HomeMy WebLinkAbout2016-00360 - water heater CITY OF ORONO * 2016 - 00360 *
• 2750 KELLEY PARKWAY DATE ISSUED: 04/11/2016
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS 2460 THOROUGHBRED LA
PIN 04-117-23-11-0014
LEGAL DESC OLD CRYSTAL BAY ROAD 2ND ADDN
LOT 002 BLOCK 001
PERMIT TYPE PLUMBING
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE WATER HEATER
NOTE: REPLACE 2 WATER HEATERS
VALUATION OF PLUMBING 2000
APPLICANT PLUMBING FIXTURE FEE 50.00
STATE SURCHARGE PLBG(VALUATION) 1.00
NORBLOM PLUMBING CO. MAIL-IN FEE 2.00
1465 SELBY AVE
ST.PAUL,MN 55104- TOTAL 53.00
Payment(s)
(612)827-4033
CREDIT CARD 6487 53.00
OWNER
COLIANNI,JOSEPH&TAMMI
2460 THOROUGHBRED LA
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 does
not grant permission for additional or related work which requires separate
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 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.
Applicant Pertnitee SiAte Date Issued By Signature �J Date /I
Apr. 11. 2016 3:44PM Norblom Plumbing No. 3246 P. 2
• p City of Orono FOR CITY UISE ONL
O P.O.Box 66 Date Received: t�
2750 Kelley Parkway Permit#
Crystal Bay,MN 55323
y�4 &�� (952)249.4600—Main Approved By:
kP$HG (952)249.4616—Fax
Amount$:
CITY OF ORONO—PLUMBING PERMIT
(All Commercial Permits Must be Approved by the State Prior to City Approval)
http:/Jwww.dii.mn.aov/CCLD/PDF/De clumbnlanrevann.ndf
GENERAL 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 toy 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. Cali(952)249-4600.
(24-48 hour notice required)
TYPE OF PERMIT(Check AII That Apply)
f Residential ❑ Commercial (Approval Required) [Backflow Device:❑AVB ❑PVBI
❑ New ❑Additional ❑Repairs ❑ Replace
❑ in Accessory Structure?
*You will need prior approval and may need CUP. (Per Orono City Code, Chapter 78,Article IV)
Job Site/Owner Information:
Site Address: ?4 0 -TrIoro h breAd W(f/
Owner0WV1 CAU L L-M VL l Mailing Address:
City. zip: 5 5 42
Home Phone:(017-,) LPLe-7-- 101 Altemate Phone:
Contractor information:
Contractor: W orb1 oYYI__ PLUM[1.71,n" Contact Person:
� I
Address:[4tom. State Bond #:
City: Zip: 551 Expiration Date: t f �
Phone: _ 1. 2� �33 Alternate Phone:
❑ Insurance—Current:
Page 1
Apr, ll. 2016 3:44PM Norblom Plumbing No- 3246 P. 3
IMMi.,vo,`�w,u� E�14C�h,^'�V'S7i a7'LL6D
FIXTURE SSMT 1sT 2ND OTHER FIXTURE BSMT 1v 2ND 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
PERMIT PEE CALCULATION _
1. CONTRACT PRICE is 1.25% of contrra�ct price with a(Minimum Fee of$50.00)
Z, 06v
X .012 1 150 5 $ -
(contract price) (minimum$50.00)
2. STATE SURCHARGE
x .0005 $
(contract price)
3. POSTAGE&HANDLING (Only on Mail-In Applications) $ 2.00
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.
i
Wi� ':', 'PLUMBING PERMIT APPLICATION AGREEMENT 1
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.1
Applicant's Signature: Date: L
Building Official/Inspector: Date:
Page 2
DATE TIME /!
ITY ORONO CALLED IN /
INSPECTION 7 TICE OSCHEDULED
PERMIT NO. COMPLETE
ADDRESS ' - l LA
OWNER •ELEPHO"E. `Q72'774
CONTRACTOR
DESCRIPTION
W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
C ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ 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
❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
DEMO= ITE ❑ S TIC INSTALL
OW NTRACTOR TO MEET YOU: YES_NO
ti COMMENTS:
a o?- lyQte�r h Cc)(- ✓gipA —
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zi
r�1v Qac �gv4ia='mss �7 �✓4S '��Cr-
Uj ❑WORK SATISFACTORY:PROCEED QJECT COMPLETE
W ❑CORRECT WORK 3 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
6 11 for the next inspection 24 hours in advance. (952) 249-4600
tractor on site: r4i*'lrvf
Inspector.
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White Copyllnspector's File Canary Copy/Site Notice