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Home My WebLink About2012-00287 (plumbing- water heater) ' CITY OF ORONO * z01z - 00zs � * 2750 KELLEY PARKWAY DATE ISSUED: 04/16/2012 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 3721 CASCO AVE PIN : 20-117-23-31-0058 LEGAL DESC : CASCO HEIGHTS : LOT 000 BLOCK 004 PERMIT TYPE : PLUMBING(<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCT[ON TYPE : FIXTURE NOTE: WATER HEATER APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 CHAMPION PLUMBING LLC STATE SURCHARGE PLBG(<$500) 5.00 3670 DODD ROAD-SU[TE 100 EAGAN, MN 55123- MA1L-[N FEE 2.00 �� TOTAL 22.00 OWNER M M JIN, DOUG R WELTY& 3721 CASCO AVE WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shail be performed according to the approved plans and specitications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within I 80 days of the date of issuance,or if construction is suspended for a period of 180 days at any time afrer work has commenccd. The applicant is responsible for assuring all required inspections are requested in conformanee with the State Building Code.This permit may be revoked at any time for due cause. - / / // .� ��, / Applicant Permitee Sig re Date Issu By ignature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. , . s� ' RECEIVED :g,o� City of Orono APR � 6 �� R� Y LJSE oN,.Y O O i'O B�\�6 pF ORONO Date Received.i` i�� U� 27�0 kciley Parl/CR��"� �ermit# '' ' p" � Cn�stal Ba�.MN`5�5'�23 Approved By: Amount$:�, � � � ��r ., �, t�k .' Hy,� (952)2�9 4600—Main �� '�"°�� (9�Z)249-d616—Fa� CITY OF ORONO - PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) ;�`��:��r,`��4��.€��i.€nn.�=��-ICCI,�IP�:➢FI pe l�s��b�al��s•ev�t�. . d£ 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 U1�iT[L YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PER�7IT CARD IS POSTED ON THE JOB SITE. 3. Plumbin��permits may be issued ONLY to licensed plumbing contractors and to property owners residin�in the dwelling. �1• W1icn 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 �vork must be inspected and air tested before it is covered. Call(952)249-4600. (2�-48 hour notice required) TYPE OF PERMIT ___ Check All That A ly �Residential ❑Commercial(Approval Required) ❑ New ❑Additional ❑Repairs ❑ Replace ❑ In Accessory Structure? *You will need prior approval and may need Ct:P.(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: Site Address � �� {.�(� ��.�! Owner: �, � � � Mailina Address: V� �'Y`� City: ��'�� Zip: �� Home Phone: �"Ja� �� - ��J�CGI Alternate Phone: Contractor Inforanation: —�� Contractor: �i��'��Q� �'�1�h Contact Person: �� 5 J Address: �� Q(�� - State Bond#: City: � Zip:�J�� Expiration Date: �Z��Z Phone: �Q � ,'�� Alternate Phone: �--" ❑ Insurance—Current: 1 �� _ f � �� PLUM�ING�IXTURE�S BEtNG�t�TA�,L.ED� � FIXTliRE BSMT 1't� 2��° O'I'HER FIXTURE BSMT ls 2� OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sink W'ater Heater i Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous � PERMIT FEE CALCULATION(S) ` BAS��D OFF -2002 STAT� STATUE �' Yes.this section applies The repiacement of only one Residential fixture or a�pliance 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;excludin�the cost of the fixture or appliance:and 3. Is imprvved,installed or replaced by the homeowner or licensed plumbing contractor. Slcip next section,if this applies; Cost of Permit $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ ZZ-U� (Permit Fees Continued On Next Page) 2 ; � . �____ PERMIT FEE CALCULATION(S}-�-JpI��4U�g $5(}0 fl0 i� If above does not apply; foliow guidelines below: l. CO�\TRACT PRICE * is 1.25%of contract price with a(Minimum Fee of�50.00) x.0125$ (contract price) (minimum 550.00) 2. ST.�TE SLRCHARGE **Add the State Bldg Code Div. Surcharge(vtinimum Fee of�5.00) — x.0005 $ (contract price) (minimum S 5.00) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ' * CON"I�RAC'"T PKICE or JOB COST means the actual or estimated dollar amount charged for the pern�itted work includin�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 tlie job cost, the City may request the submission of a signed copy of the actual contract. ' ** The ST.ATG SURCHARGE is .0005 of the contract price under$],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. � ' PI,UMBING PERMIT APPI,ICA'i'ION AGk�EMENT The undersianed hereby applies to the City for issuance of a Plumbing Permit, agrees to do all work in strict accordanee with the ordinances of the City and the regulations of the State of Minnesota, and certifies that all statements made on this application are complete, true and correct. Applicant's Si�nature: __ � � �ti% � Date. �- (2.-`( � ` — ��Gt/ " -- Reset Forrn 3 ��- DATE TIME v CITY OF ORONO CALLED IN a INSPECTION NOTICE Q SCHEDULED �� ja".� PERMIT N0.�� —��U � COMPLETED ADDRESS �70� � �a Su'- �`.'�'�v-�- OWNER �Q y"�t�f `-J ��-' TELEPHONE NO. �52- �7� �3 �GI CONTRACTOR C��L�-�� `'^�� ; DESCRIPTION ��"� �� "`��' � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILIING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETlANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVA� 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 ❑ HARD COVER REMOVAL J llMBING RI $ L ❑ FOUNDATION/REMOVAL Q OWNER/t�ONTRACTOR TO EET YOU:�YES NO O �----..J c., COMMENTS: � W a � � O � � O � W � Q � Z W � W � � � ❑WORK SATISFACTORY:PROCEED �ROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR G INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. �952� 249-46QQ Owner/Contractor on site: Inspector. White Copyllnspector's File Canary Copy/Site Notice