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Home My WebLink About2016-00165 - water heater CITY OF ORONO * Z 0 1 6 - 0 0 1 6 5 * � , , 2750 KELLEY PARKWAY DATE ISSUED: 02/16/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1855 CONCORDIA ST PIN : 17-117-23-22-0038 LEGAL DESC : FAGERNESS WOODS : LOT 002 BLOCK 001 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WATER HEATER NOTE: REPLACE(1)WATER HEATER VALUATION OF PLUMBING 1500 APPLICANT PLUMBING FIXTURE FEE 50.00 STATE SURCHARGE PLBG(VALUATION) 0.75 BENJAMIN FRANKLIN PLUMBING MAIL-IN FEE 2.00 5'718 INTERNATIONAL PKWY NEW HOPE,MN 55428- TOTAL 52.75 (612)238-9709 Payment(s) Minnesota State License#: plbg-PC643703,mech-MB004722 CHECK 24409 52.75 OW1vER KELLY, JAMES&MARGARET 1855 CONCORDIA S. WAYZATA, MN 55391- 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 State 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 I 80 days of the date of issuance,or if construction is suspended for a period of I80 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. � '�O ��`zs�Z a-� /� /�b Applicant Permitee Signature Date Issued ignature Date ck$52.75 J0B354110 F R CITY USE ONLY � �aN City ot Orono RECEIVED � �� p� - l,�s O P.O.Box 66 Date ec Pcrmit# 2750 Kelley Parkway �^ Crystal Bay,MN 55�� 6 Zp�� Approved By: Amount$: ...) a � (952)249-4600-M i -� (952)249-4616-Fax r��l�. y�' c.`� ��'�Ij�$9�10—PLUMBING PERMIT �, ��" ��'�ESHo�`� (All Commercial Permits Must be Approved by the State Prior to City Approval) htt :/hvti��.dli.mn. ov/CCLD/PDF/ e �lumb lanreva �. df 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 RECENE 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 �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: � 855 COC1C01"C�la St Owner:JICYI K@II�/ Mailing Address: Slt@ �;�,: Orono Z,p: 55391 Home Phone: 6�2-28�-8116 Alternate Phone: Contractor Informati�n. '~ —� Noan Arquisitbns dba ean Frenklin Plumbing J e n n i e W o od Contractor: Contact Person: 5718 International Pkwy PC643703 Address: State Bond#: 55428 ciry: New Hope Zip: Expiration Date: 7 Phone: 6� 2-238-9709 Alternate Phone: ❑ Insurance—Current: Owner's Insurance 1 i FIXTURE BSMT 1 2 OTHER FIXTURE 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 ,� Dispasal S'Vater Sofrener Dishwasher Wet Bar Sillcocks Miscellaneous --..._.. _ PEIZMIT FEE CALC'.UI�ATION(S} ' � BASED OFF -�2002�S�.fATE�TATUE �� ° � ❑ Yes,this section applies The replacement of onty 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;excludine 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 CALCU: . If above does not apply; follow guidelines bclow: l. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) 1500 X .o,2s $ 50min (contract price) (minimum$50.00) 2. STATESURCHARGE 1500 X.000s $ •75 (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $52.75 ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including materials, labor,proft, and other iixed 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. 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 statem ts made on this application are complete, true and correct. Applicant's Signature: Date: 2�5��6 3 � V � TE TIME CITY OF ORONO CALLED IN S_'�� INSPECTION NO / SCHEDULED „s�-1 lo ,Lf.' � PERMIT NO. � � COMPLETED ADDRESS � 8SS � OWNER G� � � ELEP E N0.7r�/� + `�"�L',�Z,�� CONTRACTOR i DESCRIPTION `�� ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT J �INAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � d�e��f.i� � l�J�mr �J�r• ,-�p i - � � . o ,o/,o�r�c.eG l"�Gtrr�N�c� — �. � 0 � W � Q � k�arK �� z W � � C �y�.� �Y �'1�l�/ J W ❑WORKSATISFACTORY:PROCEED �RAJECTCOMPLEfE � ❑CORRECT WORK&PROCEED r� ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. C;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 a�ce. (952) 249-4600 OwnerlContractor on site: � Inspector.4/1r-- �—T— White Copyllnspector's File Canary CopylSfte Notice