HomeMy WebLinkAbout2006-P10501 - water heater PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P10501
Crystal E��, Minnesota 55323 Permit Type: Fixtures
(95a} 249-4600 Date Issued: 10/25/2006
SITE ADDRESS: 2797 Casco Pt Rd Unit#
Wayzata,MN 55391
P��: 20-ll 7-23-23-0016
DES[:RIPTICIN• ;
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CITY OF ORONO C�LLED IN -�
INSPECTION NOT E SCHEDULED �- < <�� �`� �it Sub-type(s): Water Heater
PERMIT NO. / connP�E Eo
ADDRESS �� �� ��� � ��
OWNER CONTR. C--e^�� G�v�^-$
TELEPHONE NO. �� l-�I 3 �
� DESCRIPTION �P�Cp ��`� ��--��
l� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
� ❑ FR.4MING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
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Q ❑ INSULATION ❑ �NOOD BURNER/FIREPLACE ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
� ❑ DEMO-FiNAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
� ❑ PLUMBING FINAL ,' � ❑ FOUNDATION/REMOVAL
� OWNEHICONTRACTOR TO MEET YOU:;�YES_NO
�� 'aluation: $ 0.00
� COMMENTS:
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� Mr. &Mrs. Ronald Grundeen
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� 2797 Casco Point Rd
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� Wayzata MN 55391
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GW�WORKSATISFACTORY:PROCEED �OJECT COMPLETE �/
� ❑CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY
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� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY PROVEMENTS SPECIFIED
V BEFORE COVERING PERMANENT )RONO ORDINANCES AND STATE OF
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN
INSPECTOR WILL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (J52� 249-4GOO �' "� �� �'- < <?� �' �� � � � j(-� -�
OwnerlContractor on site: �ssuED av siGNnTu�
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Inspector. a ,�
White Copyllnspector's File Canary CopylSite Notice tic, 1-Septic) Page 1
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HOUSE EATING TEST RECORD
ADDRESS ���� �`ISC� Pd(�t / �C��D APT. FLOOR CITY SUBURB ���� �
OCCUPANT OwNER
HEAT LOSS DATE HTG. INST.
SOLD BY INSTALLEO BY �� � -�
El�ctrical Work By Gas Lin• By `��� -
TYPE OF HEAT GA FA HW STEAM SPACE NTR. UNIT HTR. OTHER
GAS DESIGN CONVERSION - -.
MAKE MAKE OF BURNER �
Mod.l �' 7. - Mod.l —
v � G�I_�?
S�riol �� �_��(� ,� �.� Mox. BTU Rotiny '�
INPUT TC� MAKE OF FURNACE
,,..,.
' Mod•I _ .,.. . ;�,cC� —
�r' CONTROLS �^ �(
THERMOSTAT ` H.o1 Pluq V�nt Siz�_
Valv. KIND OF LINER ��^^ SIZE N NE
Limit �� Droh Hood �U��� R�quloror n'J
Limit S�ttiny � Filf�rs Si:• ►�umb�r
Fan S�ttinq � � C�imn�y Location Insid� Outsid• �
Pilot Typ� << Chfmm�r Canstrucfion , �lC � �L�i
Pilot Mak• �
Pilot Mod�l Smok� Bomb Wirinq
Pilot Timiny � D�oft � T.ar Tao �
L.W. Cut Off �^ Dow P.�ssw• Llphti�p Inst.
Pr�asur� � � P�►c�nt CO2 �`" Dot� T�st�d - '
Input CFH U P�►e��f O� Comoony T�stiny -
Srock T.mP. J P�re�nt CO �� Nan»oi T�s��r
CITY OF OIt�NO APPLICATION FOR PLUMBING PERMIT
Box 66 (2750 Kelley Parkway) .
Crystal �ay, MN 55323 � ,
GENERA,L INFORMATION �
1. You may apply for plumbing permits by mail or in person at the City offices. ' �
2. Permit cards will be sent by retum mail after a review is completed. PBRMITS 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 properry 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 the State Code requirements.
6. All work must be inspected and air tested before it is covered. Call (952) 249-4600. 24-hour notice
required.
Instructions Complete all items on this application. Compute the permit fee. Sign and date the
certification. I1�ICOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call (952) 249-4600.
Please check one: New Addition Repair Keplace
__�.__�esidential Commercial
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J.�B SIT'E._ Z 79� _ ` � - �
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O'�imer's�Name: ._Ja�� G,-�,� . ."
�Cr� � T�lephone Number:
M�iLng��ic�c�ress:�� v City� . o ''Z���`�/ _
Contractor's lyame: " � c Telephone Nurriber.:; (6�2�YZ�-y�3_
Mailing Address: ZqOS e��/ .So�. Cit3': 1�tp�S Zip: SS���'.
PLiJNI�ING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 15T 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet Flocr Drai,7s
Lavato Sewer E'ector
Bathtub Laund Tra
Shower Washer
Kitchen Sink Water Heater
Dis osal . _
_._ . .
_
Water Softener . .
Dishwasher . . _ , . ._ . . . . .
Wet Bar ..:
Sillcocks Misc list
PFR.MIT FEE CALCULATION(Sl
2002 State Statute � Yes, This Section Applies
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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; excludin� the cost of the fixture or appliance:
and
3) Is improved, installed or replaced by the homeowner or licenced contractor.
Skip next section; Cost of Permit $ 15.00
atate Suicharge $ .SQ
Mail In Fee $ 1.50
If above does not apply, follow guidelines below:
1. - �ontract Price* is .0125 % of job with a Minimum Fee of_($35.00)
x .0125 $
(contract price) (minimum$35.00)
2. State Surcharge. ** Add the State Building Code Division a (Minimum Fee of$ .50)
x .0005 $
(contract price) (minimum $ .50)
3. Postage and Handling (Only mail-in applications) $ 1,50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ I�o�
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted
work including materials, labor, profit, and other fized costs. It is the amount to be charged to the customer
for the work done. If any material, equipment, labor, or installation are furnished by the owner, tenane or
any other parry 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 $.50 - whichever is greater.
For valuations over $1,000,000 call the Department of Inspection Services 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 t �t all statements made on this application are complete, true and
correct.
Applicant's Signature Date: D �G
�O �,�1 DAjE// '/V� TIME �I�
�i 1 Y OF ORONO CALLED IN � " �
INSPECTION NOTICE SCHEDULED ���
PERMIT NO. �/0-�D/ COMPLETED
ADDRESS C_- CC-d C-t� �
OWNER ��D��/'���'-Q�ONTR. / -
TELEPHONE NO. �� � ^�i� 9 am - ,S
m �" v� `7/ � 3
� DESCRIPTION Cz'�-�" �-h=
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADI G/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP O6 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
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNERICONTRACTOR TO EET YOU:_YES_NO �
� COMMENTS:���7'YIQ.-�TLC�y���n ���
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W ❑ RK SATISFACTORY:PROCEED ❑ OJECT COMPLETE
� CORRECT WORK R PROCEED ISSUE CERTIFICATE OF OCCUPANCY
W
0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALI INSPECTOR �� CITATION ISSUED
0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next' spection 24 hours in advance. �952) 249-46QQ
OwnerlContrac it :
Inspector.
White Copyllnspector's File Canary CopylSite Notice