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HomeMy WebLinkAbout2012-00564 - replace 2 water heaters CITY OF ORONO 2750 KELLEY PARKWAY * 2 P1 1 2 - 0 0 5 4 DATE ISSUED: 06/20/22 012 ORONO,MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2520 THOROUGHBRED LA PIN : 04-117-23-11-0015 LEGAL DESC : OLD CRYSTAL BAY ROAD 2ND ADDN : LOT 003 BLOCK 001 PERMIT TYPE PLUMBING(>$500) PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE FIXTURES-MULTIPLE NOTE: REPLACE(2)WATER HEATERS VALUATION OF PLUMBING 600 APPLICANT PLUMBING FIXTURE FEE 50.00 KRG PLUMBING INC STATE SURCHARGE PLBG(VALUATION) 0.30 1168 IFFERT AVE SE TOTAL 50.30 BUFFALO,MN 55313- (612)282-5041 Minnesota State License#:609777 OWNER ALTAFULLAH,IRFAN 2520 THOROUGHBRED LA LONG LAKE,MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the Sta Building Code.This permit may be revoked at any tim due ca �iz�/ rZion l �v2/ Applicant Permitee SiFaiiure Date C74d By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. ' R USE ONLY City of Orono O� �O P.O.Box 66 Date`Rer�ei Permit# � 2750 Kelley Parkway Crystal Bay,MN 55323 Approved ley ": Amount$ 4 (952)2494600—Main (952)2494616—Fax CITY OF ORONO — PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) http://www.dli.mn.2ov/CCLD/PDF/ge plumbplanrevapp.pdf ' ORMA 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 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) - TE 4F'PERIIIT �l�t Residential ❑Commercial(Approval Required) ❑ New ❑Additional ❑ Repairs lace i ❑ In Accessory Structure? *You will need prior approval and may need CUP. (Per Orono City Code,Chapter 78,Article IV) J©USite/Ownar Tnformation: . Site Address: �`'� Owner: 1cz.� �1t����:��( � Mailing Address: ,� c: -f'��ot-au�l.►y L City: 01 0 �'%'3 zip: S s3s� Home Phone: (a(Z-ZZ 0" 1'6 Zy Alternate Phone: Conl� tor-�Irift�rrh�tiQn: Contractor: JULIO Contact Person: t ems► ����s�� Address: I Rob --NA4 Qv(- State Bond#: City: Zip:sxz;7�3 Expiration Date: 17-31- 13 Phone: Alternate Phone: ❑ Insurance-Current: 1 i FIXTURE BSMT 1 2ND OTHER FIXTURE BSMT 1 2 ND 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 ❑ Yes,this section applies The replacement of only 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$500.00 or less;excludin¢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 $ (Permit Fees Continued On Next Page) 2 PERMIT FEE CALCLI ION(S)—JOBS OVER $500.00 If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) 6/3 x.0125$ (contract price) (minimum$50.00) 2. STATE SURCHARGE 6W(.J x.0005 $ (contract price) i 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 fiunished 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. REEMENT 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. I Applicant's Signature: Date: IIII I 3 TIME CITY OF ORONO CALLED IN INSPECTION NOTICECHEDULED PERMIT NOS/a-&54 Co TED ADDRESS a OU OWNER HO O. lel-2 - a8-a � CONTRACTOR 3Z DESCRIPTION ❑ FOOTING ❑ PLUMBING FIN ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL I ❑ LAKESHORE/WETLANDS h ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ElSEWER HOOK-UP El COMPLAINT ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: TVa cc 0 W cc Q Z W Z W Wj ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPAN ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 ours in advance. (952) 249-46 0 Owner/Contractor on sit Inspector. i White CopylInspector's File Canary CopylSite Notice I