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Home My WebLink About2015-00748 - water heater ` � CITY OF ORONO 2750 KELLEY PARKWAY * z 0 1 5 - 0 0 7 4 8 * DATE ISSUED: 06/30/2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 750 DICKEY LAKE DR PIN : 27-118-23-33-0008 LEGAL DESC : RINGERSWOOD : LOT 005 BLOCK 001 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WATER HEATER NOTE: REPLACE WATER HEATER VALUATION OF PLUMBING 2200 APPLICANT PLUMBING FIXTURE FEE 50.00 STATE SURCHARGE PLBG(VALUATION) 1.10 BENJAMIN FRANKLIN PLUMBING MAIL-IN FEE 2.00 1424 3RD STREET N MINNEAPOLIS, MN 55411- TOTAL 5310 (763)755-6468 Payment(s) CHECK 23319 53.10 OWNER PETERSON, GARY& DIANA 750 DICKEY LAKE DR LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the 5tate Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any[ime after work has commenced. The applicant is responsible for assuring all required inspections aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. . � -� �� Applicant Permitee Signature Date [ssue y Signature Date job331856 F R C TY U E orr�v � Ck��6� City of Orono � �j c� �� P.O.Box 66 Date ReceiG�� Permit# ��S � 7 / `� 0 2750 Kelley Parkway Crystal E3ay,MN 55323 Approved By: Amount$: �. � (952)249-4600—Main (952)249-4616—F � � ��S��"�' y�'� c.` O—PLUMBING PERMIT po855125 � ��st�� (All Commercial Permits Must be Approved by the State Prior to City Approval) �;�, � � htt a:!lww�w.dli.mn.�ov/CCL,I�/PF)Fl� e �l��rpb�larrreva 3 �. �d�f GENERAL 1NFORMATION 0'��-- 1},/�-- � 1. You may apply for plumbing permits by mail or in person at the City offices. Applications wil i/\�.�� 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 JOB 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 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 A 1 �r. / 1 ' ■❑Residential ❑Commercial(Approval Required) u;�l� ��t � � ❑ New ❑ Additional ❑ Repairs ❑■ Replace �f v � ' �❑ In Accessory Structure? n�A�, � � *You will need prior approval and may need CUP.(Per Orono City Code,Chapter 78,Article IV) .y� Job Site/Owner Information: ��'J s�te aadress: 750 Dickey Lake Dr oWner: Gary Peterson Mailing Address: Slte c�ty: Long Lake Z;p: 55356 Home Phone: 61 Z-`�L5-H532 Alternate Phone: Contractor Inforination: Ben Franklin Plumbing Jennie Wood Contractor: Contact Person: 5720 International Pkwy PC643703 Address: State Bond #: New Hope 55428 City: Zip: Expiration Date: Phone: �� -238-�� Alternate Phone: � Owner's Insurance x Insurance—Current: 1 PLUMBING FIXTURES BEING INSTALLED ' ��;; FIXTURE BSMT 1 2ND OTHER FIXTURE BSMT I'T 2N OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sink Water Heater ,� Disposal V1'ater Softener Dishwasher Wet Bar Sillcocks Miscellaneous '�� PERMIT FEE CALCULATION(S) � �� BASED OFF - 2002 ST'ATE STATUI; ❑ Yes,this section applie The replacement of only one Residentia ixture or a liance that meets all three of the following requirements: 1. Does not require modification to electri or gas service. 2. Has a total cost of$500.00 or less;excludin he cost of the fixture or appliance: and 3. Is improved,installed or replaced by the homeo er or licensed plumbing contractor. Skip next section, if this applies; Cost of Permit $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applic le) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 "` PERMIT FEE CALCULATION S -JOBS OVER$SOO.QO If above does not apply; follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) 2200 X .o,2s $ 27.50 (contract price) (minimum$50.00) 2. STATE SURCHARGE 2200 X .000s $ 1 .10 (contract price) 3. POSTAGE& HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $30.60 ■ * CONTRACT 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. If 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. � �.,'' ��. IT APPLICA. " �lt%iEN'�'`=` 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: 5/�3/�5 3 � v 53 � � 0 �o . �� 6 �