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Home My WebLink About2014-00766 - water heater , CITY OF ORONO * Z 0 1 4 — 0 0 7 6 6 * 2750 KELLEY PARKWAY nATE �ssuEn: 07/23/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2940 CASCO POINT RD PIN : 20-117-23-31-0035 LEGAL DESC : REG. LAND SURVEY NO. 0461 : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING(<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WATER HEATER APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 STATE SURCHARGE PLBG(<$500) 5.00 APPLIANCE CONNECTIONS MAIL-IN FEE 2.00 12850 CHESTNUT BLVD SHAKOPEE, MN 55379 TOTAL 22.00 (952)445-4803 Payment(s) Minnesota State License#: BUIL-057209PM CHECK 5081 22.00 OWNER HANSON, SCOTT& LYNF.TTE 2940 CASCO PT RD WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT i�he work for which this permit is issued shall be performed according to the approved plans and specitications,applicable City approvals,and the State Building Code. This permit is£or only the work described and docs not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall bc compied with whether or not speeified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. I�he applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. C�w�-a�:� T/� � � ,� , ,� Applicant Permitee Signature Date Issu By Signature Date ' FOR CITY"USE ONLY �—� /4p\ City of Orono ` �� `�0\ Y.�.Box 66 Date Received: Permit# �.� � 27:i0 Kelley Pazkwa.y 13, �� Crystal Bay,MN 55323 Approvcd By: _�_ Amount$: �� ,�,�o (952)249-4F,00 ��-- f'IT'Y 4�O�ivl'�1U—YL�[TI��IN��EIZMTT (All Commercial pe�niits must be approveci by tt�e Buiiding OfI"icial or Inspector) �GENERAL INFORMAT`ION � � _�_ —� 1. You may apply for plumbir.g permits by mail or in�erson at the City offices. Applications will be reviewed and a permit wili be is:�ued withir..two working days. 'l. Permit aards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID IINTIL YOU RECEIVE A PERMIT. WOItK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB S1TE. 3. Plumbing permits may be issued�:�1LY to licea.sed plwnbing contractors and to property owners residing in the dweiling. 4. When any new construction ox remodeling is involved,a separate buiiding permit must be obtained. 5. All work must be done in accordance t�vitfi 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 JF PER1tiIIT � (Check All Th�t�`�plv_L_ �Residential ❑Commercial(Approval R.equired) [�New ❑Additional ❑ Repairs �Replace ❑ in Accessorv Structure? "You will need orior aaaraval and may need C'l.'Y.(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: Site Address: � _ Owner:� � ��.� ;Vlailing Address: U �� C City: — ----- �lp� _�__,\ � Home Phone: � �� " / �� Alternate i'h��rie: _ Contractor Information: � � Contractor: Contact Person: l l � � � Address: ��p�;�iance Conn�ctions ln:.. State Bond #: I��r:�'�'' � (��Q ;�.. . Shako ee, MN �5379 City: __f�8 �:_ Expirati�n Date: �� Phone: Alternate Phone: ❑ Tnsurance—Current: 1 If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Miaunum Fee of$50.00) , x.012�$ (canUact price) (minimum 550.00) -�. 2. STATE SURCI3ARGE **Add the State Bldg Code Div.Surchazge(Miuimum Fee of 55.00) • x.0005 $ (contract price) ' (minimum$ 5.00) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERIVII'I'FEE(Adcl I�ines 1-3 Above) S V ■ * CQN'I'RA.CT PRICE or JUB COST means the actual or estimated dollar aznount charged for the permitted work including materials,labor,profi�,and other fixed cosu. It is the arnount to be ci�arged to the custom�r for the work done. If any material,eyuipmen�, labor or installations are fumished by the owner,tenant or an� other party�the reasonable market value of such items must be added to the estimated cost or con�act price for pez7nit fze 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 euider$1,000,000 ar$5.00—whichever is greater. For valuations over$1,000,000 call the Building Department at(952)249-4600 for the price. The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to da all work in strict accordance wiih the ordinances of the City and the regulations of the State of Minnesota, and certifies that a11 statements made on this application aze complete, true and correct. ' C' � ApplicanYs Signattue: _�___ Date: �� .�r,s - ' a � � � ' �� , . � , * 3 � PI IUMBiNG F IXTURES BEING INSTALLED FIXTURE BSMT ls 2' ° OTHER FIXTURE BSMT 1ST 2 OTHER TYPE FL FL � TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sink Water Heater , Disposal � u'ater�ofter;er I Dishwasher Wet Bar Sillcocks i Miscellaneous i PERMIT FEE CALCULATION(S) � BASED OFF - 2002 STATE STATUE � Yes,this section applies The replacement of only une Residential fixture or appliance that meets all three of the following requirements: 1. Does not require modification to electrical or gas service. 2. Has a total cost of$SOO.t)U or less;excludine the cost of the fixture or appliance:and 3. is i�ilpt-c�ve.�,<nstal.icd or reptaced'o�ihe homeowraer or litiensed plumbing co;itract�r. 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 $��0 (Permit Fees Continaed On Next Page) 2 C? -�� , DATE TIME CITY OF ORONO CALLED IN �' -/ � INSPECTION OTI �—�j' / SCHEDULED — � PERMIT NO. Uv7p PLETED ADDRESS OWNER L ONE NO. �O�`a�7 73�� CONTRACTOR �— � -S � DESCRIPTION � � lL ❑ FOOTING PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � � POURED WALL ❑ CHANICAL RI ❑ LAKESHORFJWETLANDS h Q O FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION O WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP O PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ P�UMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO c�.� COMMENTS: � W C OC - . J O � � O � , W 2 Q � 2 W � W � J W ❑WORK SATISFACTORY:PROCEED PROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ SUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CAL�TO ARRANGE ACCESS. Call for the next inspection 24 hours'n advance. 249-46�0 OwnerlContractor on site: � � Inspector. White Copyllnspector's File Canary CopylSite Notice