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Home My WebLink About2011-01019 - water heater CITY OF ORONO PERMIT NO.: 20��-0�0�9 ' 2750 KELLEY PARKWAY ORONO, MN 55356- DATE issuEn: 09/07/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 2871 CASCO POINT RD PIN : 20-117-23-31-0056 LEGAL DESC : SPRING PARK : LOT 111 BLOCK 000 PERMIT TYPE : PLUMBING (>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTTON TYPE : WATER HEATER NOTE: 1 WATER HEA"CER VALUATION OF PLUMB[NG 1420 APPLICANT PLUMBING FIXTURE FEE 50.00 SABRE HEATING&AIR COND INC. STATE SURCHARGE PLBG(VALUATION) 0.71 3062 RANCHVIEW LN N PLYMOUTH,MN 55447 MAIL-IN FEE 2.00 (763)473-2267 MISC FEE 0.00 TOTAL 52.71 OWIVER WOLFE,J PATRICK 2871 CASCO PT RD WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT 7�he work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. �� w � � � Applicant Permitee Signature Date � � Issued By S� ature ate SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO . � � � ['OR CITY LISE Ot�`Ll'�' ��.-��j�`"`�. City of Orono ,t�'% � �� P.O.Box 66 Date Received: Perniit# (��,; �� 2750 Kelley Parkway � 3�� 1��'� pf� Crystal Bay,MN 55323 Approved E3y: � Amount$: ��+��.o%�� (952)249-4600—Main � � - � � ,_ ssxtp�'�� (952)249-4616—Fax � CITY OF ORONO — PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) I�tt �:f(��wrF�.clli.rian.��ovJt`C:LI3/PDF/�c �lu��t> �tan�•c��:r � �. �r�f GENERAL INFORMATION 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 BEGW 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 ar 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. (24-48 hour notice required) ' TYPE OF PERMIT (Check All That A ly) �■ Residential ❑Commercial(Approval Required) ❑ New ❑Additional ❑ Repairs 0 Replace ❑ In Accessory Structure? *You will need arior approval and may need CUP.(Per Orono City Code,Chapter 78,Article IV) Job Site"/Owner Information: site aaaress: 2871 CaSCo Pt Rd Owner: Pat WOIf@ Mailing Address: 2871 CaSCO Pt Rd cir�: Orono Zip: 55391 Home Phone: �952� 249-7�� Alternate Phone: Contractor Information: Sabre Plumbing,Heating 8�AC Courtney Monson Contractor: Contact Person: Address: 15535 Medina Rd State Bond#: N LN� O37� 79 Plymouth 55447 12/31/12 City: Zip: Expiration Date: Phone: (763� 473-2237 Alternate Phone: 0 Insurance—Current: YeS 1 t�' g� ��'��. .' PLUMBING FIXTURF�S BEING INSTALLED : �... ... '.�� , FIXTURE BSMT 1 T 2"D OTHER FIXTURE BSMT 1 2 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 applies The replacement of only one 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 licensed plumbing 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 t � �;��'�;��Y�.�', PERMIT F'EE CA��7LAT'IQI� �=°� (�'$'S�C3VER�►�Clt}��'�: , . ,.: � .,��°�; If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) 1 ,420.00 X.o12s $ 50.00 (contract price) (minimum$50.00) 2. STATE SURCHARGE � ,42�.�� .7� x.0005 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $52'7� ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the pertnitted 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. � .. P��;�B�N�`r-��`,��'I'LICA"T'It)I�AGItEEIV�ENT. 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 that all statements made on this application are complete, true and correct. , ;� % � +" Applicant's Sig�ature: � � Date: OH/23/� � � � Reset Form 3 '