The URL can be used to link to this page

Home My WebLink About2012-01125 - water heater � ,; CITY OF ORONO * z 0 1 z - 0 1 1 2 5 * 2750 KELLEY PARKWAY DATE ISSUED: 11/03/2012 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3630 EILEEN ST PIN : OS-117-23-21-0013 LEGAL DESC : RIEDEL CO STUBBS BAY ADDN : LOT 003 BLOCK 001 PERMIT TYPE : PLUMBING (<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTIOIY TYPE : WATER HEATER APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 NORBLOM PLUMBING CO. STATE SURCHARGE PLBG (<$500) 5.00 2905 GARFIELD AVENUE S. MINNEAPOL[S, MN 55408- MAIL-IN FEE 2.00 (612)827-4033 MISC FEE 0.00 TOTAL 22.00 OWNER [LSE, DAVID& SHEROKEE 3630 EILEEN ST MAPLE PLAIN, MN 55359- AGREEMENT AND SWORN STATEMENT I'hc work for which this pcm�it is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State[3uilding Code. This permit is for only the work described and does not grant permission for additional or related work which requires separatc permits. All provisions ot�laws and ordinances goveming this type of�vork shall be compied with whether or not specified herein.This permit will expire and become null and void it�construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any[ime atter work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State F3uilding Code.This permit may be revoked at any time for due cause. `�12Q-1.� L� / / ��'►�C--�-Yc� / / Applicant Permitee Signature Date [ssued By � nature a e SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. •� FOR CITY USE ONLY � ,��, City of Orono O K Q P•O.Box 66 Date Received: Permit# f �,t, 2750 Kelley Parkway � � � j�� Crysta]Bay,MN 55323 Approved By: Amount$: ��o (952)249-4600 - � CITY OF ORONO—PLUMBING PERIVIIT (All Commercial permits must be approved by the Building Official or Inspector) 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 da}�s. 2. Pemzit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK PZUST NOT BEGIN UNTIL TAE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Plumbing pernuts 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 perxnit 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 APPIY) �Residential ❑Commercial(Approval Required) ❑ New ❑Additional ❑ Repairs ❑Re lace P ❑ 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: David Ilse 3630 Eileen Street Owner: Orono, MN 55359 dress: 9524762804 City: Home Phone: Alternate Phone: Contractor Information: Contractor: I��r►✓�Om ��,(,�,�(.�� Contact Person: � Address: 2�� a'�'�1�� S�, State Bond #: ��-Y� �� City: � �� Zip�b� Expiration Date: ( � �� J Phone: ��f 2�$2'�� `fa��3 Alternate Phone: � ^ � Insurance—Current: 1 � � � PLUMBING FIXTURES BEING INSTALLED , 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 � Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous PERIv1IT FEE CALCULATION(S) , _ BASED QFF - 2002 STATE STATUE ❑ Yes,this section applies The replacement of a Residential fixture or appliance that meets all three of the following requirements: 1. Does not re�qnirP modification Yn elecr•;r�l er 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 contractor. Skip next section,if this applies; Cost of Permit $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $_� Total Permit Fee $�,r (Permit Fees Continued On Next Page) � + �, ' . , ,��..:' PERIVIIT FEE�:CALCL7LA'TION(S)=JOBS OVER $500.00 - � , � If above does not apply; follow guidelines below: i 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 pernzitted 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. ■ ** 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 Deparhnent at(952)249-4600 for the price. +?f�' X 3 i� .fi-�L R,� y � .�� t��, .,��°„. ; :PLUMBING�PERIVII'T,AP�?Tti��A�I�NAGREEMENT ��:, � f � �� -.��r:�"�'��; 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. I 0 �?f-J� � I� Applicant's Signature: �� Date: 3 �l�- DATE TIME ✓ �/ \ �/_ z� `" CITY OF ORONO CALLED IN � • 00 INSPECTION NO�ICE SCHEDULED �'a-- PERMIT NO. "� 2 ^v� � 2 � COMPLETED ADDRESS -3�'�� ' �}C�� OWNER IS tS �a��cl TELEPHONE NO. t�\�.- b �� CONTRACTOR ��`""' �I`"��"'� >; DESCRIPTION �1��CA--{� �„-�� _ ��t -3 2 Z C�. � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WEl"IANDS 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 � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q � Z W � W � � d � � ❑WORK SATISFACTORY:PROCEED fg PROJECT COMPLEfE W ❑CORRECT WORK&PROCEED ^_, ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP OFDER POSTED.CAIL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46QQ OwnerlContractor on site: Inspector. 1� White Copyllnspector's File Canary CopylSite Notice