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Home My WebLink About2016 - 00778 - water heater CITY OF ORONO 1111111 .111 II.II II II III 1..II 2750 KELLEY PARKWAY DATE ISSUED: 07/06/2016 ORONO,MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 4575 WOLVERTON PL PIN : 31-118-23-31-0007 LEGAL DESC : FOXFYRE ESTATES : LOT 001 BLOCK 002 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : NOTE: WATER HEATER VALUATION OF PLUMBING 2000 APPLICANT PLUMBING FIXTURE FEE 50.00 STATE SURCHARGE PLBG(VALUATION) 1.00 AIR MECHANICAL,INC. MAIL-IN FEE 2.00 16411 ABERDEEN ST NE HAM LAKE,MN 55304 TOTAL 53.00 (763)434-7747 Payment(s) Minnesota State License#:mech-MB005122 CHECK 047970 53.00 OWNER JOHNSON,REBECCA L 4575 WOLVERTON PL MAPLE PLAIN,MN 55359- 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 Slgnature Date 'Issued klySignature Date , V3-0 q LQ o �O4 City of Orono FOR CITY)JJ Nle j� 0 P.O. Box 66 Date Received:h `� � 2750 Kelley Parkway Permit# o�U/�'+ �1L/ 7 7�J .r. 4 Crystal Bay, MN 55323 ��e �a` (952)249-4600-Main Approved By: kESHO�' (952)249-4616-Fax pp Amount$: 631 Irr--) CITY OF ORONO — PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) http://www.dli.mn.qov/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) Residential ❑ Commercial (Approval Required) [Backflow Device: ❑AVB El PVB] [' 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: 45-75 W/Ivern PI aril Owner: 1<t)(1...9LLCLn 0 Mailing Address: 15 WD)Vcj-brl. PI&cfJ City: 0 n h p zip: 553 5q Home Phone: LP 12- qqq-541 g Alternate Phone: Contractor Information: /� Contractor: It 1 Y M G(�l� t U ..I Contact Person: Ca.r cc a. 6 ,-ors,c Address:hU4II ptot,i tJ Si- Kw State Bond #: PCL 14565S City: a1'j'1 Lake) ,---/Zip: 5530`-) Expiration Date: 020/) g Phone: 7(a 3 ' 14314 ' -1 tri Alternate Phone: 7/3 .1/4 t "3 7 fp g El 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) a, 000 . 00 x .0125 $ 51• 00 (contract price) (minimum $50.00) 2. STATE SURCHARGE 000 • 00 x .0005 $ 1 . 00 (contract price) 3. POSTAGE & HANDLING (Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ 53 •D0 * 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. PLUMBING PERMIT APPLICATION AGREEMENT The undersigned hereby applies to th- _• for issuance of a Plumbing Permit, agrees to do all work in strict accordance with the ordina es of the Ci a the regulations of the State of Minnesota, and certifies that all statements m on this ap• .tion ar complete, true and correct. Applicant's Signature: _4. Date: ,I I / J CO Building Official/ Inspector: Date: Page 2 V 9 DATE TIME I CITY OF ORONO CALLED IN /!/ mM INSPECTION NOTICE 1 tSCHEDULED f��// �p , PERMIT NO. . D(lc COMPLETED / � " ADDRESS l S 7 v1) o IL ' rY� r /. 'L_ OWNER TELEPHONE NO. 7&3 4/3Y 774/7 CONTRACTOR - r KCi,, i DESCRIPTION Pi alb F ;!7?a W ❑ FOOTING 0 DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF MBING FINAL 0 TREE REMOVAL ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS Is ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT Q ❑ FINAL 0 WATER HOOK-UP 0 FOLLOW-UP W 0 AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL r ❑ DEMO-SITE ❑ PTIC INSTALL 2 OWNER/CONTRACTOR TO MEET YOU: YES_NO co)• COMMENTS: cc a Dater here- f ,2f. - 945 //-re — CC /1 jyte4ter — /S Ac_VeCJ.(3 — cc ^ Ve rtb,.if d,C - 0 u. W cc Q /1l/ le)D F k- ebyK/O(e--L`4" — W 141 2 10e/ b.1 4:cedc e. IQ ❑WORK SATISFACTORY:PROCEED OJECT COMPLETE W ❑CORRECT WORK&PROCEED ElISSUE CERTIFICATE OF OCCUPANCY OO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V 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 Owner/Contractor on site: Inspector. Wh Copyllnspector's File Canary Copy/Site Notice