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Home My WebLink About2014-00929 - water heater ' CITY OF ORONO * 2 P1 1 4 - 0�0 9 12111911111*I 2750 KELLEY PARKWAY DATE ISSUED: 08/21/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2320 L�EViN LA PIN : 03-117-23-22-0014 LEGAL DESC : "rHE NURSERY : LOT 002 BLOCK 001 PERMIT TYPE : PLUMBING (> $500) PROPERTY TYPE : RESIDE,NTIAL CONSTRUCTION TYPE : WATER HEATER VALUATION OF PLUMBING 1185 APPLICANT PLUMB[NG FIXTURE FE.E 50.00 STATE SURCHARGE PLBG (VALUATION) 0.59 LEGACY MECH SERVICES 1 14 T}IOMAS CIRCLE#106 MAIL-IN FEE 2.00 MONTICF.,LLO, MN 55362- TOTAL 52.59 (763)314-0877 Payment(s) CHECK 7467 52.59 OWNF,R SONSTEGARD, LOUIS& LOIS 2320 DEVIN LA LONG LAKE, MN 55356- ACREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be perYormed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant pem�ission t�or additional or related work which requires separate pemiits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein."I�his permit will expire and become null and void if construction authorized is not commenced within I 80 days of the date of issuance,or if construction is suspended for a period of I 80 days at any lime after work has commenced. l�he applicant is responsible for assuring alI required inspections are requested in contormance with the State E3uildine Code.'This permit may be revoked at anv time for due cause. \.��', „ , / / / Yl.(�.�( Applicant Permit�e Signature Date Issued By Sig lure Date FOR CITY USE ONLY ' �O A T City of Orono +y P.O.Box 66 Date Received: Permit# � � � 2750 Kelley Parkway �/ ` Crystal Bay,MN 55323 ', Approved By: Amount$: � (952)249-4600—Main �1^ 4 �- � (952)249-4616—Fax ', \�' � � CITY OF URONO-PLUMBING PERMIT \KF S F+�'�� (All Commercial Permits Must be Approved by the State Prior to City Approval) � B?e� ?'�i�Y354+��.SS. �7�4� ��< 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 RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE.TOB 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 remodelingj 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: v13� ��U V'v �-+..a- Owner: �1,�`a �S�G(0�►'0� ' Mailing Address: City: Zip: Home Phone: �5 a-y 13-Sj� ' Alternate Phone: Contractor Information: ' Contractor: �qQ,�.1 AI1�QV�,�U�-' Contact Person: � St�.��'1,�,r � 5�vi�e5 �—�J Address: I 1��ctvu�� s rc�e�I IOb State Bond#: �C (y4�15 City: '�(��c�\1�C Zip:55�.Expiration Date: �'�`3 4��5 Phone: rll�3- 3i�1- O$-t-I Alternate Phone: �(�,�- aG5—C7 b�y ��.x� ❑ Insurance-Current: �IP� 1 PLLTMBING FIXTURES BE1NG INSTALLED FIXTURE BSMT 1 � 2�D OTHER FIXTURE BSMT 1'� 2"u OTHER TYPE FL FL TYPE FL FL Water Closet ' Floor Drains Lavatory ', Sewer Ejector Bathtub ', Laundry Tray Shower ', Washer Kitchen Sink ' Water Heater � Disposal I Water Softener Dishwasher ' Wet Bar Sillcocks ' Miscellaneous PERMIT FEE CALCULATION(S) BASED OFF - 2a02 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 electXical 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 CALCULA'I�ON S -JOBS OVER$500.00 If above does not apply; follow guidelines below: 1. CONTRACT PRICE *is I.25%of contract price with a(Minimum Fee of�50.00) i � �s_- x .o�z5$ 5i� . oD ('contract pricc) (minimum S50.00) � 2. STATESURCHARGE - ��`� ` u� x .0005 $ • 5�I (contract pricc) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-�Above) $ ��6 5� ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including materials, labor, profiit, and other fixed costs. It is the amount to be charged to the customer for the work done. If any ma�erial, equipment, labor or installations are furnished by the owner, tenant or any other party, the reaso�able 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 ordinance's 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: Q '�) 3 DATE �/E CITY OF ORONO CALLED IN INSPECTION NOT E SCHEDULED PERMIT NO. �� COMPLEfED �T�� ADDRESS a�3 0� �P�i! �/'1 OWNER TELEPHONE NO. CONTRACTOR ��G� ��'�3'�3�� -�87� / � DESCRIPTION ��cV �-'¢�-r rC/�`` � tl� ❑ FOOTING �BING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q O RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE 0 SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI � SEPTIC FINAL ❑ FOUNDATION/REMOVAL Q OWNERICONTRACTOR TO MEET YOU:_YES_NO 2 � COMMENTS: ��/�-'t ��e r �� G4 Cl �r � � -�'�L f:� so��z�-� � J O ��l / ��i � ° - V evt.�� Gi� D I� �W 'I,,� � -�— _�� t�r� �t �'�4!i l�u�6/ �' l//t e$ L6 z �4 � � C n f rC�C Z� a- �G�/'�f t� �l�C4l� W � J GW ❑WORKSATISFACTORY:PROCEED �OJECT COMPLEfE W�OF gECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CAII FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN 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) 249-4600 OwnerlContractor on site: Inspector_ /� White Copyllnspector's File Canary CopylSite Notiee