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Home My WebLink About2008-P11993 - water heater PERMIT CITY. OF ORONO Permit Number: 2750.K�Iley Parkway- PO Box 66 P11993 Cry��tal Bay, Minnesota 55323 Permit Type: Fixtures (952) 249-4600 Date Issued: 4/22/2008 SITE ADDRESS: 2450 Countryside Dr Unit# Long Lake,MN 55356 PID: 04-117-23-11-0004 DESCRIPTION: Proposed Usc: Residential Permit Class: Plumbing Permit Type: Fixtures Permit Sub-type(s): Water Heater DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 15.00 valuation: $ 0.00 State Surcharge Fee: $ 0.50 Misc. Fee: $ 1.50 TOTAL FEE: $ 17.00 APPLICANT: Norblom Plumbing Co. OWNER: L Kretchman& S Grande 2905 Garfield Avenue S. 2450 Countryside Dr Minneapolis,MN 55408 Long Lake MN 55356 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. `i��tA-c� `�- APPLICANT PERMITGE SIG\ATURE SUED BY SIGNA'TURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 � ' FOR CITYUSE ONGY . r,i`"�`,��,` City of Orono I¢ `r '' P.O.Ciox 66 Date Received' Permit# �� ` 2750 Kelley Parkway ,a� ,t��, �`' Crystal Bay,MN 55323 ApprovedBy: Amount$: � ,�-��C� (952)249-4600 � �p�,o4; CITY OF ORONO-PLUMBING PERMIT (All Commercial permits must be approved by the Building Official or Inspector) 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. VVhen any r.e�v construction or remcdcl:r,g is invalved,a sepa:ata bui:ding penn;i musi 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 arior aaproval and may need CUP.(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: Site Address: � I� � � ��,r r, n,' c.; Owner:��-�`r�,(,I� K� �"�� Mailing Address: �j�� 1�.� J t�, c�r�: 1�I�Dt'16 zip: _�� Home Phone: �!'��y!��,�`�S Alternate Phone: Contractar Information: t 1,� Contractor: � r� 1� `� ��,�J)C tact Person: � Address:�C�L.� ��-�'��tG� �� J State Bond#: �1��i'�� City: ��S Zip: �.�� Expiration Date: ��T-� �JU Phone: � `� ,�� `1��-(�� Alternate Phone: ❑ Insurance-Cunent: 1 ` , PL:;TJMBINf'r"Fi��R�ES>BEINGII��I'A;F:�EI�,:;s�, �_-.; . ...�:;,..�:`... ; FIXTLJRE BSMT I 2' OTHER FIXTURE BSMT 1 2"D OTf�R TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector Bathroom Laundry Tray Shower W asher Kitchen Sink Water Heater � Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous PERMIT EEE C�LGL7LATIC�N(�} � `� ��u ��,� � - � . . `� .�- r . � t BA,SFEDF(J�F� Z�0'?"S 1'ATE �'I�`�,.�.UE' _ ��.. . y�� X �� v Yes,this section applies The replacement of a Residential fixture or appliance that meets all three ofthe 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 fiature or appiiance: and � 3. Is improved,installed or reptaced by the homeowner or licensed contractor. Skip ne�ct section,if this applies; Cost of Permit $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 1.50 Total Permit Fee $�� (Permit Fees ConNnued On Next Page) 2 ' ; PERMIT �EE CALCULATION(S)-JOBS OVER $500.00 lf above does not apply; follow guidelines below: l. CONTRACT PRICE �` is 1?5%of contract price with a(Vlinimum Fee of$35.00) x.0125 $ (contract price) (minimum�35.00) 3. ST�TE SURCHARGE "* Add the State Bldg Code Div. Surcharge(�tinimum Fee of�.50) x .0005 $ (contract price) (minimum$ .�0) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.�0 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �� "�� ■ * CONTR,ICT 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. ■ "* The STATE SURCHARGE is .0005 of the contract price under$1,000,000 or$.50—whichever is jreater. For valuations over$1,000,000 call the Building Department at(952)249-4600 for the price. PLUMBING PERMIT APPLICATION AGREEMENT The undersigned hereby appl� s to the City for issuance of a Plumbing Permit, agrees to do all work in strict accordance w' the ordinances of the City and the regulations oi the State of Minnesota, and cert' es 1 statements made on this application are complete, true and correct. . . . �� Applicant's Sign ture: Date: � / Reset Form -, � CJ ` A � TIME ✓ CITY OF ORONO CALLED IN �� INSPECTION NOTICE SCHEDULED �- :o� PERMIT NO.�//99`� COMPLETED ADDRESS a D �P � OWNERV�`L�--��GZrC�CO . /UDY��/l��'l.-/ TELEPHONE NO.____ /.52- ��S �� DESCRIPTION _ (T lL�l%l�'L-ul�'�g �(� ,�.(,p� � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GR FIL G Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHOR /WE LA y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q � Z W � W � � d W� ORK SATISFACTORY:PROCEED ROJECT COMPLETE W CORRECT WORK 8 PROCEED '- I UE CERTIFICATE OF OCCUPANCY 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED �STOP ORDER POSTED.CALL INSPECTOR C INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 2a hours in advance. (J52� 24J-46�� OwnerlContractor on site: Inspector. � � White Copyllnspector's File Canary Copy/Site Notice