HomeMy WebLinkAbout2018-00013 - water heater ,•.�, CITY OF ORONO * 2019 - 00013 *
2750 KELLEY PARKWAY DATE ISSUED: 01/04/2018
ORONO,MN 55356-
952 249-4600 FAX: (952) 2494616
ADDRESS : 1325 VINE PL
PIN : 07-117-2342-0003
LEGAL DESC : REG.LAND SURVEY NO.0488
LOT 000 BLOCK 000
PERMIT TYPE PLUMBING
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE WATER HEATER
NOTE: WATER HEATER
VALUATION OF PLUMBING 1800
APPLICANT PLUMBING FIXTURE FEE 50.00
PRONTO HEATING&AC STATE SURCHARGE PLBG(VALUATION) 0.90
7415 CAHILL RD MAIL-IN FEE 2.00
EDINA,MN 55439- TOTAL 52.90
(952)835-7777 Payment(s)
Minnesota State License#:mech-MB004828 CHECK 14313 52.90
OWNER
CARLSON,DON&MARY
1325 VINE PL
MOUND,MN 55364-
AGREEMENT
5364AGREEMENT 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.
�ya_4�J4ylly_� 44
Applicant Permitee Signature Date Issued PySignature Date
4Q� City of Orono RECEIVED FOR CITY USE ONVY
O P.O.Box 66 Date Received: /- L/
2750 Kelley Parkway JAN 0 3 2018
i Crystal Bay,MN 55323 Permit# X018 O60/
Eseoa�G` (952)249-4600-Main Approved By;
(952)249-4616-Fax CITY OF ORONO
Amount$:
CITY OF ORONO-PLUMBING PERMIT
(All Commercial Permits Must be Approved by the State Prior to City Approval)
http://www.dli.mn.gov/CCLD/PDF/De olumbalanrevaaa adf
GENERAL INFORMATION
1. You may apply for plumbing permits by mail or in person at the City offices. Applications will be
reviewed and a permit will be issued within two working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners
residing in the dwelling.
4. When any new construction or remodeling is involved,a separate building permit must be obtained.
S. All work must be done in accordance with State Code requirements.
6. All work must be inspected and air tested before it is covered. Call(952)249-4600.
(24-48 hour notice required)
TYPE JOF
Residential ❑Commercial(Approval Required) ❑ [3PVB]
q ) [Backflow Device: AVB
❑New ❑Additional ❑ Repairs
❑Replace
❑ In Accessory Structure?
`You will need Prior aDDroval and may need CUP. (Per Orono City Code, Chapter 78,Article IV)
Job,51�e/ �>�-�rtfor��on
Site Address:�?�5 r JQt4{
Owner: ( ls", Mailing Address: %11;lewL
City: 0 Zip; �4./
Home Phone: q�J 2'yjZ-39$tl Altemate Phone:
Contractor lnftsrma#on;
Contractor: l ntact Person: i
Address: 7_ 15 tate Bond #: �C (Q 4,201 3
City: Efirlic, _Zip• Expiration'/,/Date:
Phone: Alternate Phone: --T-r-7
'03'J' / ! !7 952-44-305"
❑ Insurance-Current:
Page
FIXTURE BSMT 1sT 2ND OTHER FIXTURE BSMT 1sT 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
1. CONTRACT PRICE 'is 1.25%of contract price with a (Minimum Fee of$50.00)
/or 0 x.0125 $ 66.00
2. STATE SURCHARGE (contract price) (minimum $50.00)
1966 x .0005 $_ . 60
(contract price)
3. POSTAGE & HANDLING (Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 52.
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 Signature: Date:
IZ-ZZ-17
Building Official/Inspector: Date:
Page 2
/ szt_
DATE TIME •
CITY OF ORONO CALLED IN
INSPECTION N _d H DULED
PERMIT NO. LE�Eo
ADDRESS
OWNER PHON O.
CONTRACTOR
DESCRIPTION �-
t~y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
❑ FOUNDATION DRAIN TILE ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ LATHE ❑ 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
.t ❑ DEMO-SITE ❑ SEPTIC INSTALL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
2
COMMENTS: d-af AA4 It /h S?'e a
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WQ: `k WO RK SATISFACTORY PROCEED ❑ PROJECT COMPLETE
W ❑ RRECT WORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
OO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
CI BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerfCorwtractor on site:
Inspector. )1
White Copyllnspectoes File Canary Copy/Me Notice