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HomeMy WebLinkAbout2016-01540 - water heater 11111011INNUM CITY OF ORONO * 2016 - 01540 * 2750 KELLEY PARKWAY DATE ISSUED: 12/14/2016 ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS 3685 TOGO RD PIN 17-117-23-31-0037 LEGAL DESC TOWNSITE OF LANGDON PARK LOT 008 BLOCK 010 PERMIT TYPE PLUMBING PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE WATER HEATER NOTE: REPLACE:WATER HEATER VALUATION OF PLUMBING 2264 APPLICANT PLUMBING FIXTURE FEE 50.00 MCQUILLAN BROS STATE SURCHARGE PLBG(VALUATION) 1.13 1711 HWY 36 EAST MAIL-IN FEE 2.00 MAPLEWOOD,MN 55109- TOTAL 53.13 (651)292-0124 Payment(s) Minnesota State License#:plbg-PC689908 CREDIT CARD 4081 53.13 OWNER KIRCHENWITZ,MELVIN 3685 TOGO RD WAYZATA,MN 55391- 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 Permitee Sighature Date Issued By Si ature Date 12/14/16 WED 10:54 FAX 6517741007 FOREMOST MECH 2002 % pN City of Orono FOR CITY U E OtSILY O P.O.Box 66 Date Received: . _ r } 2750 Kelley Parkway s , Crystal Bay,MN 55323 Permit ' (952)249-4600—Main Approved By: 4tnoR.� (952)249-4616--Fax Amount CITY OF ORONO—PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) http:/Iwww.dli.mn.gov/CCLDIPDF/pe plumbplanrevappmdf 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 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) [Backflow Device:❑AVB ❑PVB] ❑ New ❑ Additional ❑ Repairs [2eplace ❑ 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: 3LO�1E' -T©W VU 0 Owner:Me,l V i Y\ K i Y-0 t?u.)0--Z Mailing Address: city:�-)lce- l 51 o,( zip: 5 53 1 2� T Home Phone: Cr Sd"'''(a,3 1-1 q ,J�Alternate Phone: Contractor Information: Contractor:mCqkj l fty'\ 25'ras Contact Person: M a-al UA.(,IMA(k1 Address: -\-10 �tVJy 4i �,;(O EQ� � State Bond#: Gj Y City: "ck- C'W 0) 0 Zip: �5�G °� Expiration Date: to 131 Phone:(PSt .`ac�a_ �� Alternate Phone: [ginsurance—Current: Page 1 12/14/16 WED 10:55 FAX 6517741007 FOREMOST NECH Q003 FIXTURE BSMT 1sT 2ND OTHER FIXTURE BSMT 1sT 2"D OTHER TYPE Floor Floor TYPE Floor Floor Water Closet Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sink Water Heater 1 Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous T, C C 1�► . 1. CONTRACT PRICE ' is 1.25%of contract price with a (Minimum Fee of$50.00) x.0125 $ a (contract price) (minimum $50.00) 2. STATE SURCHARGE Q r -Q ce I,� 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. 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. Applicant's Si9 natur . c .. _Date: �/��' Building Official/Inspector: Date: Page 2 �_(A DATE TIME CITY NO CALLED IN INSPECTION TICE SCHEDULED aflfffk, _20 PERMIT NO. 1�—0l��o COMPLETED ADDRESS Two m OWNER Yy_),L D U' - TELEPHONE NO.CA' a- CONTRACTOR S-- ����r r 00S WDESCRIPTION ""a- ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL Q PLUMBING RI ❑ EXCAV/GRADING/FILLING 0 ❑ 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 v ❑ DEMO-SITE ❑ SEPTIC INSTALL OWNERICONTRACTOR TO MEET YOU:_YES_NO h COMMENTS: U. Uj O V� cc Qjrt✓L Cony�� y��S W Uj ❑WORK SATISFACTORY PROCEED tE JECT COMPLETE W ❑CORRECT WORK 3 PROCEED `❑ CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN ❑GTATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next Inspection 24 hours In advance. (952) 249-4600 OwrwfC xftmctor on site: Inspector. i White Copylinsimtoes File Canary Copy/No Notice