!�t�o��.�i3�.�asii.<�Ey��C�C`! lai�'Uff�iq�� _��➢�t�;r6ro��aisr�c�ai�[� ��df , GE ERAL INFORMATION � I. You may apply tor�lumbing permits by mail or in person at the City offices. Applications wili be revicwed and a pennit�vill bc issued within two working days. 2. Permit cards will be sei�t by return mail after a review is completed. PERMiTS ARE NOT VALID UNT1L YOU RECEIVE A �'LRMfT. WORK MUST NOT BEGIN UNTIL THE PER�iIT 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. n �x,�.,._ .. __ ---.. .�.-: ..�.. �.,��.;,�u��vueiin�is mvo��ed, a separate building permit must be obtained. 5. All work must bc donc in accordance 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 T11at A I ) .�Residential ❑Commercial (Approval Required) ❑ New ❑ Additional ❑ Repairs Replace � ❑ in Acccssory Structure° *You will need prior approval and may need C_t'i'. (Per Orono Ciry Code,Chapter 78, Article TV) Job Site/Owner lnformation: Site Address: �5 �1t-1 a,b�5��(� Owner:�'��, �,r('jG� Mailing Address: �p�J ��.�,�5 �jr� �� c;ry: �'(CJ�Cl�� z� : � p SS35 °i Home Phone: "�5a - �-{`�(o - l �a,,(.p Alternate Phone: Contractor Information: � Contractor: ��Y1�ontact Person: �GC`(l 1 Q, � —_� IOnPi Address: ��I� C�n� C�(�� State Bond#: �}5��Q C/ ' �ly �� 1a -3t -rz. City: ��}� e Zip;�3 Expiration Date: Phone: �S� '��J-�g�.� AlternatePhone: ❑ Insurance- Current: 1 �_ PLUMBING FIXTURES BEING INSTALLED _ J i FIX7URE BSM'r 1�� 2ND OTHE;R � FIXTURE�BSMT 1'� "D i TYPF, FL FL 2' OTHER TYPF. FL FL � Water Closet Floor Drains � Lavatory Sewer Ejector ! Bathtub Laundry Tray iShower -— -- Washer —. — Kitchen Sink - ��;r�r uo ,o� j Disposal � Water Softener ! Dishwasher Wet Bar '� Sillcocks Miscellancous ------ L----�-- � PERMIT FEE CALCULATION(S) �--- BASED OFF 2002 �TqTE STATUE ❑ Ycs, khis scction applies The replacemen[of only one Residential tixture or a� liance that meets all three of the followin�r requ�rements: 1. Does not require modification to elec4-icai or gas service. 2. Has a totai cost of$SOO.GO ur]css; cxc]___udinb the cost of thc fixturc or appliancc: and 3• 1s improved, installed or replaced by the homeowner or licensed plumbing contractor. Skip ncxt section, if this applics Cost of Permit State Surchargc � ��00 Nlail-[n Fee(If Applicable $ ��0 Tutal Permit Fee � $ ,��00 �� (Permit Fees Continued On Next Pabc) 2 PERMIT FEE CALCULATION(S)-JOBS OVER $500.00 If above does not apply; follow guidclincs bclow�: I. CONTRACT PRICE * is 1?�°,�,of contract price with a(Minimum Fee of$50.00) x .012� $ lcon�ract pricel (miuimum$50.00) 2. STATESURCHARGE x .0005 � (connact price) 3. POSTAGE &HANDLING(Only on Mail-In Applications) $ 2 pp 4. TOTAL PERMIT FF,F rA�l,� � �n,., i : n�..._, • * CONTRACT PRTCE or JOB COST means the actual or estimated dollar amount charged for the permitted work includin�materials, labor, profit, and other fixed costs. Tt is the amount to be charged to the customer for the work done. Tf any material, equipment, labor or installations are furnished by the owner, tenant or any other party, thc rcasonablc market value of such items must be added to the estimatcd cost or contract price for permit fec purposes. Tn the cvent that there is a dispute on the amount of the job cost, the Ciry may request the submission of a signed copy of the actual contract. PLUMBING PERMIT APPLICATION AGREEMENT The undersigned hereby applies to the Ciry for issuance of a Plumbing Permit, agrees to do all work in strict accordance with tlze ordinances of thc City and the regulations of the State of Minnesota, and ecrtifics that all statements made on this application are completc, true and correct. n / Applicant's Signature: Date: �� Reset Form -, J / —� <J�/" 9 TIME V CITY OF ORONO CALLED IN ` �� INSPECTION NOTICE SCHEDULED �_ PERMIT NO. - 0 COMPLETED ADDRESS ��Z��US OWNER L HONE NO. CONTRACTOR � DESCRIPTION (LSLG�''�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ WARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL p FOUNDATIOWREMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W a � J O a � O � W � Q � 2 W � W � � d W� �WORK SATISFACTORY:PROCEED �JECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITNIN HOURS. p pHOTO TAKEN INSPECTOR WFLL RETURN ❑CITATION ISSUED ❑STOP OROER POSTED.CALL INSPECTOR �INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�� OwnerlContractor on si : Inspector. White Copyllnspector's Fiie Canary CopylSite Notice