The URL can be used to link to this page

Home My WebLink About2014-00275 - water heater � 4 CITY OF ORONO 2750 KELLEY PARKWAY * 2 0 1 4 - 0 0 2 7 5 * DATE ISSUED: 04/03/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 140 BROWN RD S PIN : 03-117-23-12-0011 LEGAL DESC : KALLESTAD ACRES : LOT 002 BLOCK 001 PERMIT TYPE : PLUMBING (<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES- MULTIPLE NOTE: RBPLACE WATER HEATER APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 STATE SURCHARGE PLBG(<$500) 5.00 APPLIANCE CONNECTIONS MAIL-IN FEE 2.00 12850 CHESTNUT BLVD SHAKOPEE, MN 55379 TOTAL 22.00 (952)445-4803 Payment(s) Minnesota State License#: BUIL-057209PM CHECK 21120 22.00 OWNER COLEMAN, MR. & MRS. 140 BROWN RD S LONG LAKE, MN 55356- AGREEMEIVT AND SWORN STATEMENT The work for which this pem�it is issucd shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. "I'his permit is for only the work described and docs not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing[his type of work shall be compied with whether or not specitied hereia This pennit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any[ime after work has commenced. i�he applicant is responsible for assuring all required inspections are reques[ed in conformance with the S[ate Building Code.This permit may be revoked at any time for due cause. ��2�c..A;t�C�.—� `��3�5� Clit'L— �l � l / Applicant Permitee Signature Date �� Issu By Signature Date � ��Et�'ED F B/lC�['�YUSEONLY /¢p� City of Orono � '7�j /O. O P-Q Box 66 Date Recei Pertnit# �f-� � �;,,.,; ` 2750 Kelley Pazkway U , � ��•'fir / Crysffii Bay,MN 553�r� "� ��7� Approved By: Amount$: ��• "�t�;}�.��,o� (952)249-4600 CITY OF ORONO CITY OF OgiONU—PLUMBING PERMIT (AlI Commercial pemiits must be approved by the Building Official or Inspector) 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 re�rn 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 S1TE. 3. Plumbing permits may be issued ONLY to licensed plu�mbing 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_ A Il�vark must t�e+�snecte�and a;�restPc!h��re i*_;s co.,.�.�3. C3lI(oc��o..q��Q. (24-48 hour nokice required) TYPE OF PERNIIT (Check AlI That Applyj �Residential ❑Commercial(Approval Required) ❑New ❑Addirional ❑Repairs �Replace ❑ In Accessory Structure? *You will need arior aaurovxl and may need CUP.(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: Site Address: ��''�� S :tJl�OL,v/� �d Owner:,(�[:l��cz 5 ��1h Mailing Address: ��m� , City: Zip: Home Phone: /�' �73'7�� Alternate Phone: Contractor Information: Contra t r P�tinns I nC. Contact Person: �um'� �"rpp�� ,��ilia��-�enn 12850 Chestnut Blvd. Address: Sha��', nn►v 55379 State Bond#: U -,�r7�o� g52-�45-4803 City: Zip: Expiration Date: Phone: Alternate Phone: ❑ Insurance—Current: 1 PI:J,ZJ11i�BING FIXT�RES BEING INSTALLED:- _ FIXTURE BSMT ls 2 ° OTHER FIXTURE BSMT 15 2 OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sink Water Heater I Disposal Water Softener � Dishwasher Wet Bar Sillcocks Miscellaneous _ � �?ERMIT;FEE C�LCULATION(S) � BASED QFF -20D2 STATE.STATL3E ❑ Yes,this section applies The replacement of only one Residential fixture or apaliance that meets all three of the following requirements: 1. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less;excludine the cost of the fixture or appliance: and 3. Is improved,instalied or repiaced by ttie homeowner or licensed piumbing conttactor. Skip next section,if this applies; Cost of Permit $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 � , . If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 125%of contract price with a(Minimum Fee of$50.00) , x.0125$ (conuact price) (minimum 550.00) i 2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum Fee of S5.00) • x.0005 $ (conaact price)' (minimum S S.00) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMI'T FEE(Add Lines 1-3 Above) S v�v�'�� ■ # CONTRAC'T PRICE or JOB COST means the actual or estimated dollar amount charg,ed for the permitted work including materials,labor,profit,and other iixed wsts. It is the amount to be charg�3 to the customer for the work done. If any material,equipment,labor or installations are fumished 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'pemut 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 STATE SURCHARGE is.0005 of the contract price under$1,000,000 or$5.00—whichever is greater. For valuations over$1,000,000 call the Building Department at(952)249-4600 for the price. 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 aze complete, true and correct. Applicant's Signature: ��-��_ Date: ��'�� t�r . 4 � � � � ' ,... , � , . � , � 3 � �� h►L� DATE TIME / CIN OF ORONO CAL EL D IN — � INSPECTION N. T, �� HEDULED `�� •� PERMIT NO. � 7�MPLETED ADDRESS �?�s , /�/�`� , �, OWNER � TELEP NE NO� " 73'�� CONTRACTOR C � DESCRIPTION � � ❑ FOOTING LUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL CHANICALRI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL p TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HAR9 COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL � FOUNDATION/REMOVAL \ _NERIC(�1TFiACTOR TO MEEf YOU:�YES_N � c�., COMMENTS: � W � � J O � a O k W � Q � � 2 W � W � j d W ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT �CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WFLL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance 49-46�� OwnerlContractor on site: Inspector. � White Copyllnspector's File Canary Copy/Site Notice