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Home My WebLink About2016-00049 - replace water heater , �, CITY OF ORONO * 2 0 1 6 - 0 0 0 4 9 * � 2750 KELLEY PARKWAY DATE ISSUED: OU14/2016 ORONO, MN 55356- 952) 249-4600 FAX: (952) 249-4616 ADDRESS : 4470 FOREST LAKE LANDING PIN : 07-117-23-24-0040 LEGAL DESC : REG. LAND SURVEY NO. 1472 : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING , PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WATER HEATER NOTE: REPLACING A WATER HEATER APPLICANT PLUMBING FIXTURE FEE(<$500) 50.00 CHAMPION PLUMB[NG LLC STATE SURCHARGE PLBG(<$500) 1.00 3670 DODD ROAD- SUITE 100 MAIL-[N FEE 2.00 EAGAN, MN 55123- TOTAL 53.00 �� Payment(s) Minnesota State License#:plbg-PC000308,mech-MB005365 CHECK 32253 53.00 OWNER PRAWER, STEVEN& SCOTT 4470 FOREST LAKE LANDING MOUND, MN 55364- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires sepazate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. , � � �� ' �, � �i l ; l ��,�,A ��,�_ � ��.��v3 , � �,�_��. , „ �.� , , - Applicant Permitee Signature Date Issued By Sigf�ature Date �� t FOR CITY USE ONLY City of Orono � ��.. �O� P.O.Box 66 Date Received: ' 1_r`'�''permit# �..� ly''( �' � � 0 �� 2750 Kelley Parkway �� Crystal Bay,MN 55323 Approved By: �� Amount$: �= (952)249-4600—Main � =-l (952)249-4616—Fax F �� CITY OF ORONO—PLUMBING PERMIT l�KFSH�� (All Commercial Permits Nlust be Approved by the State Prior to City Approval) hYtn://wwrv.dli.mn.Qov/CCLD/PD�'/ e lumb ]anreva . df GENERAL INFORMATION 1. You may apply for plumbing permits by mail or in person at the City o�ces. Applications will be reviewed and a permit will be issued within rivo working days. 2. Permit cards will be sent by return mail after a review is completed. PERYIITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PER'�IIT CARD IS POSTED ON THE JOB SITE. 3. Plumbing permits may be issued O1VLY 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. (24-43 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 arior aaaroval and may need CUP.(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: Site Address: � � � Owner: � Mailing Address: City: • • � Zip: Home Phone: � ' Alternate Phone: ' Contractor Information: i ' � Contractor: ��;��''��{"� . � { �' �i�1C� Contact Person: , � . J Address: �� , � �V�CY ril State Bond#: City: k�� '�� Zip:�L��Z-�' Expiration Date: Phone: ��>>`�L��I��", �.-J Alternate Phone: ❑ Insurance—Current: 1 �� i PLUMBING FIXTURES BEING INSTALLED FIXTiJRE BSMT 1sT 2vn OTHER FIXTURE BSMT 1sT 2ND OTI-IER 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 �1 P RNIIT FEE C CULATION(S) BA ED OFF -2 02 STATE STATUE [j Yes,this section applies �� 1 � \ `, The replacement of only one Resident 1 fi ture or a liance that meets all three o the following requirements: ; 1. Does not require modific�`t bn to electrical or gas service. 2. Has a total cost of$SOO.,flO o�less;excludin�the cost of the fixture or appliance:and 3. Is improved,installed q�r repl ed by the homeowner or licensed plumbing contractor. Skip nert section,if this applie • Cost of Permit � 15.00 � State Surcharge $ .,� ' S-ED � Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ � � \ ,V � (Permit Fees Continued Oo Next Page) 2 � PERNIIT FEE CALCULAT`ION(S -JOBS OVER$500.00 If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25°/o of contract price with a(i�Iinimum Fee of�50.00) x.0125$ (contract price) (minimum$�0.00) 2. STATE SURCHARGE x.0005 $ (contract price) /� V� 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 �/� . i i 4. T�OTAL PER1vIIT FEE(Add Lines 1-3 Above) $ ■ * 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 fumished 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 PERNIIT 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: ate: 3 �/� Y DATE TIME CITY OF ORONO CALLED IN - - � INSPECTION NO�I� T�/�HEDULED —Ll-�,h �-�l� PERMIT NO. �� _�D ! dOMP ED � ADDRESS � ��l �G� f�I� OWNER ✓- e�T�LEPbIQJC�I�NO. ��o�^� � 1'S' CONTRACTOR �' av '� Z � DESCRIPTION v�'u�/t/t� ��v��-/� ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ UMBING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION �❑ 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 ❑ SEPTIC INSTALL 2 OWNERfCONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: � W a � � O �. � O � W � Q � 2 W � W � j W ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT VYORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTOTAKEN INSPECTOR WlLL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca�l for the next inspection 24 hours i adva� (95 � Z49-4600 OwnerfContractor on site: r Inspector. i White Copylinspector's File Canary CopylSite Notice