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Home My WebLink About2013-00020 - water heater � CITYOFORONO * 2013 - 000z0 * 2750 KELLEY PARKWAY DATE ISSUED: OU09/2013 � ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 110 CHEVY CHASE DR PIN : 36-118-23-41-0046 LEGAL DESC : HILL O'WAY MANOR : LOT 012 BLOCK 002 PERMIT TYPE : PLUMBING (>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WATER HEATER VALUATION OF PLUMBING 1500 APPLICANT PLUMBING FIXTURE FEE 50.00 BENJAMIN FRANKLIN PLUMBING STATE SURCHARGE PLBG (VALUATION) 0.75 1424 3RD STREET N MINNEAPOL[S, MN 55411- MAIL-IN FEE 2.00 (763)755-6468 TOTAL 52.75 OWNER HIGGINS, KENNETH& LAURA 110 CHEVY CHASE DR WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall bc performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. AIl provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring dil required inspections are requested in conformance with the S[ate Building Code.This permit may be revoked at any time for due caut�. `�Z� `�' / / / / Applicant Permitee Signature Date Issued B ignature e SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A VE. . � C _��--� ��=-� -�� - �� ` FOR CITY USE ONLY -�� City of Orono �/'j��` � � � P.O.Box 66 Date Received: Permit# ��;, �°� 2750 Kelley Parkway �� '� i�� Crystal Bay,MN 55323 Approved By Amount$: � ��aE�a�r��+�� (952)249-4600—Main ��/'r (952)249-4616—Fa�c CITY OF ORONO - PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) htf�:/1rvr��.cili.mn.�ovICCLD/PDFI e l�aant� lanriva . 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 RECENE 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 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 Al l That A I ) �Residential ❑Commercial(Approval Required) ❑New ❑ Additional ❑ Repairs ❑ Replace ❑ In Accessory Structure? *You will need urior aaproval and may need CUP.(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: � -� �•, Site Address: � 1�' ��;��'V�� t `f��-_._�� 1 r� `�� Owner: �(�1�� (� ��-��i i'-1� Mailing Address: �1�� C_�(�1�� C.� ��' �r. , ��. c�ty: � � r�;r1C'� z�p: �`-�� j� Home Phone �"`�1k�'�-�}��- ��-� j` I Alternate Phone: ��I,�-`Z��- �-,��j� Contractor Information: Contractor: �� `.�� 2��]"'��ontact Person: ,�� _��r'( � Address: 1�;�� `>t ��; State Bond #: � �j�} J_� �tL�-� (�� City: �`� Zip:`�S� � Expiration Date: 1��)��i��`� � Phone: �-1�:�-�� `�X�-1:� Alternate Phone: ��%'�C�� }�;L:> ❑ Insurance—Current: ��,�-`j �[��'ij 1 . PLUMBING FIXTURES BEING iNSTALLED' FIXTURE BSMT 1 r 2ND OTHER FIXTURE BSMT 1'T 2�'D OTE�R 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 CALCULAT[ON(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: l. Does not require modification to electrical or gas service. 2. Has a toial 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 � �� PERMIT FEE CALGULATIQN(S)-JOBS QVER$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) � � —�t�C > x.0125 $ �7��7 L�� (contract price) (minimum$50.00) 2. STATE SURCHARGE � ` ��<"`C� ' 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 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. [f 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 PERMTT 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. �-, � ; �t/ Applicant's Signature: - V Date: `�� ;;{, Reset Form /� , ;� 3 C � �� `�� //D�}T� TIME / CITY OF ORONO CALLED IN �� INSPECTION NO I /`� J SCHEDULED -��--� `, 0� PERMIT NO. �� "��"� COMPLETED ADDRESS �� ._��>L � �- OWNER �- �� //I�TEL PHONE /�- Od� �� CONTRACTOR �-�-i't � i >; DESCRIPTION � � �Lt`��` � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL ING RI ❑ SEP I FINAL ❑ FOUNDATION/REMOVAL O OWNERIC NTRACTOR TO MEET YOU: YES_NO v, COMMENTS: � W a � J O >. � O � W � Q � Z W � W � j � ❑WORK SATISFACTORY:PROCEED �ROJECT COMPLETE W ❑COflRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 forthe next inspection 24 hours in advance. (952� 249-46�� OwnerlContractor on site: Inspector. � White Copyllnspector's File Canary Copy/Site Notice