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Home My WebLink About2015-00469 water heater CITY OF ORONO * Z 0 1 5 — 0 0 4 6 9 * 2750 KELLEY PARKWAY DATE ISSUED: 04/23/2015 ORONO,MN 55356- � . 952 249-4600 FAX: 952 249-4616 AiDDRESS : 2010 SUGARWOOD DR PIN : 34-118-23-21-0007 LEGAL DESC : SUGAR WOODS : LOT 005 BLOCK 001 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WATER HEATER NOTE: REPLACE 1 WATER HEATER VALUATION OF PLUMBING 1200 APPLICANT PLUMBING FIXTURE FEE 50.00 STATE SURCHARGE PLBG(VALUATION) 0.60 APPLIANCE CONNECTIONS,INC. MAIL-IN FEE 2.00 12850 CHESTNUT BLVD SHAKOPEE,MN 55379- TOTAL 52.60 (952)445-4803 Payment(s) Minnesota State License#:mech-MB004165 CHECK 6421 52.60 OWNER MESHBESHER,RONALD&KIMBERLY 2010 SUGARWOOD DR LONG LAKE,MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and dces not grant permission for additional or related work which requires sepazate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. t/J�'J /�/�, c�.�/� � ��3-,3� l Applicant Permitee Signa re Date Issued By Signatu e Date FOR CTTY USE ONLY ` 40� City of Orono �� /'� P.O.Box 66 Date Received: �ermit# "� �l(�`� � � ' � � 275U Kelley Parkway ,.. � �t�`x- �' Crystal Bay,MN SS,23 Approved By: Arioun[$:_�,. '� F o`- (952)249-4600—Main �asso�'=' (952)249-4616—Fax CITY OF ORONO —PLUMBING PERMIT (All Commercial Pcrmits Must be Approved by the State Prior to City Approval) €2Yi64:"4't'WtFF.k�i!.i'vb�3.;;yf"rt:$. �.s.��1��i��' ;i' fiE[fY�l3It,3�kiT:;'�1�8 )�). )dj� GENERAL INFORMATION 1. You may apply for plumbing permits by mail or in person at the City offices. Application 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 BEGTN UNTiL THE PERMIT CARD TS 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 �Repiace ❑ Tn Accessory Structure? *You will need prior approval and may need(_.:['.l'. (Per Orono City Code,Chapter 78,Article I� Job Site/Owner Information: Site Address: �� Si.%C Ctr'(,��C�C?� �'r� �:�"l f-'r.t (�' <J,..�� ;j,�' Owner:��jYl ��'��.r' Mailing Address: .�C.'/C� J(-�,�'��"l�.-'C�'C� ��" c��: �r'n�,-< <� z�p: j�5 35�, 9�� c�U Home Phone: � Alternate Phone: Contractor Information: i Contractor: j.-� �( {�l ' �Ck/6f�G�7�S Contact Person: ��` �� Address: �o��S�� c - v� �(�� State Bond#: � ��a� � City: .. .�YI.CG� ' Zip:��xpirationDate: Phone: 7-�� , 4��-3 Alternate Phone: ❑ Insurance—Current: � I y . 9 , � � . <` PLUMBING FIXTURES BEING INSTALLED ; FIXTURE BSMT 15 2 OTHER FIXTURE BSMT IS 2ND OTHER TYPE FL FL TYPE FL FL 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 CALCIJI.ATION(S) BASED OFF - 2002 STATE STATUE ❑ Yes,this section applies The replacement of onty one Residential fixture or appliance that meets all three of the following requirements 1. Does not require modification to electrical or gas service. 2. Has a total cost of$SU0.00 or less;cxcludine the cost of the fixture or appliance:and 3. Is improved,installed or replaced by the homeowner or licensed plumbing 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 °' � " '� f.. (Permit Fees Continued On Next Page) ` • . . 2 , � � • ' If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contractprice with a(Minimum Fee of$50.00) �� x.0125$ (contiact price) . (minvnum S50.( 1 2. STATE SURCHARGE *•Add the State Bldg Code Div_Surcharge(Minimum Fee of S5.00) . • ( b �/' � x.0005 $ , � V . (contact Pnce)' (minimum S 5.00) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2•� 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ '�- ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollaz amount charg,ed for the permitted svork 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 fumished by the owner,tenant or any other party,tlie reasonable market value of such items must be added to the estimated cost or contract prict 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• ■ **The STATE SURCHARGE is.0005 of the contract price under$1,000,000 or$5.00—whichever is greater. For valuarions 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 atl statements made on this application are complete, true and correct. � ' ' �. � ` Applicant's Signature: � Date: � � � , , ,�, �, . , . ` � . . y, ' .. • • �� .. .. � � '' J . , . i _ . 3 � , . � . . , . C�_ f � / � DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO.��'/ S -lY��l ln�r coMP�ErEo ADDRESS � C �L� ,� ��CC�i'� (��C'`C�S � r�, OWNER TELEPHONE NO.��a `��s " �f�� CONTRACTOR �/��l��/��- �r/�, � DESCRIPTION �I C�r�l �� j��l� � tL ❑ FOOTING ❑ DEMO-FINAL�� ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI /�,,�� EXCAWGRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL � `x ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL Z OWNERlCONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � � C '�LC. C�h-� �Z� � � . a �'�'C�� , 1'1C l�� o �' " `-� . �. � 0 � W � n � ) Q � 2 W � W � J W ❑WORKSATISFACTORY:PROCEED PROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ SUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP OR�ER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advan 2� 249-46�� OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopyfSite Notice