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Home My WebLink About2011-01331 - water heater � ,, ` CITY OF ORONO PERMIT NO.: 2011-01331 � ` 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUEn: 10/26/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 485 STUBBS BAY RD N PIN : 32-118-23-24-0003 LEGAL DESC : UNPLATTED 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. SHAKOPEE,MN 55379 MAIL-IN FEE 2.00 (952)445-4803 MISC FEE 0.00 Minnesota State License#:057209PM TOTAL 22.00 OWNER WILL,JOHN&JOCLYN 485 STUBBS BAY RD N LONG LAKE,MN 55356- 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 goveming 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 consVuction 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 confortnance with i`he State Building Code.This permit may be revoked at any time for d�e cause. /i�Q[.� (�l�' / / l l Applicant Permitee Signature Date Issued y Si ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. • , FOR CITY USE ONLY ` � O�p�O City of Orono • P.O.Box 66 Date Received: Pertnit# 2750 Kelley Parkway �� r Crystal Bay,MN 55323 A�roved By: Amount S: �8�- (952)249-4600 CITY OF ORONO—PLUMBING PERMIT (All Commercial pertniu must be approved by the Building Official or Inspector) GENERAL INFORMA'�'ION - � .., 1. You may apply for plumbing permits by mail or in person at tt�e City offices. Applications will be reviewed and a pem�it wi�l be issued within two working days. 2. Permit cards will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIIV UNTIL THE PERMIT CARD IS POST'ED 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 tie 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 6our notice required) TYPE OF PERNIIT Check All That A 1 � �Residential ❑Commercial(Approval Required) ❑ New ❑Additional ❑Rep�irs �Replace ❑ In Accessory Structure? *You will need orior anuroval and may need�i P.(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: Site Address: l.l�b5 R� . �" Owner:�dh� W � �� Mailing Address: t'« �J �U 5 �Y � c�ri: C)fC�vv z;p: 5 535Co Home Phone: a Sa -��3- ��5 Alternate Phone: Contractor Information: � ' � n Contractor: ��R��eC��erson: �CtY�R�� 1�1(J�� Address: 'I313,D1t11t� CP�tate Bond#: a topee,� � N 55379 City: . 952 Expiration Date: ' , Phone: � Alternate Phone: � � • ❑ . Insurance—Current: , _ 1 � . � : � � FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains �� ' .� Lavatory Sewer�jeCtor Bathtub Laundry Ttay Shower Washer . Kitchen Sink Water Heater v �` v Disposal Water Softener . Dishwasher Wet Bar Sillcocks , Miscellaneous ❑ Yes,this section applies ' The replacement of a Residential fixhue or anpliance that meets�11 three of the following requirements: 1. Does not require modification to electrical or gas service. 2. Has a l�ta cost Of 5500.00 or less;�,ludin¢the cost of the fixture or appliance:and 3. Is improved,installed or replaced by the homeovmer or licensed contractor. Skip next section,if this applies; Cost of Permit $ 15.00 ' � State Surcharge ' $ 5.00 ' Mail-In Fee(If Applicable� $ 2.00 Total Permit Fee � S�.Od � �. � � '... , . � (Permit Fees Continued On Nezt Page� � ' . , � . 2 � 16l26/2011 12:65 • 9524960064 APPLIANCE CONNECTION PAGE 01/01 � "P�RI�IIT.FEE.�C.A:LCi,lIa4`�"ION S.-JOSS.O��?E��.5�1(1:0�0'. . (f above dces aot apply;follow guidelines below: 1. CON'fRACT P�� *is )25%of conuact price with a(Mipimuaa�ee o�550.00) x.0125� (c�nact price) (minimum SS0.00) 2. STATE S�1�CHA�G� "`*Add the State Bldg Code Div.Surcharge(Minunua��ee oiS5.00) x.0005 $ (conaacs price) (minimum S 5.00) 3. POSTAG�&HANDL[NG(Only on Mail-�n Applicatio�s) $ 2.00 4. T01'AL PE�x'i k'��(Add Lines 1-3 Above) S ■ s CONT'RA,CI' P�t10E or JOS COST means the actual or estimased dollar amount cbarged for the pe,rmitted wurk including materials,labor,pmSt,and od��fixed costs. lt is the amount to bc charg� co�e customer for the work done. If any material>equipmar�t.tabar ot insfiallatio�s are�1,mished by the ovmer,tenant or arry othe.r parry,the reasonable market walue of suck� items must be added to the estimated cost or contract price for permit fee pwrposes. ln xhe event thac there is a dispute on rhe amount of the job cosc,tbe City may request the submission of a signed copy of the actual con�ract ■ "'�The STATE S URCHARGE is.0005 of the contracC price uxider S 1,000,000 or 55.00—whichever is geater. For valuabons over$1,000,000 call the Buildis►g pepartrnent at(952)249-4600 fo�the pnice. � � �PT�UA�BIl�TG'P�RMT�';A:FPL�C�4'I':iO�T.'ACr��'':...� . ' � The undersigted h,ereby applies to the City for issuance of a Pliunbing Permit, a,grees to do all work in strict a�ccordance witla tt�e o�rdinartces of the City a�ad the regulati�o�as of t�e State of (v�iranesota, and certifies that all statements made on this applicarion are complete, true aaad correCt. 0 Applic�t's Signatw�e: , Date: '� � I Re¢et;Fbi�rl � �"`�,.,�rs � � � � 3 � v J DAT TIME �/ CITY OF ORONO CALLED IN `"� INSPECTION OT E / / SCHEDULED ��-�-� � -3 D PERMIT NO�� L ��I COMPLETED ADDRESS �n S �7�5 ��-/ /�Y /V OWNER ✓�L'�"'� �L� TELEPHONE NO. '�/�7 Z �7 3 `� 5S CONTRACTOR ��1�-� «�Gtl DYf >; DESCRIPTION /�t/LZ�( � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ 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 i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOH TO MEET YOU:_YES_NO � COMMENTS: � W a j ��J � � ��T � 0 � W � Q � z W � W � � � ❑WORK SATISFACTORY:PROCEED �OJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. � pHOTOTAKEN �NSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION RE�UIRED.CALL TO ARRANGE ACCESS. Cali for the next inspection 24 hours in advance. (g52) 249-460� OwnerlContractor on site• � Inspector. v White Copyll�spector's File Canary Copy/Site Notice