HomeMy WebLinkAbout2009-00135 (plumbing-water heater) , CITY OF ORONO PERMIT NO.: 2009-00135
2750 KELLEY PARKWAY
ORONO, MN 55356- �ATE ISS[1Eu: 04/03/2009
952 249-4600 FAX: 952 249-4616
ADDRESS : 3247 CASCO CIR
PIN : 20-117-23-43-0009
LEGAL DESC : SPRING PARK
: LOT 013 BLOCK 000
PERMIT TYPE : PLUMB[NG (<$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WATER HEATER
APPLICANT WATER HEATER 15.00
LARSON PLUMBING INC. STATE SURCHARGE PLBG(<$500) 0.50
3095 162ND LANE NW
ANDOVER, MN 55304 MAIL-[N FEE 2.00
(763)427-7680 TOTAL 17.50
OWNER
CARLSON, KURT& LUCILLE
3247 CASCO CIR
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specitications,applicable City approvals,and thc
State Building Code. This perniit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all rcquired inspections are
requested in conformance with the State E3uilding Code.This permit may be
revoked a[any time for due cause. , ,
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Applicant Permitee Signature Date � �l�L � (ry'y����"1 /l �`�/�
Issued By Sighature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
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- �•� r�OR Ci"i'Y iISF.ONi,v
� p'�-. City of O�•oi�o
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`;;� �'' 2750 Kcllcy P�rkFvay F. f� �. ���f�Recei��cd Pcri�iii i!
��k3,�j ��3` t�f�� Crystal IIay,MN 55323 Approvecl 13}'' Amouni$: —.�
�\\C' � )� .��L�%' (9S2)249-4600 � �,� . . --�
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CI'�'Y OF ORONO--PLUM�3�NG PERMIT
(All Cotmnercial permiss must bc approved b}�the I3iFilding O1�ficial or[nspector)
GENERAL INFORMATION
1. You may apply for plumbing pennits by inail or ir�pecsal at the City offices. Applications wiil be
reviewed at�d a perntit wil] be issued within two workiilg days.
2. �'er�nit cards will be sent by reitu•n mail after a review is complcted. PE;Kv]ITS ARE NOT
V�1LIp UNTIL YOU RCCE[VE A PERMIT. WORK Mi1ST 1�'OT E3�GIN iJiVTIC,TNE;
P�KMIT CARD IS POSTFD O1V THC?JOR SITE.
3. P[umbing permits may be issued ONLY to Eicensed plumbing contractors and to property owners
residing in the dwelfing.
4. When any new construction or remode[ing is involved,a separate building perEnit must be
eUta�fled.
5. Al1 wot•k n�ust be done in accordance with State Code requirements.
6. All work�nust be inspected a�id air fested before it is covered. Call(952)249-4600,
(24-48 tiour nofice r�equired)
TYPE O� PERivII`I' ��"`
{Check All That A, 1
�Residentia] ❑ Comt�zercial(Approval Required}
❑New ❑ Additionaf ❑ RepaiE•s
[� Replace
� [n Accessory Struciure?
"You will need nrioi�annrovhl and may need CUP.(I'er Urot�o City Code,ChapteE•78,A�7icle IV)
3ob Site/Owner Information:
Site Address: 3247 Caseo Circle
Owner: Kurt and Lucille Carlson Mai[i�3� Add,�css: 3247 Casco Cir
City: Orono Zip: 55391
Ho�ne Phone: 952-471-8246 �1lternate Pho�ze:
Contractor Inforinatiou:
Contz�actor: Larson Plumbinq Inc. Contact Person: Wendy Nelson
Addr•ess; 3�95 162nd Lane NW State Bond #: 58757 (3341)
City: Andover Z�p:55304 Expiration Date:
�'hone: 763-427-768� Alternate Pho�te:
� Insurance—Curt•ent:
1
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PLUMBING FIXTURES BEING INSTALLED �
F1XT'�1RE T3SR9'1' ( 2`' O"I'I-IER F[XTURB BSMT 1 2' OTEIER
TYP� FL FL TYPE PL F'L
Water Closet Floor Drair�s
Lavatory Sewer Ejector
Bathtub Laund�y 7'ray
Sl�ower Washer
Kitchen Sitik � Water Heater
1
Disposai W'ater Softener ---�"�
Dishwasher Wet Bar
Si{Icocks Miscellaneous
' PERMYT FEE C�ILCULATION(S)
�BASED OFF.- 2002 STf1T�E STATUF
� Yes,this section applies
'I'he replacement of a Residentia!fixture or anpliance that meets all three of the following requirements:
I. Does not rec�uire modification to eleetcical or gas scrvice,
2. Has a total cost of$500,00 or less;exetudine the cost of The fixture or appliance:a�ld
3. ls improved, installed or replaced by the ltome��:�ner or iicerised contr�ctnr.
Skip next section, if this appiies; Cost of Permit $ I5.00
State$urClaar�e $ ,50
Mail-C�aFee(IfApplicable) $ 2.00
T'otai Pei�mit Fee $��
(Pci�rnit Fees Continueci On 1�'ext P�ge)
2
� .
'�ERMIT PEE C�LCLTI�A".CtON(S)'-JOBS OVER$500 00 ��
If above docs not apply;follow�uidelines below:
1. CONTRACT PR10E x is 1,25%ofcontract price with a(Minimum Fec of$50.00)
x .0125 $
(conlra�t price) --""-- -- -
(ntinimum$50.00)
2, STATI;SURCIIARG� '�"� Add fhe State Bldg Code Div, Surcharge(R7iniii�urn Fic ofS.S4)
x .00OS $
(conlract pricc) (minimun�$ .50)
3. POSTAGE &HANDLlNG(piily on Mail-]n npplicatio�is) $ �pp
4. TOTAL PERMIT�'EE(Adcf Lines 1-3 Above) g
• �` CON'C'C2AGT k�R[CE or JOB COST means tl3e act��al or estia�ated dollar amount charged for th�
permitted work ia3cluding materials, labor, profit,and other fixed costs. It is the amoi�nt to be charged
to tfie custonae�• for the work done. If ai�y materia(, equipme��t, labor or installations are furnished by
the owner, tenant or any other party, the reasa�able market value of such items mu.:t be added to the
estimaied cost or contract price for perinit fee parposes. [n ihe event tlzat there is a dispiite on the
a�nount of tlae job cos#, the City inay request tl�e subu�issioia of a signcd copy of ti�e acti�a] co�ltract.
■ �`"` The STA"t'E SURCHARGE is .0005 of the contract price under$l,OQ0,p00 or$.50—whichever is
greater. For valuatio�ls over$1,000,000 calE the E3uilding Departm��it at(952)249-4G00 for the price.
'PLUIv18ING;PERMJT APl'LIGATION AGREEMENT
The undersigned hereby applies to the City for issuance of a P[umbing Permit, agrees to clo all
work u� sta�ict accordance with the ordinances of the City h13C� t}]E regulations of the State of
M�nnesota, and certifies that a[l stateme�lts made on this application are cornplete, true and
cor�•ect.
�
Applicant's Signature: -2t, _ ? Datc: �3/27/09
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