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Home My WebLink About2011-00135 - water heater CITY OF ORONO PERMIT NO.: 2011-00135 � 2750 KELLEY PARKWAY � ORONO, MN 55356- �ATE ►ssu�u: 02/28/2011 ' 952 249-4600 FAX: 952 249-4616 ADDRESS : 2860 DEER RUN TR PIN : 04-1 17-23-24-0014 LEGAL DESC : OLD CRYSTAL BAY ROAD ADDN : LOT 009 BLOCK 004 NERMIT TYPE : PLUMBING (<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WATER HEATER 4 � APPLICANT PLUMBING FIXTURE FEE(<$500) I5.00 NORBLOM PLUMBING CO. STATE SURCHARGE PLBG (<$500) 5.00 2905 GARFIELD AVENUE S. MINNEAPOLIS, MN 55408- MAIL-fN FEE 2.00 ( (612) 827-4033 MISC FEE 0.00 TOTAL 22.00 OWNER CUMMING, JOHN K 2860 DEER RUN TRAIL LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT Thc ti�ork for�vhich this permit is issued shall be performcd according to the approvcd plans and specitications,applicable City�approvals,and thc State Building Code. This permit is for only the work described and does not grant pennission Far additional or rclaled work which requires separate permits. All pro��isions ofla��s and ordinances govcrning this typc of�vork shall bc compicd witli�vhed�cr or not specified herein.This pennit will � expire and becomc null and void if construction authorized is not commenced within 180 days uf the date of issuancc.or if construction is �� suspended for a period ot�180 days at any time after�vork has commenced. Thc applicant is responsible for assuring all required inspections are requested in conformance��ith the State l3uilding Code.This permit may be revoked at any lime for due oause. �,�'�l�fiCit� (�,C� � � i�lYC.3��CJ / Applicant Permitee Signature Date Issued By,�gnature SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO FOR CITY USE ONLY _ . . • 0,��0 City of Orono P.O.Box 66 Date Received: Permit# �,";, 2750 Kelley Parkway a � �� Crystal Bay,MN 55323 Approved By: Amount$: '�` �'��r��o` (952)249-4600 8'BA�B CITY OF ORONO —PLUMBING PERMIT (All Commercial permits must be approved by[he Building Official or Inspector) GENERAL INFORMATION 1. You may apply for plumbing pernuts by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two working days. 2. Pemut cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK n7UST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Plumbing permits may be issued ONLY to licensed plumbinb contractors and to property owners residing in the dwelling. 4. When any new constructiou 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 Apply) � 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: �ohn Cumming 2860 Deer Run Trail Owner: Orono, MN 55356 Address: City: 9524739665 �_r. Home Phone: Alternate Phone: Contractor Information: Contractor: IV�r�(O�Y}� ��Lt,�� Contact Person: `��' Address: 2�� a'�'f1�G1 � SD, State Bond #: O�.Y� f GJ� � City: � �S ZipS�b� Expiration Date: � � �� ! Phone: f��2�$2'�� Alternate Phone: � � Insurance—Current: 1 PLUMBING FIXTURES°BElNG INSTALLED �� FIXTURE BSMT 1 2" OTHER FIXTtiRE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ej ector Bathtub Laundry Tray Shower Washer Kitchen Sink Water Heater ( Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous PERI�IIT FEE CALCULATION(S) : BASED OFF _200? STATE STATUE � ❑ Yes,this section applies The replacement of a Residential fixture or a plp iance that meets all three of the following requirements: 1. Does not require modification to elecri-ical or gas service. 2. Has a total cust of$50C.00 or less; excluriin�ine cost of the fixture 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 $ .50 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $�,� (Permit Fees Continued On Next Page) � ' � • _�', � �- PERIVIIT<FEE C,�I,CULATIQN(S)--JOBS OVER $500.00 , � If above does not apply; follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) x.0125$ (contract price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of�.50) x.0005 $ (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ • * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the pemutted work including materials, labor,profit, and other fixed costs. It is the amount to be charged to the customer for the work done. If any material, equipment, labor or installations are funiished 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 pemut 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 greater. For valuations over$1,000,000 call the Building Department at(952) 249-4600 for the price. :�,��a4��;., ,��R� :PLI7IVIBING.�PERIVIIT,AP�LICA�'I'ON'AGREEMENT ,��,��,E ; ��:� 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 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 Signature: Date: �" � ( �� 3 �� DAT TIME CITY OF ORONO CALLED IN � � INSPECTION OTICE SCHEDULED � � � PERMIT NO.�� COMPLETED ADDRESS �� -�'��rZ-� / � OWNER H NE NO.�Z� �� `3�'-� CONTRACTOR >; DESCRIPTION w�� '"'� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICALRI ❑ LAKESHORENVETLANDS 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 v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O � � O � W � Q � Z W � W � � � ❑WORK SATISFACTORY:PROCEED ,�PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR '� CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46�0 OwnedContractor on site: ' Inspector. �`) 13� �' White Copyllnspector's File Canary CopylSite Notice