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Home My WebLink About2010-00877 (water heater) CITY OF ORONO PERMIT NO.: 2010-00877 , � 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 09/29/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 3287 CASCO CIR PIN : 20-117-23-43-0044 LEGAL DESC : WINSHIPS SUBD SPRING PARK : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENT[AL CONSTRUCTION TYPE : WATER HEATER N07'E: WATER HEATER PAID FOR BY 2 CHECKS$52.70&$4.30 VALUATION OF PLUMBING 1400 APPLICANT PLUMB[NG FIXTURE FEE 50.00 CENTRAIRE HEATING&AIR STATE SURCHARGE PLBG(VALUATION) 5.00 7402 WASHINGTON AVE EDEN PRAIRIE, MN 55344- MAIL-IN FEE 2.00 (612)941-1044 MISC FEE 0.00 Minnesota State License#: OOTR93 TOTAL 57.00 OWNER WRIGHT,JON& KATHLEEN 3287 CASCO CIR WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specitications,applicable City approvals,and [he Sta[e Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. Ali provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construc[ion is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are reques[ed in conformance with the State Building Code.This permit may be revoked at any time for due cause. ;Z�C--�u.! � / / / / Applicant Permitee Signature Date Issued By S g ature ate SEPARATE PERMITS REQU[RED FOR WORK OTHER THAN DESCRIBED ABO . � R / � / /x(�`� �� '�C,/�•�� . �1.�U � � Lj4 FOR CITY USE ONLY ' 04��0 City of Orono P.O.Box 66 Datc Received: Permit tt . 2750 Kclley Parkway � -�''�• ��' ('rystal Bay,MN 55323 Approved By: Amount$: ��p��c` (952)2494600 CITY OF ORONO—PLUMBING PERMIT (All Commercial permits must be approved by the Building Official or lnspector) GENERAL, INFORMAT[ON L 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 UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB 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 pennit must be obtained. 5. All work must be done in accordance with Staie Code requirements. 6. All work must be inspected and air tested before it is covered. Call(952)249-4600. (24-48 hour notice required) TYPE OF PERMIT (Check All That Apply) esidential ❑ Commercial(Approval Required) New ❑Additional ❑ Repairs place ❑ In Accessory Structure'? *You will need prior aparoval and may need Ct1P.(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: L. Site Address: � � v � �,/� _�' C`- C) �.�� Owner: �� (�i.��'%� Mailing Address: . City: /1��/'�(.�� Zip: : r��CI � Home Phone: �"" � / �" �� /Alternate Phone: Contractor lnformation: Contr�ctor: "�`'� Contact Person: � �'�� '� '`� �, '"�""` � State Bond#: �� " Add�e��shi. c:�an��airie,MN 65344 City: ;)41-1044 Zip: Expiration Date: �% �� Phone: Alternate Phone: �,��"��"�� `�> �nsurance—Current: 1 f � " PLUMBING FIXTURES BE[NG INSTALLED FIXTURE BSMT 1'T 2�D OTHER FIXTURE BSMT 1 T 2�`D OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous PERMIT FEE CALCULATION(S) BASED OFF - 2002 STATE STATUE ❑ Yes,this section appGes 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. Aas a total cost of$500.00 or less:excludine the cost of the fixture or appliance: and 3. Is improved,installed or replaced by the homeowner or licensed contractor. 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 , � , � PERMIT FEE CALCULATION(S)—iOBS OVER $500.00 If above does not apply; follow guidelines below: 1. CON'TRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) , `'� �[� x .0125 $ ��C/ �(ontract price) (minimum$50.00) Z. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$5.00) x .0005 $ t �C..� (cont�act pricc) (minimum$ 5.00) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 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 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 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$5.00—whichever is greater. For valuations over$].000,000 call the Building Department at(952)249-4600 for the price. PLUMBING PERMIT APPLICATION AGREEMENT The undersigned hereby applies to the City for issuance of a Plumbing Pennit, 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 n lication are complete, true and correct. Applicant's Signature: ate: � � � lRese# F�rm 3 �[ � � ?- �� c�(� I " ��. � �D�I��/ �O TIME CITY OF ORONO CALLED IN INSPECTION NOTICE„ � SCHEDULED 1�� ,.,�� PERMIT NO:�C/��-L(�s� � � COMPLETED �� ADDRESS �� -�� lr' OWNER TE�,E��NE-Pd0 I�--�� y7� �C�� CONTRACTOR ��i"7f/'C.t//� �; DESCRIPTION �[�.-C�/Y��J/l�1' ��l�` l � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � ❑ FRAMING � MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑,�1L1Lv161NG RI ❑ SEPT FINAL ❑ FOUNDATION/REMOVAL �`OWNER�NTRACTOH TO MEEf YOU:�YES_NO 0,.. _..- � � v, COMMENTS: � w a � � O >. � O � W � Q � Z W � W � � d W� ❑WORKSATISFACTORY:PROCEED �ROJECT COMPLETE W ❑CORRECT WORK&PROCEED n ISSUE CERTIFICATE OF OCCUPANCY 0 ❑ CORRECT WORK,CALL FOR RE�NSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALLINSPECTOR ❑ INSPECTIOfV REQUtRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: Inspector. � .t l �„ White Copy/lnspector's File Canary CopylSite Notice