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Home My WebLink About2014-0096 - water heater � CITY OF ORONO * Z QJ 1 4 - PJ 0 9 6 5 * r 2750 KELLEY PARKWAY DATE ISSUED: 08/28/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 770 DICKEY LAKE DR PIN : 27-118-23-33-0010 LEGAL DESC : RINGERSWOOD : LOT 007 BLOCK 001 PERMIT TYPE : PLUMBING (> $500) PROPERTY TYPE : RF_SIDENTIAL CONSTRUCTION TYPE : WATER 1{EATER VALUA'[�ION OF PLUMBING I500 APPLICANT PLUMBING FIXTURE FEE 50.00 STATE SURCHARGE PLBG (VALUATION) 0.75 LEGACY MECH SERVICES MAIL-IN FEE 2.00 114 THOMAS CIRCLE#]06 TOTAL 52.75 MONTICELLO, MN 55362- (763)314-0877 Payment(s) CHECK 7476 52J5 OWNER LEUKUMA, CHARLES& J[LL 770 DICKEY LAKE DR LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specitications,applicable City approvals,and the State Ruilding Code. 'I�his permit is for only the work described and does not grant permission fbr additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will eapire and become null and void if constniction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of I 80 days at any time alter work has commenced. I�he applicant is responsible for assuring all required inspections are requested in conforniance with the State Ruilding Code.'I'his permit may be revoked at any time for due cause. / 1 Applicant Permitce Signature Datc Issucd By i nature Date FOR CITY USE ONLY . /�� City of Orono OP.O.Box 66 Date Received: Permit# �� 2750 Kelley Parkway �/ �� Crystal Bay,MN 55323 Approved By: Amount$: ( � (952)249-4600—Main `� \ (952)249-4616—Fax � CITY OF ORONO-PLUMBING PERMIT \��Esr�o��' (All Commercial Permits Must be Approved by the State Prior to City Approval) �._ � � - d�r? ;. �l�-:��ti� r � - �r � - GENERAL INFORMATION 1. You may apply for piumbing 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 afrer 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 Al!1 That Apply) ❑ Residential ❑Commercial(Approval Required) ❑ New ❑ Additional ❑ Repairs [�Replacc ❑ In Accessory Structure? *You will need prior approval and may need('UP. (Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: ' Site Address: �� (;��'{l..�e 'Jr• Owner:�(�,�ies Leuk� I�� Mailing Address: City: � Zip: Home Phone: Q�,a" y1 (D�� 5 Alternate Phone: � �� Contractor Information: Contractor: l�qQ,�-1 (�I1e.�10�V1,+U� Contact Person: SC�,t�„�.�. St�.��'1�,r � 5�ric,e�S _ � Address: I l`��cmc�� s rc�e�t IOb State Bond#: Q� (�'� q 1J City: '�(�(��c�\� Zip:55�Expiration Date: 3�1� , �(p Phone: rlli3- 3�� $-(-I Alternate Phone: 1(„3- `d.�I`J—C7lo�� fA,X� ❑ Insurance- Current: � Q,5 1 2 PLUMBING FIXTURES BE1NG INSTALLED FIXTURE BSMT 1 ' 2ND OTHER FIXTURE BSMT l s` 2"D 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 I PERMIT FEE CALCULATION(S) BASED OFF - 2002 STATE STATUE ❑ Yes,this section applies i The replacement of only one Residential fixture or appliance that meets all three of the following requirements: 1. Does not require modification to electrical 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 t�he 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 CALCULATION S -JOBS OVER $500.00 If above does not apply; follow guidelines below: , 1. CONTRACT PRICE * is 1.25%of I'Contract price with a(Minimum Fee of$50.00) �Cd� • �� x .0125 $ 5�, 1�U (contract pncc) (minimum 550.00) 2. STATESURCHARGE x.0005 $ ' �S (,contract pricc) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 � 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �j � .�� ■ * 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 reaso�nable 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. PLLTMBING 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 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: _ U a.� aO�y � 13 �� ✓ � pTE �TI� CITY OF ORONO CALLED IN l � INSPECTIO TI SCHEDULED ( PERMITNO �� COMPLETED �_ ADDRESS � �� C-�`'� L�� OWNER TELEPHONE (y0. � �� ?�S CONTRACTOR ' ' `� nr�� ; DESCRIPTION C�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q � POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNERIFIREPLACE ❑ SITE INSPECTION Q p RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ' FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. O FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: a ,✓at e✓ �1 eaf e✓ r�a�4G�wre-C� � J O , . � - e�C�lk S -rfGS �/K a � � 2�5,t�� u e Yl4t 4 r t L �r.t. yt•� � W � Q �" �arK �'oruf� l�L` � � z W � �- ' � /�er�M.�t"i t!K4l�'� J � ❑WORKSATISFACTORY:PROCEED ROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector. �`^-� White Copyllnspector's File Cenary CopylSfte Notice