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Home My WebLink About2014-00868 (plumbing-water heater) CITY OF ORONO * z 0 1 4 -0� 8�6 8� 2 7 5 0 K E L L E Y P A R K WAY DATE ISSUED: 08/13/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3300 CARMAN RD PIN : 20-117-23-14-0015 LEGAL DESC : CARMAN COVE : LOT 009 BLOCK 001 PERMIT TYPE : PLUMBING (> $500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WATER HEATER VALUATION OF PLUMBING I500 APPLICANT PLUMBING FIXTURE FEE 50.00 STATE SURCHARGE PLBG(VALUATION) 0.75 LEGACY MECH SERVICES MAIL-IN FEE 2.00 1 14 THOMAS CIRCLE#106 TOTAL 52.75 MONTICELLO, MN 55362- (763)314-0877 Payment(s) CREDIT CARD 6552 52.75 OWNER NIELSEN, JOAN 3300 CARMAN RD EXCELSIOR, MN 55331- AGREEMENT AND SWORN STATEMENT 1�he 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 compicd with whether or��ot specitied 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 commcnced. "I�he applicant is responsible for assuring all required inspections are rcquested in conlom�ance with[he State E3uilding Code.This permit may be rcvoked at any time for due cause. i \� l�� / / Applicant Permitce Signatin�c Date Issucd By Si ture ate 08-'I 'I-14; 15, 38 ; 9522494616 ;7632950654 # 2/ 5 I FO�CyTX US�ONLY � �� City of(Drono P.O.Box 6( Dete Rcccived; Pcrmit# 275p Kclley Parkway Cryscel Bay,MN 55323 A.pprovad By: Arcwunt g; 2,?S (952)249-4600—Main y (952)249-4616—FFix �^ c.� CYT�' O]F 11�ON0-PLUMBYNG �ERIVIIT ��'�F�o� (.A.II Commeroial Permits ust be Apprpved by the State Prior to City/��>provKi) N�tt :/hv�v�r.dii.ms ��o;�/Z � i,d�/i'b)Q�/yl IE�spil>>I:ona-c�:a�r4'-pc�i GENEIZAL�NFORMATION „ _,_ � I, You��ay apply for plumbing permits by ail or in pea�son at the City offices. Applications will be reviewed and a pernvt v�+iil be issued with�two working days. 2. Fermit cards will be se�t by retum m1i1 x cr a review is completed. �F,kZM:ITS Ali�NUT VALID UNTIL XOU ZtPCF.ZVE A PL IT. WORK MUST NOT EEGIN I1N'�'1LX,THI, PERMIT CARD IS POSTT�'D "'�'�� U�$I'I'E. 3. Plumbing p�rmits may be issued ONLY licensed plumhing contractors ttnd to property owners residing in the dwetling. 4, Whezt az�}�ne�v construction or remodelin is involvcd,a separate building parmit must be obtained_ 5_ Atl work must be done in accordance wit State Code xequaz'eznezats, 6. Al1 wprk rnust be insPected and air tested efore it is covered. Call (952)249-46UU, (24-48 hour notice required) - ----- --- -------------------.......... TY�'E F r��r L-------------------------------- Check 1 That A 1 ❑Rcsidenfial ❑C;oz�lme�'cie.,l(,A.pprova Keyuired} ❑ New ❑Additional ❑Repr�irs [�1Ze:place U In Accessory Stnict�ue7 *You will need nrior approaal and m�ty nte C'UP,(Per Orono t:i.ry Code, Chapter 78,A,rticle�V) Job Site/Owner Tnfoz-nrza�io��: � Site Address� . ,3 3 C?� C,Ct..r _ _�- Q rOY� Qwner: ��UfX� �� .150�1 iV[ailir�g,4ddress: Cit�: ------- Zip: �-Tome Phone: �"l��a— ( -- l� II Alternate Phone� _ Contract�r Infurma�ion: Contractor: 1��QQ,G� ��0�.(+�,IC Contact Person: __=��-- ��-�'G � Address: 11��o(h�.S�,L'C��P-�!Ip State �ond#' �� 5 i City: �,�c.e,1� 7ip:�5 Expiration Date: _ ��' 3 ___ I k'k�one: �1Q3- 31�1` d�� j Alternate Phozxe� �( ,��- �.GS-�l,�l S�l �� li Qt � I Insurance-Curr•ent� I � 1 � � � 08-1 'I-14; 15� 38 ; 9522494616 ;7632950654 # 3/ 5 il ; ' �,PLUMB1��y'- ,�� - � '- S�BE�TG.TNSTAT�I,ED'�' _ -- FIXTURE BSMT 1'` 2"u � OTHFR FIXTURE BSMT-----1':'------2"�---� OTHER 1 TYPE FL TL TYPE �L FL � Water Closet Floor Drair�s ' L,avatvry Sewer Ejectm• Bathtub i Laun�ry T��ay Showcr Washer KilChen Sink I, Walcr Hct�tcr I I i Disposal Watcr Soficncr Di�hwasher Wet$ar Sillcocks i Miscellaneous I� � ' ,' ' , ?�� , �� ,s� � >, �, ��r'��r�;'.�E�ALCULATTQN(S�)� ::r� � - --- - ,�_! ,> , ,,,,; '� , �f , ;�AS$1'�,�,Ol�'� .2t1�2 STA'�E,.�'�l�,Z��'r -- — ' ❑ Yes,fliis section applics I I T�he replaceme�t of only one Rcsidential fixture o I that meets xll ttu�e of thc follnwing requirements� 1. Does 11Qt require modification to cicc� ical or gas Service. 2. Has A jg�al cost o�$500.00 or less;ex ludi the cost o�the fixture or appliancc:dnd 3. Is arzap►'oved, installed or rcplaeed b� e homeovtmer or licensed plumbing ccmtractor. Ski�next section,if this applies; i Cost of Aennit $ 15.OU State Surcharge $ S.O6 j Mail-In Fee(lf Appaicable) $ 2_00 I� Total��rmit Fee � (�ermlt l+ecs Contia�ued Utt Next Pa�e) I ; 2 � 08-1 'I-14; 15, 38 ; 9522494616 ;7632950654 # 4/ 5 �`-�'E�NIIT.�'�E�'`C � '°CL�I.,A.� , ON S JOBS OVER$50,0:00 If above docs not apply;follow guide�ines below: � 1. CaNTRAC'1'PR10E *is 125°/,�o ontract pxice wilh a(Minimum Fee of$50.00) � x .O125$ - 50.c�o- ( onirad pncc) (minh�RUm$50.00) 2. s�ra i�r��uxc�.R.cE j' ( �U �l�(7 x.000s � � � cunl�;�ct pnccJ � 3. I'OSTAGE.&�ANbLTNC(pr�ly ota ail-�n A,ppiications) $ 2_00 4. �'Q'�'A�,��i.MAT'F�i E(Add I,ines 1 �3 Abovc) $ ��•�� " CUNTRACT PKICE oY JOS COST mean the �tClual �r �stimatcd dollar amount charged for the permitted work including materials,labor,pr it,and other fixed cost�. Ic is the amount to be char�ed to the customer for the work done. If any m riai, eg�iipment, labor or inst&ll�linns arc fiirnishcd by the owner, tenant or any other parly,the reas 1ble market value of such ilerrzs must bc�dcd to thc asti�rlated cpst or co��tract price for pennit f� pur��oses. 1r� tlae evezat tk�at the�re is a dispuce on thc amuurit uf the job cost, the City may rcqucstl{hc submission of a signed copy of the actual cont�'act. ;: � . ��..U�13S�`Gr�'�k�%1TT ;-,I -- ---- --- ---- --.- -------- -- - ------ �� ., - �'. pLrIC.�A�'TQN:'AG1��TvI�N''T - -- � The undersigned hereby applies to the Cit� r issuance of a Plumhing Permit, agrees to do all work in strict accordance with the ordinanc of t,�e City a�xd tk�e ze�;ulatxor�s of the 5tate of Minnesota, and certifics that alI statements nlde on this applic�,tion are complete, true znd correct. Applicant's Sig�Yattiu�e: I - ----------------- Uate: � �( � �I3 � ✓ DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO.a�d`�!' O�fI6�' COMPLETED �"o�/`''� ADDRESS •�.3�0 �rn�i�r �i� OWNER TELEPHONE NO. CONTRACTOR �� <<� 5��« s �; DESCRIPTION �� ar�r �� ❑ FOOTING �UMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WEfLANDS � ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP p COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. 'fOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � A � /I a �B/Nt oti !i/� d��/ ��r•l�,v � G�t ll �C v O4 �`rtt l /�1 S lJ�c L�.e�.,. � � W ' ��k�3�'� L�LQ�� y'Ld � � �vc�� rL ryd-ccrtiC �r�� /,�.r��...s _ Q � z � bU6r/� Co►uaIGL�C .. � ��Q � pQ��,,,�� ❑WORKSATISFACTORY:PROCEED ��R9"JECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CAII FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p PHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector. -- White Copylinspector's File Canary CopylSite Notice ,J�-� � �=�'- DATE TIME CITY OF ORONO CALLED IN g- D -� �� INSPECTION N T C�,/_ ,y�� CHEDULED � - PERMIT NO. ��`� Uv COMPLETED ADDRESS 3 OWNE TELEP NE NO. a' 7'7�•y3�� CONTRACTO �; DESCRIPTION � `� � ly ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICALRI ❑ LAKESHORENVETLANDS � Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION O WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � �FINAI O SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � a _�/G�►� Pr ✓ r�a l� � � , o • � � �,��k s �� e. ° '" eoccS�i��.�rur�L a�rc�� ve�� W '�—� � � t � � � 1/�d✓� �a��/:�/�� W � W � j � ❑WORK SATISFACTORY:PROCEED /�.l801ECT COMPLEfE W ❑CORRECT WORK 8 PROCEED �� ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING pERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952) 249-4600 Owne ntractor on site: 5t��i¢- �• Inspect ,- �--� LIJ White Copyllnspector's File Canary CopylSite Notice