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Home My WebLink About2016-01051 - water heater CITY OF ORONO 2750 KELLEY PARKWAY * 2 1 - 0 1 0 1 DATT E ISS - 0830/20162016 ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS 746 TONKAWA RD PIN 05-117-23-34-0005 LEGAL DESC PARTENS POINT 1ST DIV LOT 011 BLOCK 000 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WATER HEATER NOTE: WATER HEATER VALUATION OF PLUMBING 600 APPLICANT PLUMBING FIXTURE FEE 50.00 STATE SURCHARGE PLBG(VALUATION) 0.30 APPLIANCE CONNECTIONS,INC. 12850 CHESTNUT BLVD MAIL-IN FEE 2.00 SHAKOPEE,MN 55379- TOTAL 52.30 Payment(s) (952)445-4803 Minnesota State License#:mech-MB004165 CHECK 8265 52.30 OWNER CALDWELL,EDWARD&MARY 746 TONKAWA RD 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. 6 114�� ) o $ ��/ Ito Applicant Permitee Signature Date Issued fyrignature Date RECEIVED - City of Oronor2 0 2016 P.O.Box 66 2750 Kelley Parkway OF 0,111 +00 Crystal Bay,MN 55323 C (952)2494600-Main (952)249-4616-Fax CITY OF MONO-PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) httpJ/www dii mn aov/CCLDIPDFioe olwnbnlaniievaoo ndf 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 VAUD UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERNNT 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) 3Aesidential ElCommercial(Approval Required) ❑ New , ❑Additional ❑..Repairs WReplace ❑ In Accessory Structure? ` *You will need Prior approval and may need CUP. (Per Orono City Code, Chapter 78,Article IV) Site Address: �_ `Ti(� 111/1 ;tot Owner. t Mailin Address; _ S g Q� City: (3✓'rm t") Zip: , ) �_)3 5-h Home Phone:�J�a-��- �9¢�Altemate Phone: r Contractor: Contact Person: Appliance CQnnec:tions Inc:. �" , 5.7 a� Address:. 12256 Q-,"a;tQWt Blvd, .State Bofid#: _ Shakopee, MN 55379 Com:- 252-445-_MM -zip: ration Date: Phone: Alteme to Phone: ❑ Insurance-Current: i pap FIXTURE BSMT IST 2ND OTHER FIXTURE BSMT 18T 2ND OTHER TYPE Floor Floor TYPE Flow 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 1. CONTRACT PRICE *is 1.25%'of contract price with a(Minimum Fee of$50.00) x.0125 $ (contract pry (minimum $50.00) 2. ITATE SURCHARGE x .0005 $ (contract price) 3. POSTAGE&HANDLING (Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Aboge) $�=.b�d 3 0 * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including materials, labor, profit, and other foxed costs. It is the amount to be charged to the customer for the work done. If any material, equipment, tabor 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. r . 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 statementsm orf this applicatiortiare com'pfete, "nd correct. Applieant's Signature: 9Date: Tr Building Official/Inspector. Date: Page 2 DATE TIME CITY OF ORONO CALLESCHEDULED CHED y ,[ INSPECTION OTICE SCHEDULL ED _— PERMIT NO �� COMPLETED �o f, ADDRESS o lbnL Ct.(.lb�. OWNER GC(rku 2(( TELEPHONE NO. CONTRACTOR 6 C- DESCRIPTION b t~y ❑ 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 W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNEWCONTRACTOR TO MEET YOU:_YES_NO COMMENTS: Lu it �O Q rK �'�r�r, _066- -e a��csrs .Z.iCs f2 If i tucic J LU ❑WORK SATISFACTORY:PROCEED ROJECT COMPLETE W ❑CORRECT WORK 3 PROCEED ❑1 E CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspect ��'" White Copylinspector's File Canary Copy/Site Notice