HomeMy WebLinkAbout2016-01570 - water heater CITY OF ORONO * 2 0 1 6 — 0 1 5 7 8
2750 KELLEY PARKWAY DATE ISSUED: 12/27/2016
f ORONO,MN 55356-
(952) 249-4600 FAX: (952)249-4616
ADDRESS 1340 VINE PL
PIN 07-117-2342-0031
LEGAL DESC SAGA HILL REVISED
LOT 000 BLOCK 017
PERMIT TYPE PLUMBING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WATER HEATER
NOTE: REPLACE WATER HEATER
VALUATION OF PLUMBING 2000
APPLICANT PLUMBING FIXTURE FEE 50.00
APPLIANCE CONNECTIONS,INC.
STATE SURCHARGE PLBG(VALUATION) 1.00 12850 CHESTNUT BLVD MAIL-IN FEE 2.00
SHAKOPEE,MN 55379- TOTAL 53.00
(952)445-4803 Payment(s)
Minnesota State License#:mech-MB004165 CHECK 8535 53.00
OWNER
CHERBA,RICHARD
1340 VINE PL
MOUND,MN 55364-
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 Signature Date Issued By Signature Date
�pN City of Orono FOR CITY USE ONLY
O P.O. Box 66 Date Received: 2-/2 :7 /
2750 Kelley Parkway
% Crystal Bay, MN 55323 Permit# �'-�%I - Q ((:5 70
e o` (952)249-4600-Main
��FESH0Q�` (952)249-4616-Fax Approved By:
Amount$:
CITY OF ORONO — PLUMBING PERMIT
(All Commercial Permits Must be Approved by the State Prior to City Approval)
http://www.dii.mn.aov/CCLD/PDF/pe Plumbplanrevapp pdf
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)
\4Residential ❑ Commercial (Approval Required)
❑ 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: __ /34?-) [A P1
Ownerblr� ( Ap, c LJa-, Mailing Address: _ S 14U _
City: Zip:
Home Phone:& Alternate Phone:
Contractor Information:
Contractor: Contact Person: ��C 0A I
Appliance Gormt=(Jions Inc
Address: 128-0 C, w, i.twut RW State Bond #: _ �� 57 7•-'a0 9
Shakopee, MN 55379
City: 969-44 5,4803 Zip: Expiration Date:
Phone: Alternate Phone:
❑ Insurance — Current:
Page 1
PLUMBING FIXTURES BEING INSTALLED
FIXTURE BSMT 1 S 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 C
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Miscellaneous
PERMIT FEE CALCULATION
1. CONTRACT PRICE * is 1.25% of contract price with a (Minimum Fee of$50.00)
?, C;
DATE TIME
CITY OF ORONO CALL IN
INSPECTION NO ICE S�OSCHEDULED
PERMIT NO, COMPLETED
ADDRESS 4 C) ' �� P
OWNERTELEPHONE O.ce
�
CONTRACTOR 421/
DESCRIPTION Q .-
W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
;FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
r ❑ DEMO-SITE ❑5PTIC INSTALL
OWNERX;ONTRACTOR TO MEET YOU: YES_NO
COMMENTS:
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W
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W a r CD M�e>5L ci c+AD Gc�t -
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Us ❑WORK SATISFACTORY:PROCEED ECT COMPLETE
W ❑CORRECT WORK 3 PROCEED O ISSUE CERTIFICATE OF OCCUPANCY
C ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p PHOTO TAKEN
INSPECTOR WILL RETURN
CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cal for the next inspection 24 hours in advance. (952) 249-4600
Ownw)CoMractor on site-
Inspector
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