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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 — 0 ex 15i14 44S l irle.5 �xts �• /l��.�aG �iQ�tSya.,,y/-cs - Tide YQlv�s - d,� % - k_)0 r K C'o `✓l��a •I �?®moo ••r dK Q 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. CV White Copyllnspector's File Canary Copy/Site Notice