The URL can be used to link to this page

Home My WebLink About2015-00238 - water heater CITY OF ORONO * 2 0 1 5 — 0 0 2 3 8 * •� 2750 KELLEY PARKWAY DATE ISSUED: 02/26/2015 - ORONO, MN 55356- (952) 249-4600 FAX: 952) 249-4616 ADDRESS : 113 CHEVY CHASE DR PIN : 36-118-23-41-0012 LEGAL DESC : HILL O'WAY MANOR : LOT 007 BLOCK 001 PERMIT TYPE : PLUMBING(<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTIOIv TYPE : WATER HEATER APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 STATE SURCHARGE PLBG(<$500) 5.00 WELD& SONS PLUMBING CO INC. MAIL-IN FEE 2.00 3410 KILMER LANE N PLYMOUTH,MN 55441- TOTAL 22.00 (763)475-0296 Payment(s) CHECK 10003 22.00 OWNER JAMSA, JONATHAN& MARTHA 113 CHEVY CHASE DR WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only[he work described and does no[grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this[ype of work shall be compied with whether or not specified herein."Chis permi[will expire and become null and void if construction authorized is not commenced within l80 days of the date of issuance,or if construction is suspended for a period of 180 days at any[ime after work has commenced. The applicant is responsible for assuring all required inspec[ions are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. f ,� a : �_ ; C � �� 2 � ��i / Applicant Permitee Signature Date Issued Signature Date . FOR CITY USE 01LY , ,/r��r�, City of Orono / �y '� P.O.Box 66 Date Received: Permit# � � �1 2750 Kelley Parkway � Crystal Bay,MN 55323 Approved By: Amount$: � � (952)249-4600—Main � � � �-�` (952)249-4616—Fax 1'�'� c�i CITY OF ORONO-PLUMBING PERMIT �'��xF��z�`�� (All Commercial Permits Must be Approved by the Statc Prior to Ciry Approval) � htt :/hv��v.dli.mn.�ov/CCLD/PDF/ e lumb lanre��a . df 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 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 permit must be obtained. 5. All wark 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 1 �Residential ❑Commercial(Approval Required) ❑ New ❑Additional ❑Repairs �Replace ❑ In Accessory Structure? *You will need prior approval and may need CUP.(Per Orono City Code,Chapter 78,Article N) Job Site/Owner Information: Site Address: f�,T��e��S� �1`- Owner: �,J �w.w�.Sa� Mailing Address: //�3 (in�✓y �-� D1- City: O r"o►� O Zip: �5.39/ Home Phone: yS�- a �o - o ��-6 Alternate Phone: Contractor Information: Contractor: �JPi�� Se,�s p�uN+b;,�Contact Person: Ti'� Address: �3 y/O �%��e�r- �a..rP N State Bond#: M13 Oo 33/S City: p�Y ruov 1� Zip:,SS�/'//Expiration Date: _�-26 -/� Phone: �3• YX'S`•oLgG Alternate Phone: ❑ Insurance-Current: 1 PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT ls� 2"�° OTHER FIXTURE BSMT 1ST 2''�D OT�IER 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 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;excluding 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 $ 22.00 (Permit Fees Continued On Next Page) 2 PERMIT FEE CALCULATION S -JOBS OVER$500.00 If above does not apply; follow guidelines below: l. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) x.0125 $ (contract price) (minimum$50.00) 2. STATE SURCHARGE x.0005 $ (contract price) 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 f'or the permitted work incliiding 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. PLUMBING PERMIT APPLICATION AGREEMENT 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 Signature: ' Date: Z �Z�/,.$� 3 ✓�� DATE TIME � CITY OF ORONO CALLED IN �-o�--�S INSPECTION N ��G�� SCHEDULED —9!S ��"� PERMIT NO. COMPLETED ADDRESS �� ,�l GC%-P OWNER LEPHONE NC►I.�� a7� D�� CONTRACTOR N � DESCRIPTION _-�/�,��'i�L ` W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT J FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � a � f EG��-�c. G�s� �ie�� r��D� �� t_ � - ��fZ va/r.r� ` C'� o / �. � ' l��eGT"r � �G '' !''e—Go it/�G>�Z � 0 � W � Q � 2 W �i�Y'� C'v mrI>l��-P 4S G',y,��✓S a� r-- j �v-i o�'�s ��.� d � ❑WORKSATISFACTORY:PROCEED '�@OJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN iNSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca for the next inspection 2/4� hours in advance. (g52) 249-460� OwnerlC ctor on site: �l-�n�'�- ��iYlSG Inspector. �� ►�-J � White Copyllnspector's File Canary CopylSite Notice