HomeMy WebLinkAbout2013-00084 - water heater , . CITY OF ORONO * 2 0 1 3 - PJ P1 0 8 4 *
2750 KELLEY PARKWAY DATE ISSUED: 02/OU2013
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 160 GOLDEN VIEW DR
PIN : 33-118-23-43-0022
LEGAL DESC : HALLSON ESTATES 2ND ADDN
: LOT 001 BLOCK 001
PERMIT TYPE : PLUMBING (>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURE
NO I E: WA'I'EK H[?ATI;R
VALUATION OF PLUMBING 1500
APPLICANT PLUMBING F[XTURE FEE 50.00
LEGACY MECH SERVICES STATE SURCHARGE PLBG (VALUAT[ON) 0.75
114 THOMAS CIRCLE#106
MONTICELLO, MN 55362- MAIL-IN FEE 2.00
(763)314-0877 MISC FEE 0.00
TOTAL 52.75
OWNER
SCHMID, KURT& CAROL
160 GOLDEN VIEW DR
LONG LAKE, MN 55356
AGREEMENT AND SWORIY STATEMENT
The work for which this permit is issucd shall be performed according to
the approved plans and specitications,applicablc City approvals,and thc
S[ate Buildin�Code. This permit is for only the work described and does
not grant permission for additional or rclated work which requires scparate
pemiits. All provisions of laws and ordinances governing this type of work
shall be compicd with whether or not specitied herein.This permit will
expire and become null and void if construction authorized is not
commenced���ithin I 80 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time atter�cork has commenced.
I'he applicant is responsible for assuring all required inspections are
requested in conformance with the State[3uilding Code."I�his permit may°bc
revoked at any time for due cause.
( ^ � � � /-3 0�- l , �3
Applicant Permitee Signature Date �s � 3y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
�E����q�a.;�i FOR Cl Y USE ONLY
p City of Orono � �j
�¢ � �-� P.O.Box66 ��� � � ���q DateReceive`d:"� Permit#���� � /
� � 27�0 kelley Parkway �'�
a i'"''• �) Crystal Bay,MN 55323 Approved By: Amount$:�� 7
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CITY OF ORONO — PLUMBING PERMIT
(All Commercial Permits Must be Approved by the State Prior to City Approval)
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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. PE:RMITS 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 A l )
■❑ Residential ❑Commercial(Approval Required)
❑ New ❑ Additional ❑ Repairs ❑■ Replace
❑ In Accessory Structure?
*You will need prior approval and may need C'UP.(Per Orono City Code,Chapter 78,Article IV)
Job Site/Owner Information:
s�te aaaress: 160 Golden View Dr
Owner: KUI�/ CaC'OI SCIIfTIICI Mailing Address: 160 Golden View Dr
city:
Orono Z�p. 55356
Home Phone: �952� 449-0847 Alternate Phone:
Contractor Information:
Legacy Mechanical Services J a i m e
Contractor: Contact Person:
Address: 114 Thomas Cir#106 State Bond #: pC644'975
Monticello 55362 12/31/13
City: Zip: Expiration Date:
Phone: (763� 314-0877 Alternate Phone:
❑ [nsurance-Current: Ram-yeS
I
PLUMBING FIXTURES BEING INSTALLED
FIXTURE BSMT I" 2"�' OTHER FIXTUR� [3SMT 1'`� 2"�' OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
Lavatory Sewer Ejector
Bathtub Laundry Tray
Shower W asher
Kitchen Sink Water Heater ,�
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Miscellaneous
PERMIT FEE CALCULATION(S)
BASED OFF - 2002 STATE STATUE
❑ Yes,this section applies
The replacement of only one Residential fixture or appliance that meets all three of the following
requirements:
I. Does not require modification to electrical or 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 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 CALCULATION S —JOBS OVER$500.00
If above does not apply; follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00)
1 ,500.00 X .o�2s $ 50.00
(contract price) (minimum S50.00)
z. sTaTE suRCHaRCE 1 ,500.00 0.75
X .000s �___.__
(contract price)
3. POSTAGE& HANDLING (Only on Mail-In Applica ons) 2.00
4. TOTAL PERMIT FEE(Add Lines I-3 Above) $52.75
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar am harged r the
permitted work including materials, labor, profit, and other fixed costs. It is the amount to e d
to the customer for the work done. If any material, equipment, labor or ins a re furn' d 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 Cit an the regulations of the State of
Minnesota, and certifies a statements ma e n t � a plication are complete, true and
correct.
Applicant's Signature: �/3O/�3
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Reset Form
3
DATE TIME �
CITY OF ORONO C/�LLED IN
INSPECTION OTI ���-�C�cHEDULED ; . 3 0
PERMIT NO. �� COMPLETED
ADDRESS I t�� ��' P� l S.� �J .�
OWNER LASb 1 �GL.«�.�C�ELEPHONE NO. � � � � 6
CONTRACTOR �"'1 y � ��o`'�? ^Z
�: DESCRIPTION LJ � �� � �� �� �� �
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� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
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
J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINA� ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� ❑WORK SATISFACTORY:PROCEED /vr rrtuJECT COMPLETE
� ❑CORRECT WORK R PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
O ❑ CARRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR '� CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
� � �`CyC�I DA TIME v
CITY OF ORONO CALLED IN
INSPECTION O/'��IqC/E��/� ^�� SCHEDULED _�� 3c'� ,n,,�.;J
PERMIT NO.�v�/% (/�Oh1--COMPLETED �
ADDRESS l �
OWNER CONTR. � L�
TELEPHONE N . — — � 0 � 7`�'�
� DESCRIPTION � ���cGE'J�_
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
O ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
_ �ffiJAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
Q ❑ DEMO-FINAL ❑ SEPTIC INSTAI.L. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINA� ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� ❑WORK SATISFACTORY:PROCEED J�PROJECT COMPLETE
W �ORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. �; PHOTOTAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-46QQ
OwnerlContractor on site:
Inspector. 1—1 r�
White Copyllnspector's File Canary CopylSite Notice