The URL can be used to link to this page

Home My WebLink About2017-00308 - water heater CITY OF ORONO * 2 0 1 7 - 0 0 3 0 8 2750 KELLEY PARKWAY DATE ISSUED: 04/03/2017 ORONO,MN 55356- (952)249-4600 FAX: (952) 249-4616 ADDRESS 1350 VINE PL PIN 07-117-23-42-0030 LEGAL DESC SAGA HILL REVISED LOT 000 BLOCK 017 PERMIT TYPE PLUMBING PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE WATER HEATER NOTE: WATER HEATER REPLACEMENT VALUATION OF PLUMBING 1000 APPLICANT PLUMBING FIXTURE FEE 50.00 CHAMPION PLUMBING LLC STATE SURCHARGE PLBG(VALUATION) 1.00 3670 DODD ROAD-SUITE 100 MAIL-IN FEE 2.00 EAGAN,MN 55123- TOTAL 53.00 0Payment(s) Minnesota State License#:plbg-PC000308,mech-MB005365 CHECK 34350 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 Pennitee Signature = Date Issued WSignature Date ` City of Orono FOR CITY QSE ONLY O P.O. Box 66 RECEIVED Date Received: -ZD 2750 Kelley Parkway Crystal Bay, MN 55323 Permit# opi�-�oJD APR G 3 201 (952)249-4600—Main ~. �� .,.Ktsr+�� (952)249-4616—Fax Approved By: CITY OF ORONO Amount$: 53. Gz-) CITY OF ORONO — PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) http://www.dii.mn.gov/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 ON[_Y 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 ❑ PVBI ❑ 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: 1350 VMe, ` 4<Ct_ Ormo MN W5 64 Owner: 3'1u�Ta,titi4. 6l t.4c, Mailing Address: (35b V"11,,-, City:_O Or a Pycp Zip: -,/ L4 Home Phone: &!Z ' Alternate Phone: Contractor Information: Champbn PiUl�i0g Contractor: — PC 000308 Address: 651- -1340 .: 3670 Dodd RQat City: EQPn, MN 55123 ❑ Insurance — Current: Page 1 PLUMBING FIXTURES BEING INSTALLED 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 PERMIT FEE CALCULATION 1. CONTRACT PRICE * is 1.25% of contract price with a (Minimum Fee of$50.00) x .0125 $ (contract price) (minimum $50.00) 2. STATE SURCHARGE x .0005 $ _ (contract price) 3. POSTAGE & HANDLING (Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ 6,2_.'- 00 CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work includinq materials, labor, profit, and other fixed costs. It is the amount to be charqed 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. PLUMBING PERMIT APPLICATION AGREEMENT 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 regulatip of,the State of Minnesota, and certifies that all statements made o s applicatio are complete, true and correct. Applicant's Signature: Date: 3 V ., Building Official/ Inspector: Date: Page 2 �/��CITY OF ORONO CALLED IN DATE TIME INSPECTION OTICE �Q SCHEDULED PERMIT N ' /a COMPLETED ADDRESS �/ 1 rt]e P/0 cpn OWNER i TELEPHONE NO. CONTRACTORS DESCRIPTION ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING ❑ FOUNDATION WATERPROOF ��p�!�MR�N��"L ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT v NAL ❑ WATER HOOK-UP ❑ FOLLOW-UP U ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL .1 ❑ DEMO-SITE ❑ SEPTIC INSTALL Z OWNEWCONTRACTOR TO MEET YOU:_YES_NO y COMMENTS- 44 water k e�f��r r�,pl4M.COWC,6— a; 0 W Q wor Ic co►�t,olG , -f riQee✓s W j ,►xrrM.,t: �,rt�lao Uj ❑WORK SATISFACTORY:PROCEED N60JECT COMPLETE W ❑CORRECT WORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY Cl ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT [ICORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. CaN for the next inspection 24 hours in advance. (952) 249-4600 OwnwrAx tractor on site: Inspector: White CopyAnspectoes File Canary CopyiSite Nodes