HomeMy WebLinkAbout2016-00260 - water heater . �
CITY OF ORONO * 2 PJ 1 6 - 0 0 2 6 0 *
2750 KELLEY PARKWAY DATE ISSUED: 03/2U2016
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 440 BROWN RD S
PIN : 03-117-23-42-0012
LEGAL DESC : STRONGHOLD
: LOT 003 BLOCK 001
PERMIT TYPE : PLUMBING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WATER HEATER
NOTE: WATER HEATER REPLACEMENT
VALUATION OF PLUMBING 2600
APPLICANT PLUMBING FIXTURE FEE 50.00
STATE SURCHARGE PLBG(VALUATION) 130
BENJAMIN FRANKLIN PLUMBING MA[L-IN FEE 2.00
5718 INTERNATIONAL PKWY
NEW HOPE,MN 55428- TOTAL 53.30
(612)238-9709 Payment(s)
Minnesota State License#: plbg-PC643703,mech-MB004722 CREDIT CARD O l69 53.30
OWNER
MOYER,JOSEPH&MARILYN
440 BROWN RD S
WAYZATA, MN 55391-
AGREEMENT AIYD SWORN STATEMENT
The work for which this permit is issued shall be performed according ro
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 rype 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 wi[hin 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time afrer work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
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Applicant Permitee Signature Date [ssued Signature Date
03/18/2016 FRI 18: 52 FAX 612 $22 5a08 A1' b MdAter Plumbimg �002/007
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Grysinl B�y,MN 55323 Approvpd By: Amvun[$: �
(952)249�60�—Moin �
� �. (952)249�616—Fax
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���'�k£S No��"L (All Commercial permits lvlust bc Approved by the State Prior to Ciry Approval)
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'G�NE�2AL II`FORMATTON
1. You may apply for plumbing permits by mail or in person at tl�e City offices. Applications will bc
� reviewed aad a permit will be issued within two working days.
2. Permit cards will be sent by return mail a�er a review is completed. PT�M�TS A�E NOT
VALID UNTIL YOU RECEIVE A PERMtT. WORK MIJST NOT RF.GiN U7VTIL THE
PER:ViIT CARD i5 POSTFD ON TiiE,TQB SITF.
3. Plumbing permits may be issued O'�`LY to licensed plwnbing contractors and co property ovmers
residing in the dwelling.
4. When any�new construction or remodeling is involved,a separate building permit must be
I obtained.
5. All work must be done in accordance with State Code requirements.
I6. AIl work must be inspected and air tested before it is covered. Call(952)249-4G00.
I (24-4$hour notice requiced)
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�sidcnli2l Q Commcrcial(Approval Rcquircd)
Q New Q Additiona] ❑Repairs �Ccplace
Q In Acccssory Structurcl
� *You will need ariur�uaroval and may need CUP.(Per Orono City Code,Chaptcr 78,Article IV)
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�Site Address: "1� Q �d�� � � �
Owner. � Q'�Mailing Address� ��� ____ ',
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c�ry: _ ��S 0�b z�p�
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Z�oane Phone� ��� d�r�� -J � � � Alternate Phone: � I�
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��Ga`ni�a����5r'�Inf�nti.tii6n: ����+�?;`l�i��i��xli,� Gr`�'� ����i;�4����i�'��i'�
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Contractor:p�A�„; „ ,�,,,., r ro,v��t I I ir. Contact Person:
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1lddress: � � State Bond#: � �"�� D �
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CiLy: , 1�_ Zip:_�� Expirahon Date: ,�
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Phone: C�I�-`��� '��c��( Altemate Phone�
[� Tnsurance�-Current: � 1 }� ` ��� n�
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�3/1$/2016 FRI 18: 59 FAX 612 8ZZ 5a08 A1' b Mabtpr Plumbimg �003/407
A V ,lWr(�'v ��1��}�M � �M ,f�� 6� A u. �1] �Im I
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FIXTLRE BSMT 1 2 0�'I��R FIXTliRE $SMT 1 i 2 OT�-I�R
�� TYPE FL FL TYPE FL FL
Water Closet Floor Drains ,
I I,avatory Sewer Ejector
Sathtub Laundry Tray
Shower Washtr
ZCitchen Sink � ter I-Iea[er
' Disposal en r
�i Dishwasl�er Wct Bar
I Silicocks Miseel neous
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❑ Yes.lhis sCCtion applics
The rcplaccmcnt of only one Resideiitial ture r a lia t}aat meets all tlu'ee of the followin�
requircmcnts;
1. Docs not rcquire mndification tp�c �cal or ga�service.
2. Has a total cost of$500.00 or .s;excl ' the cos�of th.e fixture or appliance:and
3. k improved,installed or re ced by�he ho owner or licensed plumbing coniractor.
Skip�aext section,if s applies; Cos�of P it � 15.00
State Surcha $ ,5,00
iVlail-In Fec(!f licablc) $ 2.U0 i
Tot:ll Permit Fee $
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(Permit Fees Conrinued On Next Puge) !
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, ,03/1$/2016 FRI 18: 53 FAX 612 $22 5a08 Al' b MAAt�r Plumbimg �004/007
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� ,� '; ,�E$�:��',.A'L��, ` :�S;��IJ;O ' ;r�0..r R�: '.f�r d ,M�iyi tp�.�'���+� ��f„�
'� Ifabove does not apply;follow guidelines below:
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1. CO�i�'�2A,C"�'��2�C�; *is 1.25%of contract pricc with a(Minimum Fee of$50.00)
�.a UC� x.oi2s� �Jl��nr,in
(conlrnct price) (minlmum$SO.DO)
2. STATF.SLJRCiiARCr �/ /n�
li� _ �� r i x.0005 � y � �L�
I (concracc pricc)
I� 3. POSTAGE&HANDLiNG(pnly on Mail-In Applications)
4. '�O'�A.�.P�RMTT T'��(Add T,ines 1-3 Above) $ � � , ,J�
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■ R CONTRACT P�tZCE or JOB COST means the actual or estima�ed dollar amount charged for the
�� pern�itted work including materials.labor,profit,and other fixed costs. Tt is�he amount�o be charged
� to the customer for tl�e work done. If any material, equipmen�, Ittbor or inslsllalions are fumishetl by
the owne�•,tenant or any other party,the reasonable marke�v�lue of such i�ems must be added to the
estimated cost or eontrael priee for p�mit fee pwposcs. In thc cvcnt that thcrc is a disputc on thc
� amount of the job eost.the City mfly request the subm;ssion of� signcd copy of thc actual contract.
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The tuidersigned hereby applics to thc City �or issuance of a Plumbing Pernut, agrees to do all
� work in strict Aecordanee with the orclinane�s of �he City and che regulations of thc Statc of
Minncsota, and certifies that all statements made on this application are eomplete, true and
correct.
[lpplicant's Signat�ire: Date� / � U /��
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