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Home My WebLink About2001-P03831 - water heater PERMIT CIT�� OF ORONO 2750 Kelley Parkway - PO Box 66 Permit Number: Po3s31 Crystaf Bay, Minnesota 55323 Permit Type: F�Xtures (952) 249-4600 Date Issued: siigi2ool SITE ADDRESS: 125 Hackberry Hill LONG LAKE, MN 55356 P I D: 3 3-118-23-44-0011 DESCRIPTION: � ,__��_, PI'OpOSeC�USe: �c�iuciiiiai Permit Class: Plumbing Permit Type: Fixtures Permit Sub-type(s): Water Heater DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: � 35.00 Valuation: $ 0.00 State Surcharge Fee: $ 0.50 Misc. Fee: $ L50 TOTAL FEE: $ 37.00 APPLICANT: Norblom Plumbing Co OWNER: P A&M L NELSON 2905 Garfield Ave South 125 HACKBERRY HILL Minneapolis, MN 55408 LONG LAKE MN 55356 THE UNDERSIGNED HEREBY REQUESTS PERM[SSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. -��C,�c.-��_ �.-- ��-�E�' "';"%�c..�a�--' �;��- APPLICANT PERMITEE SIGNATURE ISSUF,D BY SIGNATURE ' Copies: City, Applicant, Assessor, Finance Page l l�' t � � i � 1� � � • �; � � CITY OF ORONO APPLICATION FOR PLUMBING PERMIT i Box 66 (2750 Kelley Parkway) Crystal Bay, NIN 55323 GENERAL INFORMATION � 1. You may apply for plumbing permits by mail or in person at the City offices. 2. Permit cazds will be sent by retum 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 the State Code requirements. 6. All work must be inspected and air tested before it is covered. Call 249-4600. 24-hour notice required. I Instructions Complete all items on this application. Compute the permit fee. Sign and date the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have � questions, call 249-4600. � Please check one: New Addition Repair X Replace Residential Commercial NELSON, PHILLIP .JOB S�E: 125 HACKBERRY HILL ZIp: Owner's Name: ORONO, MN 55356 Telephone Number: �Iailing Address �952)473-2853 City: Zip: Contractor's Name: N�R�!�M ��_i.�t��!t�c cn. Telephone Number• 1�Iailing Address: �" "'"' "'`' � `"` City: Zip: PLiJNiBING FIXTURE SCHEDULE FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER TYPE FL FL TYPE FL FL i I �Vater Closet Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sink Water Heater � Disposal Water Softener Dishwasher Wet Bar Sillcocks Misc (list) '�1 . PERMIT FEE CALCULATION 1. 1.25%o of Contract Price* or Minimum Fee ($35.00) ��G O� x .0125 $ (contract price) 2. State Surchar�e. ** Add the State Building Code Division Surcharge to each permit. x .0005 $ (contract price) or $.50, whichever is greater 3. Posta�e and Handlin� (Only mail-in applications) $ 1.50 4. TOTAL PERMIT 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 installation 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 pemut fee purposes. In the event that there is a dispute on the amount of the job cost, the Ciiy 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 Department of Inspectional Services for the price. 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: /lo,�i'/f /'L��'�v�-� Date: 5 I �� I C�� . i �%� DATE TIME CITY OF ORONO CALLED IN �_ INSPECTION NOTIC /�Z SCHEDULED PERMIT NO. V✓ �/ COMPLETED � � ~ � �� ADDRESS lo2J� 1�7GLC.��-2/Y'y �/r/ I OWNER �Gt/U � S"On CONTR. �� No�b/v� TELEPHONE N0. �� 4 c�� P/��' � DESCRIPTION �r� �`-�( �� "�-r �7�"• � O7 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT ^� 07 DEMO-FINAL 15 SEPTIC INSTAIL. 22 FOLLOW-UP Q � 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATIONlREMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO ° COMMENTS: � W � � � O �/� � �Y I'E�- C3� � �� A � ..� W � Q � Z W � W � � � a W� ❑WORK SATISFACTORY:PROCEED O PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR FiEINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED �1SPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-460� OwnerlContr� r on site: Inspector. �� C�5��' . � White Copyllnspector's File Canary Copy/Site Notice