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Home My WebLink About2010-00973 - water heater ' CITY OF ORONO PEaM�T No.: 2oio-oo9�3 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 10/1U2010 ' 952 249-4600 FAX: 952 249-4616 ADDRESS : 248 CYGNET PL PIN : 04-117-23-23-0017 LEGAL DESC : SWAN LAKE ADDN : LOT 008 BLOCK 003 PERMIT TYPE : PLUMBING (>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WATER HEATER VALUATION OF PLUMBING 1 APPLICANT PLUMBING FIXTURE FEE 50.00 PRACTICAL SYSTEMS STATE SURCHARGE PLBG (VALUATION) 5.00 4342 B SHADY OAK RD HOPKINS, MN 55343 TOTAL 55.00 (952)933-I 868 OWNER MOL[N, DEAN � 248 CYGNET PL LONG LAKE, MN 55356 AGREEMENT AND SWORN STATEMENT The work for which this permit is issucd shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permi[s. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specitied herein.'I�his permit will expire and become null and void if construction authorized is not commenced within I 80 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. I he applicant is responsible for assuring all required inspections are requested in co formance with the State Building Code.This permit may be ) r- �ed at ry tii e fo uc cause. �� ,�.�_ � C�� 1 lCt�7 � �C� �� Applicant Pennitee Signaturc Date � Issued By g ture Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. • . �� . kOR CI"I'Y USE ONLY p City of Orono h �� p.p.�3��(,(, Datc Kecc:ivcd: Pcrmit# ; �` 1:. � " 27�0 Kcllcy P�rk��ay � t � �� Crystal Bay,MN 55323 Appro�cd By: Amount$:_ ��i� �,G�� (952)249-4600 ,�altsxo�'' CITY OF OROVO—PLUMBING PERMIT (All Commcrcial Pcrmit.mu;t hc approvcd by thc Building Ofticial or In,pac[or) GENERAL INFORMATiON I. You may apply for plumbing pennits by mail or in person at the City offices. Applications will be reviewed and a pennit will be issued within two workinb days. 2. Permit cards will be sent by return i�iail after a rcview is completed. PERMITS ARE NOT VALID UNTIL YOU REGEIVF:'� PERMIT. WORK MUST NOT BFGIN UNTIL THF PERMIT CARD IS POSTED O\ THF.JOB SITE. 3. Plumbin�;pennits may be issueJ ONLY to licensed plumbing contractors and to property owners residing in the dwelling. 4. When any new construction or rrmodeling is involved,a separate building permit must be obtained. 5. All work musi be done in accord.mi�e with State Code requirements. 6. All work must be inspected and��ir tzsted before it is covered. Call(952)249-4600. (24-48 hour notice required) Tl�'PE OF PERMIT (Check All That Apply) �■ Residential ❑Commercial(��pproval Required) ❑ New ❑Additional ❑ Repairs � Replace ❑ In Accessory 5tructure'? *Y'ou will need prior approval anil may need CUP.(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Infot-mation: s��e aadr�ss: 248 Cygnet Place Owner: �ean MO�In _ Mailing Address: Same City: Long Lake Zlp: 55356 Home Phone: �952� 473-7456 Alternate Phone: Contractor Infonnation: Contractor: Practical Systems Contact Person: `�Oann 4342B Shady Oak Rd �� j�b �+Q ��'� Address: _ State Bond#: ul �.� H� kins 55343 r ,, City: p Zip:_____ Expiration Date: v, � � Phone: (952) 933-1868 Alternate Phone: ❑ Insurance —Curt�cnt: � � � 1 PLUMBING FI;XTURES BEING INSTALLED FIXTURE BSMT 1' ' 2"" c)TF�ER FIXTUR[: BSMT 1' ' 2"` 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 PERMI�F' FEE CALCULATION(S) BASED Of�f' -2002 STATE STATUE f �� Yes,this section applies .� � � c� � The replacement of a Residential fixture or uppliance that meets all three of the followinb requirements: LJ� �� / I. Does not require modificati��n to electrical or gas service. 2. I Ias a total cost of$500.00 or I��;s;excludin�the cost of the tixture or appliance:and 3. Is improved, installed or replaced by the homeowner or licensed contractor. Skip next section, if this applies; Cost of Permit � 15.00 State Surcharge 3 5.00 Mail-In Fee(If Applicable) � 2.00 Total Permit Fee $�• G'V (Permit Fees Continued On NexC Pa�e) 2 PERMIT FEE C'ALCL�LATION(S)-JOBS OVER $50O.00 If above does not apply;follow guidclin€s be,low: 1. CONTRACT PRICE * is L"'�%of contract price with a(Minimum Fee of$50.00) x.012�S (contract pricc) (rninimum$�0.00) 2. STATE SURCIiARGF, ** Add the State Bldg Code Div. Surcharge(�linimum Fce oi$5.00) -- ---_ -- x .0005 S- _---------- (contractpricc) (minimum$ �.00) 3. POSTAGE&HANDLING IOnI}- on Mail-In Applications} �_ Z.00 4. TOTAL PERMIT FEF,l�d� i.iiies 1-3 Above) $ ■ * CONTRACT PR10E or JOB CUST ineans the actual or estimated dollar amuunt charged tor the permitted work including materials, labnr, profit, and other fixed costs. It is the atnount to be cl�arged to the customer for the work done. If any material, equipment, labor or installatiuns are furnished by the owner, tanant or any other ��>arty, thc reasonable market value c�P such items must be added to the estimated cost or contract pricc for E�armit fee purposes. In the event that ihc',r� is a dispute on the amount of the job cost, the City may request the submission of a signed copy �t the actual contract. ■ **The STATE SURCHARGE is .OUO� 1�f the contract price under$I,OOQ000 or ti5.00—whichever is greater. For valuations over�1.0OO,011lt call the Building Department at(952)249-4600 for the price. 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 lhe ordii�ances of the City and the regulations of the State of Minnesota, and certities that all statements made on this application ar�- complete, true and correct. � 10/8/10 Applicant's Signature: Date: � Reset Form 3 � r � ,�— DATE TIME ✓ CITY OF ORONO CALLED IN �� D INSPECTION NOTIC��1�7� SCHEDULED � /(� �� PERMIT NO. �io-�97_3 co LETED ADDRESS � �� OWNER TE E ONE NO��-��`'-S� CONTRACTOR � C >; DESCRIPTION -�`'� "`�'�Z'� `�' `��f1'�-lt-f' � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING O MECHANICAL FINAL Q ❑ 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 J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNERIC RACTOR TO MEET YOU:�YES_NO � COMMENTS: � W a � J � �� i � �� f�z� � � �-S � �� S ,�� r-��C�SS W � Q � Z W � W � � d W� ❑WORKSATISFACTORY:PROCEED �ROJECTCOMPLETE W ❑CORRECT WORK&PROCEED J ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITNIN HOURS. Cj pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR '� CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. �952� 249-46QQ OwnerlContractor on site: Inspector. _ White Copyllnspector's Fite Canary CopylSite Notice DATE TI CITY OF ORONO CALLED IN INSPECTION NO C ,.� scHE�u�E� �y�.�:_�;L;�� PERMIT NO. " C9MPLETED � � ADDRESS C OWNER LEPHONE NO. CONTRACTOR _ �`� � �� DESCRIPTION -� ty ❑ FOOTING ❑ DE O-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ LUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF PLUMBING FINAL ❑ TREE REMOVAL � RADON SLAB CHANICAL RI Z ❑ ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP �4 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL Z � ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO v�i COMMENTS: � W C � J O � � O � W � Q � 2 W � w � � J a W ❑WORK SATISFACTORY:PROCEED JECT COMPLEfE � ❑CORRECT WORK 8 PROCEED I UE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PEAMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDEH POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 2a h urs in advance. (95 �9-46�0 OwnerlContractor on site: Inspector. White Copyllnspector's Ffle Canary CopylSite Notice