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HomeMy WebLinkAbout2006-P09896 - water heater � PERMIT GITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: p09896 Crystal Bay, Minnesota 55323 Permit Type: Fixtures (952) 249-4600 Date Issued: 5/23/2006 SITE ADDRESS: 185 Brown Rd S Unit# Long Lake,MN 55356 PID: 03-117-23-21-0021 DESCRIPTION: Proposed Use: Residential Permit Class: Plumbing Permit Type: Fixtures Permit Sub-type(s): Water Heater DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 35.00 valuation: $ 985.00 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 35.50 APPLICANT: City View Plumbing&Heating OWNER: Charles&Jean Krogness 1880 B Wayzata Blvd W. 185 Brown Rd S P.O. Box 150 Long Lake MN 55356 Long Lake, MN 55356 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. . • ������� _- ,'�' APPLICANT PERM[TEE SIGNATURE S UED BY SIGNATURE Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page l � � F()1�F."FTYI7fi�ONi,�' y''�"�� City of Orono ,r 44 ��. P.O.Box 66 ����.�:e,����. ':���'� ���y �° 2750 Kelley Pakway 4�, �'� �'� Crystal Bay,MN 55323 ApPt'°ved F#f': � Am�unt�: ��7��s��<���'��' (952)249-4600 ��`. CITY OF ORONO-PLUMBING PERMIT (All Commercial pe�mits must be approved by ihe Building Official or Inepector) �::.'.��!�F�:ki1!li,i.:�3:'S���S:���E�:.;.:`;.r::::>::><:::;-:;,::::.-:::;;:::::<:.�::::....:..;:::i.:;:::::;,::''::E:::';r:::..:.'�:::::::::::::i.'..'.:`:�:::::';::;.:�::...._;;::::`>i:......::.._::.'�'»`::.. 1. You may apply for plumbing pennits by mail or vn person at the City of�ices. Applications will be reviewed and a permit will be issued within two working days. 2. Pernut ca�s will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UN17L YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JO$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. (2A-48 hour notice required) � �`f''�4'��QF'' P�I�?+;AIT ': � ��hec�. �II'I3�at���� '. �Residential ❑Commercial(Approval Required) ❑New ❑Additional ❑Repairs �Replace ❑ In Accessory Structux�? 'You will need orior apnroval and may need .�.(Per Orono City Code,Chapter"78,Article IV) ���7�1���Q��I'�t����lf�I� : Site Address: � � Owne . � Mailing Address: ��YI � City: Zip: ��S� J� � L Home Phone: d� Alternate Phone: �»:::>::�::»<>:<:::;::::<;::<::»>::>:::«::<:>;:::«::::<:>::>:«<:>::>;::<:>:«<:: `»;>_ic::��t�ir�fi€��::;::»:::>:>:;:>:<>::>::::>:::>::<:;::>::::>::::>:::<:::;:<:>:<:::>::>::»:::_::: ;>;�i���i�.c�:.::::,:::::::::::..::::::::.:::.;:<.;::<.;:.:.:.;;::.;:.;:.;;:<.:;:.;:.;:.;:<::<.;:.;;:.;:.;:.;:.;:.;:.;;; . Contractor: � Contact Person: � �.�� i� Address: � � .,�'3tate Bond#: ���� City: Zip:,�,��Expiration Date: d- 1 (� 6 �` � �� � Phone: �f- `t����� J"T Aitemate Phone: � Insurance-Current: 1 ....:. ...::..:::.::...:. . .. . ... . .. . ....... .,, .. ,. .......::.:::.... . �..� ;,::�::::��<<;.<;.;::<;�.�<.>.;.�<:«<:>.:>;:>;;<'� � ;..:�;;.<;a:<��:<;>,:<,:<„;.�.�K<�<<;<»:>;:; �>.:;.;;.`�z:.�,,;.<•,,.,;,.;...•:..,,•.�;:.�:•: �� •`•.:•z,t..nxf�3;Zwt��s:x��.{:•�. � �•.?'�a .•::<,, ;.<,c.a,:sz��ra:z.•<z«.�^�: � FIXTiJRE BSMT 1 2 OTHER FIXTi.JRE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector Bathroom La�mdry Tray Shower Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous � �����������.������ T � ; �<������3;�������'.�.'`��"�'.z�`�'�� ' . .> ::.::W::::.::::� ❑ Yes,this section applies The replacement of a Residential fixture or appliance 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;excludinQ the cost of the fixlure or appliance:and 3. Is improved,installed or replaced by the homeowner or licensed contractor. Skip next section,if ttns applies; Cost of Permit $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 1.50 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 . ,.,..:, ..:: 2:'..`�:.:...•..2•.`.:,,:`.`..;:'t`"�'� .k. ,t�Y..Y • J.:��Y:Y`.:kik::tfi.".�`..k�.:.`. , . ..... ..•::.�.•.....2 . «.;� ;y�. . . �.�-.,�•,......-�...•_�,..�is;'��:.$,,'•`� .. �; ,. lt• : :� .\;``.:\'v.`.:-s:a:.<.::`y`^`.`.:`..`::.: ..}�Z.:n .\.`.. ..\:`.` � �. . x. �_, ` If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00) �� F�� n� x.0125$ (contract prioe) (minimum 535.00) 2. S�'ATE SURCHARGE "`Add the State Bldg Code Div. Surcharge(Minimum Fee of 5.50) x.0005 $ (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only an Mail-In Applications) $ 1.50 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ■ ' 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 fumished by the owner,tenant or any other party,the reasonabl�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 Ciry may request the submission of a signed copy of the actual contract. ■ '• The STATE SURCHARGE is.0005 of the contract price under$1,000,000 or$.50—whichever is geater. For valuations over$1,000,000 call the Building Departrnent at(952)249-4600 for the price. .,.,; .,,:�.•.• • :�.,. . .... �:. ...,..,.. ..,-.::.... •x;.,;c<<�.�a�.::•.;;:.F.:....�a :� � , ;. . : .... ;;;>;-.::<;,�:;:,w;:.<.,:;��:>�:�� ,. � : ••.• �����`�'��`:����'��1::<�4f r�:��F��'I' ....�..,�..a,,.,.:...:�,�...,,.....�„ . , �. ;:: 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 regularions of the State of Minnesota, and certifies that all statements made on this applicarion are complete, true and conect. � }� . � Applicant's Signature: c ���!�^� Date: � �) � czt:iii;ti{::f.�y.4,'�a:;r'ati�F?a��2:�::�r>i::ti��:4��tii`�;>w<�:=��2?::� ;i:i?ii�i�z�:;�z�,a� N. y� �:z.,<�.;::-,•.�:.:<;:-s��: ;t.:;z? \;�: <;?;t�rrc��J�F�t�;.�:<::?=�t;�:z:z;{?>.;�: ...:. '�?:`,;M1;:2v. . -...`y. " „a.`„ ti.� .: .,:•`i<:.........`::�;:::.............g.k���.......`\`;.....:,,.... 3 �� DATE TIME � CITY OF ORONO c�iN � Z�"' INSPECTION NO CE SCHEDULED ���h-�6 ��Dy _'�D PERMIT N0. �g COMPLETED �1�` v� / '�C'� ADDRESS ��.5 fi��2(TLllyl � OWNER CONTR.�-��u ��w � TELEPHONE NO. �5 2 �7 3 F 7 93 � DESCRIPTION ��t� 7�c��C. ��� l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10 P�UMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a o '`.�.J T-� /C iI -�'C� .�' 7 1 � � � 0 � w � Q � Z W � W � � d W �ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ORRECT WORK&PROCEED :� ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CdRRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46QQ OwnerlContractor on site: � Inspector. White Copyllnspector's File Canary CopylSite Notice