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Home My WebLink About2016-01250 - water heater • CITY OF ORONO * 2 0 1 6 - PJ 1 2 5 0 * 2750 KELLEY PARKWAY DATE ISSUED: 10/03/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1260 FRENCH CREEK DR PIN : 10-117-23-32-0012 LEGAL DESC : FRENCH CREEK : LOT 004 BLOCK 002 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WATER HEATER NOTE: WATER HEATER RGPLACEMENT VALUATION OF PLUMBING 1000 APPLICANT PLUMBING FIXTURE FEE 50.00 STATE SURCHARGE PLBG(VALUATION) 1.00 CHAMPION PLUMBING LLC MAIL-IN FEE 2.00 3670 DODD ROAD-SUITE 100 EAGAN, MN 55123- TOTAL 53.00 �� Payment(s) Minnesota State License#: plbg-PC000308,mech-MB005365 CHECK 33434 53.00 OWNER WATKINS, KADEE&CHR[S 1260 FRENCH CREEK DR WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which diis permit is issued shall be performed according to die approved plans and specifications,applicable Ciry approvals,and the State E3uilding Code. This permit is for only the work described and does not grant permission for additional or rclated 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 pennit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construcCion 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 E3uilding Code.This permit may be revoked at any time for due cause. , /'� _ / � ✓ 3 / 1 � � _ l D �,v� � `�c S-r� D� Applicant Permitee Signature Date Issued By S ature Date . ' , ��fl,;� � City:of Orono C��VEp FOR CITY USE ONLY O , P.O. Box 66 R� Date Received:v� /D -I�' �� ; 2750 Kelley Parkway a�l�—�� ,�' � i � Crystal Bay, MN 55323 OC� O� �� Permit# � � � �� (952)249-4600—Main Approved By:�. ��'kt�s��o"`.�,�'' (952)249-4616—Fax �ND IF� _-� G1-(�(OF�R Amount$: �.� O� CITY OF ORONO - PLUlVIBING PEF�MIT (All Commercial Permits Must be Approved by the 5tate Priarto 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 MUS� NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SiTE. 3. Plumbing permits ma_y 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. Ail 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 qrior aparoval and may need CUP. (Per Orono City Code, Chapter 78, Article IV) Job Site / Owner Information: ---, SiteAddress: �1�� I � 1� �� /► v�� r � Owner; ��1�1 ��'��I'�� Mailing Address: ��`�- ' City: � W��Z��-ti�,�� Zi �� I P� Home Phone: � �� -�� IAlternate Phane: Contractor Information: Contractor: ��Pi�f�i�a'i�i g- � P��Q�aB Address: ��:�� 70�d Roa�f - . _ . µ . City: ��t� 0�{P�5��23 � ❑ Insurance - Current: Page 1 . PLUMBING FIX i URES BEING WSTALLED ' � , . ' FIXTUP.E BSMT ' 1S' 2"'° OiHEP, FIXTUP,E BSMT 1sr 2No OTHER TYPE Floor Floor TYPE Floor Floor Water Closet Floor Drains I Lavatory Sewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sink Water Heater Disposal Waier Softener Dishwasher Wet Bar Sillcocks Miscellaneous PEP.MIT FEE CALCULATION 1. CO��,��C i t i;1C� * is 125% of contract price �vith a (i�lon3mum �e� o�?��.OJ) x .0125 � � � (contraci price) (minimum �50.00) 2. SsA7'c j��y,�'n'G= X .��5 $ � (contract price) 3. FOS�AG� ` NA'l�L9N� (Only on Mail-In Applications) $ 2.00 5�4. �O�'�;L P�R��]1� F�E (Add Lines 1�3 Abov2) � � CONTRACT PRICE or J08 COST means ihe 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 ihe work done. If any material, equipment, labor or instaliations are turnished by the owner, tenant or any other party, the reasonable market value oi 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 o� a signed copy of the actual ecntract. 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 regulat`�s of the State of Minnesota, and cer�ifies that ail statements made o �s applicatic are complete, true and correct. )��'�"" � 2 �' o I �' � Applicant's Signature: ate� ,:.. Building Oificial/ Inspector: Date: Page 2 �� V � � DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED ��; PERMIT NO. `��2-�COMPLETED ADDRESS / v� ��..�'�,�CPdI�C7 ��i�. OWNE �% . - �'/��IC-��LEPHON � O. �'S/ ��--��C� CONTRACTOR ��C� � Z. �Q'�C^/" �t-CQ,� �/� � DESCRIPTION ` / "`' '` /�a� l�y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING �Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP 41 S BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL ❑ DE -SITE �TIC INSTALL OWNE91CONfTR11CTOR TO MEET Y�OU; YES_NO y COMMENTS: � 1 �7 1' L � �� ?�Y. T � .il C, � .>./ �it--. T ./�J L� y� �c.�c7CT ' 0 -1, 'S ti� ✓ . %.-�c. �✓��'�"� �„� `.✓�? �_^ lt �w'�'-%, � j., l,� ��*'r� �. c.J.�►��o,�.. r.�_ �.i_ ,�t, �.� ° ,J��c�t, /'� / W � Q � Y� G�i�--c�.�'i �,., — 1�-�-t,,o ��,o v-��-- ot ti� g � : n e� � Gt r' � r-.�.-�..�., .�n, -�—s c °� � � aa � � n� �.�� vc�-� � j � � ^ � - � ❑WORK SATiSFACTORY:PROCEED f�ROJECT COMPLETE � ❑CORRECT W'ORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPIINCY 0 ❑CORRECT VYORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CONERINO PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN H��• ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call ror the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector: �� • Whits CopyAnapector's Flls Canary CopylSlts Notfee