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Home My WebLink About2013-00749 - water heater ! CITY OF ORONO * Z 0 1 3 — PJ 0 7 4 9 * ` 2750 KELLEY PARKWAY �ATE �ssuEu: 07/3U2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1755 CONCORDIA ST PIN : 17-117-23-22-0018 LEGAL DESC : COFFEES ADDN TO SHADY WOOD LAK : LOT 012 BLOCK 000 PERMIT TYPE : PLUMBING(> $500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WATER HEATER VALUATION OF PLUME3ING 2850 APPLICANT PLUMBING FIXTURE FEE 50.00 PRONTO HEATING& AC STATE SURCHARGE PLBG(VALUATION) 1.43 7588 WASHINGTON AVE S EDEN PRAIRIE, MN 55346- MAIL-IN FEE 2.00 (952) 835-7777 TOTAL 53.43 OWNER KOHRS, DOUGLAS 1755 CONCORDIA ST WAYZATA, MN 55391 AGREEMENT AND SWORN STATEMENT The��ork for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does no[grant permission for addi[ional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.�Chis permit will expire and become null and void it�cons[ruction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections aze requested in conformance with jhc State[3uilding Code."1'his permit may be revoked at any time for due cause. ��'�'t-�� ' / / l l Applicant Permitee Signature Date Issued By S�� ature - aYe SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. � FOR CITY USE ONLY ��A rO City of Orono / �y � P.O.Box 66 Datc Rcccivcd: Pcrmit# / 2750 Kelley Parkway � � Crystal Bay,MN 55323 Approved By: Amount$: (952)249-4600—Main ^ � (952)249-4616—Fax Fy`� � CITY OF OROlvO— PLUMBING PERMIT ��Ktstto��" (All Commercial Permits Must be Approved by the State Prior to City Approval) htt�:!/��.dli.mn.�fo��/CCLD/PDF/ e lumb lanrcva . 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 rehirn mail after a review is completed. PERMITS ARE NOT VAL[D UNTIL YOU RECEIVE A PERM[T. 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 �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 IV) Job Site/Owner Information: Site Address: �� Cb v�C O�o�.�.-� S� Owner:C a'"°�-`�'n �b �'r S Mailing Address: r7Ss �o✓LCo�� S�. City: �i�(.7✓L O Zip: SS�� ( Home Phone: �S2-��6 �� Alternate Phone: Contractor Information: Contractor: ��U✓l� �a,'� Contact Person: w A� �GL W� , t�� `-f 3q 6 Address: �S�S�tS QJ c � � State Bond#: �' City: � Zip�� Expiration Date: `� �� Phone: clS�'(7�S`�� Alternate Phone: ❑ Insurance-Current: �� 1 PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT 15� 2�'D OTHER F[XTURE BSMT lsT 2ND OTHER 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 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 $ (Permit Fees Continued On Next Page) 2 PERMIT FEE CALCULATION(S)—JOBS OVER $500.00 [f above does uot apply;follow guidelines below: l. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) � �� x .0125 $ � SO • �O (contract price) (mini�num$50.00) 2. STATE SURCHARGE � Z �� x.0005 $ ` � � (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 5 �" �-t 3 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 c�istomer 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 Ciry and the regulations of the State of Minnesota, and certifies that all statemeuts made on this application are complete, true and correct. Applicant's Signature: Date: � 2'� ` �� 3 ( �� /I DATE TIME � j CITY OF ORONOZO(3.� �7'7 1 CALLED IN 7 �v—�S t �'"1� INSPECTIO CHEDULED _`�� PERMIT NO. MPLEfED ADDRESS �� `��a' OWNER TELEPHONE NO. f�� CONTRACTOR r � DESCRIPTION s � � tti ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVEfLANDS � Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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 J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q � 2 W � W � j GW ❑WORKSATISFACTORY:PROCEED ROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ I UE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORE CdVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hou in advance. 9 9-4600 OwnedContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice `'�I�— �D/ �� '� ` DATE TIME � CITY OF ORONO CALLED IN �'Z� INSPECTION NOTICE SCHEDULED 4-�D-�3 . D PERMIT NO.��13��7-S� connP�Ere�, ADDRESS �75J� ��Z�CQ s�` OWNER � T LEPHONE NO. ��lZ 8�3.s 7777 CONTRACTOR � DESCRIPTION ��C1Q.C�� "`�'�r``^�=� � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING y ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS O FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION 0 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 v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O �. � O � W � Q � 2 W � W � J d W� O WORK SATISFACTORY:PROCEED �R�OJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952) 249-46�0 OwnerlContractor on site: Inspector. � � White Copyltnspector's File Canary CopylSite Notice DATE TIME�/ CITY OF ORONO CALLED IN INSPECTION NOTICE / SCHEDULED PERMIT NO.�O13 '�U��T� COMPLETED d'� ADDRESS f 7SS �'pK�a��4 ��r OWNER TELEPHONE NO. CONTRACTOR �/"6rt L`a fi� . � � � DESCRIPTION �'�r /��'/ R ��e+�e.s'�� ❑ FOOTING (�,�I'LUMBING FINAL ❑ EXCAV/GRADING/FILLING y ❑ POURED WALL ❑�CHANICAL RI ❑ LAKESHORFJWEfLANDS O ❑ FRAMING ❑ MECHANICAL FINAL p 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 � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTFiACTOR TO MEET YOU:_YES_NO � COMMENTS: a 0-B/f+�e-� /�el�er t4.1c.0 �C G4// �ar olt �ivr�G irl S��io� �. � 0 W _ �,D piLe !'Iowt� - � Q �' ��c 4,s e G�c�( D�v�cc� G�l� �i 4 !l t S�r��Q W —T • . • � _�t �lK�/s 1 nS�eC�i�b i..- �b( 1,v47ie.. lrQ te✓ /Z-+o% � LU 1��1..v /b d�r � - d W� ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR �ECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in a ance. (JSZ) 249-46� OwnerlConVactor on site: Inspector_Q� w CT-X�- � White Copyllnspector's File Canary CopylSite Notice