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Home My WebLink About2016-01111 - water heater CITY OF ORONO * 2 0 1 6 - 0 1 1 1 1 * 2750 KELLEY PARKWAY DATE ISSUED: 09/12/2016 � ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1385 FOX ST PIN : 02-117-23-34-0016 LEGAL DESC : BLUE HILL : LOT 002 BLOCK 001 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRCICTION TYPE : WATER HEATER NOTE: REPLACE WATER HEATER VALUATION OF PLUMB[NG 1100 APPLICANT PLUMBING FIXTURE FEE 50.00 STATE SURCHARGE PLBG(VALUATION) 0.55 WELD&SONS PLUMBING CO INC. MAIL-IN FEE 2.00 3410 KILMER LANE N PLYMOUTH,MN 55441- TOTAL 52.55 (763)475-0296 Payment(s) Minnesota State License#: plbg-PC646375,mech-MB003315 CHECK 10459 52.55 OWNER BERGENSTAL&MARILYN GEHRMAN,CAROL 1385 FOX ST 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 180 days of the date of issuance,or if construction is suspended for a period of l80 days at any[ime 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. 7 ._ F �� c �M�r� � ��.� -�� -ra� � , �z, � � Applicant Permitee Signature Date Issued By Signature Date �pN City of Orono FOR CITY USE ONLY O \ P.O. Box 66 Date Received: ��' —/z "�/�(�; 2750 Kelley Parkway � .� � Permit# � C.��,�--�1 �� , .� ,.l Crystal Bay, MN 55323 "F �� (952)249-4600—Main Approved By: �C� �1'�fSHOQ' (952)249-4616—Fax Amount$: J.� �—' CITY OF ORONO — PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) http://www.dli.mn.qov/CCLD/PDF/pe plumbplanrevapp.pdf 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 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 Apply) � Residential ❑ Commercial (Approval Required) [Backflow Device: ❑ AVB ❑ PVB� ❑ 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: /3� �DX S f Owner: �� S/�4,✓�" Mailing Address: / 3� ,`ox ��. City: D ro ,�� Zip: �`S,� 9/ Home Phone: Alternate Phone: a�-Z- ��6" 7�c�� Contractor Information: Contractor: �pi�oG � , D�S �l .+r��4 Contact Person: ,%'� Address: ?J�/O �r �►titP�r �� State Bond #: City: ��i v�v J�'�i Zip: �S`�< ✓ Expiration Date: /2-3�/7 Phone: �6 3 '�7S D,2 96 Alternate Phone: � Insurance — Current: �' �`�,o,rt 7' /"�i�� Page 1 __ PLUMBING FIXTURES BEING INSTALLED � FIXTURE BSMT 1sT 2ND OTHER FIXTURE BSMT 1sr 2ND OTHER TYPE Floor Floor TYPE Floor Floor Water Closet Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Silicocks Miscellaneous PERMIT FEE CALCULATION 1. CONTRACT PRICE * is 1.25% of contract price with a (Minimum Fee of$50.00) I I C�(,� x .0125 $ SD•oO (contract price) (minimum $50.00) 2. STATE SURCHARGE x .0005 $ �s� (contract price) 3. POSTAGE & HANDLING (Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ S�. -S�� * CONTRACT PRICE or JOB COST means the actuai 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. 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 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: ,G..= � Date: �'��6 Building Official/ Inspector: Date: Page 2 �� _ �. �'� "� J DATE TIME � CITY OF ORONO CALLED IN �7 ��,.,�_ INSPECTION NOTICE SCHEDULED �1� PERMR NO. ��-`�G` �L I II I COMPLETED ADDRESS / �?,�� G-� �-_..__C X .�T__ OWNER TELEPHONE NO.��'3 y7-�-(1�� CONTRACTOR �- �o� I�� -�?��S y- � . � oEscAiPnoN �--�1�1 f=? � L(_�lk�f�f7 ��c�-� ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ FiADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ PTIC INSTALL 2 OWNERICONITMCTOR TO MEEf YOU�YES_NO �_ ______ . y COMMENTS: 4 = l.�-�-r-1� �� ., � � � o _ ,, ; � < <, r �- � �� °'�^I �- v��, �.--�� 0 � �G - Q � W � W � J W ❑WORK SATiSFACTORY`.PROCEED PRW ECT COMPLEfE � ❑CORRECT WORK 3 PROCEED ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECTV1fORK,CALL FOR REtNSPECTION TEMPORARY V BEFORECdVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REWIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnedContractor on site- InSpector: �� VYhite CopYllnsPsetor's Flle C�nary CopYiSits Notks