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Home My WebLink About2012-00390 - water heater CITY OF ORONO * z 0 1 2 - 0 0 3 9 8 * 2750 KELLEY PARKWAY DATE ISSUED: OS/10/2012 ORONO, MN 55356- ` 952 249-4600 FAX: 952 249-4616 ADDRESS : 124 CHEVY CHASE DR PIN : 36-118-23-41-0039 LEGAL DESC : HILL O'WAY MANOR : LOT 005 BLOCK 002 PERMIT TYPE : PLUMBING (>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTIOIY TYPE : WATER HEATER VALUATION OF PLUMBING 1500 APPLICANT PLUMBING FIXTURE FEE 50.00 LEGACY MECH SERVICES STATE SURCHARGE PLBG(VALUAT[ON) 0.75 9714 WOODCREST CT MONT[CELLO, MN 55362- MAIL-IN FEE 6.25 (763)219-8978 TOTAL 57.00 OWNER HIGGINS, FORREST&JENNIFER 124 CHEVY CHASE DR WAYZATA, MN 55391- AGREEMEIVT AND SWORN STATEMENT The work for which this permit�s issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction au[horized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring al(required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. ` � / / / / Applicant Permitee Signature Date Issued By Sig a re 'Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBE BOVE. FOR C11'Y USE ONLY / `"��'` ` City of Orono /'O4 `rO�, P.O.Box 66 Date Received: Permit# � � `� 2750 Kelley Parkway �,�,� 'n�'x• �� Crystal Bay,MN 55323 Approved By: Amount$: :,t�;. � i �� ,,.,;.o%� (952)249-4600—Main \��sxq!�' (952)249-4616—Fax CITY OF ORONO — PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) hit �:;/��.�ili.mn.�=o��/C'(:I,I)/PD1�/ �c >liimb �lanrc��a > >. idf 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 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 1 ) �esidential ❑Commercial (Approval Required) ❑ New ❑ Additional ❑ Repairs �Replace ❑ In Accessory Structure? *You will need nrior aauroval and may need Cl!P.(Per Orono City Code,Chapter 78, Article IV) Job Site/Owner Information: S ite Address: ! Z�� 4'1 f'iU (/J �l/LCt. S� Owner�Z'.lrl�1 ( C� � � ' Y1 S Mailing Address: � 2� �-/`�e'l,� �Y�f�� City: Vr�hO Zip: �J `� �Gj � Home Phone: �`j Z —1 7 �J �J�� Alternate Phone: Contractor Information: Contractor: � � ��'GGI��`L1�l.��Contact Person: 1J��l�h 6�,��,�� ,�v�L�C'S Address: �'J ZI� W�D�C��Sf G-� State Bond #: pC��i�CJ Z� City: 1"wh��C��LU Zip:�3loLExpiration Date: i2'113 Phone: �� j/�-1�Z� Alternate Phone: ❑ Insurance—Current: 1 PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT I`�� `�> OT�HER FIX'I�URE BSMT l�� 2'D O�I'HER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower Washer Ftitchen Sink Water Heater � � i Disposal Water Softener Dishwasher Wet Bar Silicocks 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 �<�C/v l � (Permit Rees Continued On Next Page) 2 . PERMIT FEE CALCULATION(S)-JOBS OVER $500.00 If above does not apply;follow guidelines below: I. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) �i + `" � !1 Z � �� X .o�zs $ � �� -� , (contract price) (minimum 550.00) 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 for the permitted work including materials, labor, profit, and other fixed costs. [t is the amount to be charged to the customer fior 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 ll statements de on this application are complete, true and correct. � C �-ZJ G Applicant's Signature: -v < Date: ,� �-- , i Reset Form 3 (� �r � DAT TIME V CITY OF ORONO CALLED IN � J� INSPECTION N TICE SCHEDULED �'�v PERMIT NO. -� �D c P TED ADDRES ` OWNER TEI�EPHONE NO. �- �73'��D CONTR TOR Q � DESCRIPTION ��.(��,��C��/� l� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL � FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q � Z W � W � � d W� ❑WORK SATISFACTORY:PROCEED �iOJECT COMPLETE W ❑CORRECT WORK&PROCEED r ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL 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.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (95Z� 249-4600 Owner/Contractor on site: Inspector. ___- � White Copyllnspector's File Canary Copy/Site Notice