HomeMy WebLinkAbout2013-00460 - water heater CITYOFORONO * z0 1 � — PJ0460 *
. 2750 KELLEY PARKWAY DATE ISSUED: 06/10/2013
, ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1400 BRACKETTS POINT RD
PIN : 11-117-23-32-0020
LEGAL DESC : RGT ORONO POINT
: LOT 000 BLOCK 000
PERMIT TYPE : PLUMBING (<$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WATER HEATER
NOTE: FOR 1420 BRnCKE'I'"I'S PT RD
APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00
CHAMPION PLUMBING LLC STATE SURCHARGE PLBG(<$500) 5.00
3670 DODD ROAD- SUITE 100
EAGAN, MN 55123- MAIL-IN FEE 2.00
�� TOTAL 22.00
OWNER
JUNDT, JAMES & MARY
P.O. BOX 1
CRYSTAL BAY, MN 55323-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed accordine to
the approved plans and specifications,applicable City approvals,and the
State Building Code. "this permi[is for only thc 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 penni[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.
l�he applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.'l�his permit may be
revoked at any time for due caus�.
.._Y r"�—— " �� l l l l
Applicant Permitee Signature Date Issued By � nature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED OVE.
- PLUMBII�T�FIXTURES�EIN�INSTALLEI) ' ;
FIXTURE BSMT 1 2�D OTHER FIXTURE BSMT ls 2 OTHER
TYPE FL FL Tl'PE FL FL
Water Closet Floor Drains
Lavatory Sewer Ejector
Bathtub Laundry Tray
Shower W asher
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Miscellaneous
PERMIT FEE CALCULATI07�T(S) "
BASEI�OFF-200� STATE STAT`UE, .
� Yes,this section applies
The replacement of ar6y one Residential fta�ture or a�pliance that meets a11 three of the following
requirements:
l. Does not require modification to electrical or gas service.
2. Has a tota] cost of$500.00 or less;excludin�the cost of the fixture or appliance:and
3. Is improved,insta}led or replaced by the homeowner or licensed plumbing contractor.
Skip neat section,ifthis applies; Cost of Permit $ 15.00
State Surcharge $ 5.00
Mail-Tn Fee(If Applicable) $ 2.00
'T'ot�l Permit�'ee ���
(1°er�eit�ees Cooztinued �n T��est�'��e)
2
e
� FOR CITY USE pNLY
,��„(�A'_ �tty O�Q'CO3t0
�t{ P.O.Bo�66
o Date Received: Pennit#
2750 Kel ley Parkway
`: �+}' �: Ci�-stal Ba_y.MN 55323
';�s` �tio` (952)2�9-4600–Main APProved By: Amount$:
xxxo:=" (9�'_)?49-�1616–Fax
���� �'� �'�'��T� — ���1���� �'������
(All Commercial Permits I�a�st be Approvec� by tE�e�tate Prior to City Approval)
,. /Jt�'er<:.:'i�.C:t.�t?V�L�`.ki/i���';�?. E3�Eef::Ei7��ni5'Gt':i�S �;f..
GENERAL INFORMATION � �.. �€
1. You ma}�ap}�ly for plumbing pennits by mail or in person at the City offices. Applications will be
revie��ed and a permit wi]]be issued within two working days.
2. Pe�7nit cards will be sent by return mail after a review is completed. PERMTTS ARE NOT
VAL1D IINTIL YOU RECEIVE A PERMIT. �'Q�R�14�JS"F RrC3�����1 L�Tl°d'�'IIF.,Tt��
�°ERNftT C,4.R1D�S��S"�'�II�Q�i"F'F1�.F�B SYT'E.
3. Plumbing pern�its may be issued ONLY to]icensed plumbing contractors and to property owners
,-esid;ng ir t;;e dwell;ng.
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 wa�k must be inspected and air tested before it is covered. Call(952)249-4600.
(24-48 hour nor�ce reqr�irec3)
TYPE OF PERMIT
Check All That A ly)
�Residential ❑ Commercial(Approval Required)
���e1'° ❑Additional
❑Repairs � Replace
❑ In Accessory Structure? '
*You will need prior anbrovai and may need CUP.(Per Orono City Code,Chapter 78,Article IV)
Job Site/0��-ner lnformation:
Site Address: -����-�I��� �� �- .� � ' (�y b�
'� /� �
Owner: V" l () �, Mailing Address:
City: Zip: cJ
. Home Phone: - � 05 Alternate Phone:
Contractor Information:
� ` � ��is
Contractor: ��¢ t Person:
Address: � 'Sta Bond#:
City: Zip:�IL�fipiration Date:
Phone: �� � Alternate Phone:
❑ Insurance-Current:
1
`�f�"l-J
• �
PERMIT FEE�AL�ULATIaN S :=JOB� O��ER $�00.00
If above does not app]y;follow guidelines below:
1• ��1�''F�'�,C�'PIRF�� '�is 1.25%of contract price with a(l�di�icnuan�'ee of�SQ.dQ�)
x.0125 $
(contract price) (minimum�50.00)
2. S�'aT�S�JFZ.CT�R.I�2�lE __.... ,�,� .,..
x.0005 $
(contract price)
3. PQS7'AGE&HANDLING(Only on Mail-In Applications) $ 2.00
¢• �a�f`=�����'�'�'��(Add Lines 1-3 Above) �
° * CONTRACT PRiCE or JOB COST means the actual or estimated dollar amount charged for the
permitted worl: including materials, labor,profit, and oiher fv;ed costs. It is the amount to be charged
to the custorner for the work done. If any material, equipment, ]abor 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 conti-act 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 si�ed copy of the actual contract.
° *''The ST.ATE SURCHARGE is .0005 of the contract price under$],000,000 or$5.00—whichever is
greater. For valuations over$1,000,000 call the Buildin�Department at(952)249-4600 for the price.
PLUIvIBII�G PERIvIIT Al'PLICATIO�T AGREEI�ENT
The undersig�led hereby applies to the Gity for issuance of a Plumbing Permit, agrees to do all
work in strici 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 Si�nattu•e: � �C��'o`�" Date: �� �' 1 �
[����� Emc� '.
3
TE TIME �
CITY OF ORONO CALLED IN 7"�
INSPECTION NOTICE SCHEDULED � --L,D •�
PERMIT NO.���3-��`f�� COMPLETED
ADDRESS �y� �h���� � � `" ���'K�uS L�
OWNER TELEPHONE NO. 4�2 -2�2- Z��S
CONTRACTOR �-"���x�� �P-C°�`a'�"�
! /�Q.�C
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�; DESCRIPTION ��� C �� `"'�
�
� ❑ FOOTING ❑ PLU BING FINAL ❑ EXCAV/GR ING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
O ❑ 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
i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� ❑WORK SATISFACTORY:PROCEED �OJECT COMPLETE
W ❑CORRECT WORK&PROCEED r. ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-4600
OwnerlContractor on site:
Inspector. ,,et,
White Copyllnspector's File Canary CopylSite Notice
� � / �� TIME v
CITY OF ORONO CALLED IN �—�
INSPECTION TICE SCHEDULED 7��/3 ��D
PERMIT NO. �� OMPLETED
ADDRESS �
OWNER T.ELEPH NO.�Z�'a�l/�'a��
CONTRACTOR `����
�; DESCRIPTION CU �2,(!L� — V
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRAD L
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
O ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q O RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL O SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
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� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 2a hours in advance. (g52) 249-4600
OwnerlContractor on site:
Inspector.
White Copyflnspector's File Canary CopylSite Notice
DATE , TIME
CITY OF ORONO CALLED IN ���'� -�'`�
INSPECTION NOTICE SCHEDULED '7 '��' �� . 3�'
PERMIT NO. � ���' COMPLETED �_ �
ADDRESS i `f�U ����-��-�'-�' ��
OWNER ��C.•2 �� CONTR. �"/�t.�.a,:.-�C-=- C�=-1�2-%z-t�
TELEPHONE NO. �" ��' �'3 �`�
� DESCRIPTION / �� -��a�.2-E-e�"
lU Ot FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
Q 03 INSULATION 24/25 WOOD BURNE FIREPLACE ' 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMEN��
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� �CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. — pHOTO TAKEN
INSPEC'fOR WILL RETURN
CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the ins c ion 24 hours in advance.473-73�J7
OwnerlContra or 'te:
Inspector.
`�
White Copylinspector's File Canary CopylSite Notice
✓
DATE TIME
CITY OF ORONO CALLED IN � �`��
INSPECTION NO�ICE/ SCHEDULED ci�•' /" 3 O
PERMIT N0. / � COMPLETED �_ ��
ADDRESS � - ��'
OWNER ' 1����� CONTR.
TELEPHONE NO. L�i?,'� ": �'�C� �
� DESCRIPTION
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
O 03 INSULATION 24/25 WOOD BURNE IREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMEN�s: `
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W ❑WORKSATISFACTORY:PROCEED I� PROJECTCOMPLETE
� C CORRECT WORK&PROCEED �- ISSUE CERTIFICATE OF OCCUPANCY
W
O �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. �-, pHOTOTAKEN
INSPECTOR WILL RETURN
f CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the t in pection 24 hours in advance.473-73�J7
OwnerlContra o n sit :
Inspector.
White Copyllnspector's File Canary CopylSite Notice