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Home My WebLink About2005-P09026 - water heater CI-�Y OF ORONO PERMIT 2750 Kelley Parkway- PO Box 66 Permit Number: po9026 Crystal Bay, Minnesota 55323 Permit Type: Fixtures (952) 249-4600 Date Issued: 8/2/2005 SITE ADDRESS: 1155 Heritage La Unit# Wayzata, MN 55391 P�� 10-117-23-13-0022 DESCRIPTION: Proposed Use: Residential Permit Class: Plumbing Permit Type: Fixtures Permit Sub-type(s): Water Heater DETAI LS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 15.00 valuation: $ 0.00 State Surcharge Fee: $ 0.50 Misc. Fee: $ 1.50 TOTAL FEE: $ 17.00 APPLICANT: Norblom Plumbing Co. OWNER: Mr. &Mrs.Viltoft 2905 Garfield Avenue S. 1155 Heritage La Minneapolis,MN 55408 Wayzata MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISSION 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. I��..r��-C Gl'L Z�%Y�"�—�r APPL[CANT PERMITEE SIGNATURE SUED BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 � i' CITY OF ORONO APPLICATION FOR PLUMBING PERMIT Box 66 (2750 Kelley Parkway) Crystal Bay, MN 55323 ' ' � . .. , , : GENERAL INFORMATION � 1, You may apply for plumbing permits by mail or in person at the City offices. ' ' 2. Permit cards 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 he insp�cted and ai: testcd befa:� it is �overeu. Call (952; 2;9-�60C. 24-h�ur rc.ice required. 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 (952) 249-4600. Please check one: New vi�TorT, JUR�EN ��{eplace ��esident 1155 HERIT!',GE IJ�NE - ORONO, MN 55391 (952)473-0865 J4B,SI'TE: �ip. � O�vt��er's�Name:. `'�`TelephoneNumber. �� Mailing�A�iclress: � Cit�:. ..Zip;.� �- _ Contractor'slyame: ` � c TelephoneNwnber.:, (6�z��Z�-y�3 _ Mailing Address: ZqOS �e%/ .So: City:_ p��/S Zip:' SS��`a' PLUMBING FIXTURE SCHEDULE FIXTURE BSMT I 1ST I 2ND I OTHER ( FIXTURE BSMT 1ST 2ND OTHER TYPE FL FL T�'PF I �r I * I = L FL Water Closet Floor Drains Lavato Sewer E'ector Bathtub Laund Tra Shower Washer Kitchen Sink Water Heater � Dis osal Water Softener Di ____. shwasher .. . _ _. . _.. . , Wet Bar .. Sillcocks Misc (list , ''� � PERMIT FEE CALCULATION(Sl 2002 State Statute �,�Yes, This Section Applies The replacement of a Residential fixture or appliance that meets all three of the following requirements: 1) Does not require modification to electrical or gas service. 2) Has a total cost of$500.00 or less; excludine the cost of the fixture or appliance: and 3) Is improved, installed or replaced by the homeowner or licenced contractor. Skip next seciion; Cost of Permit $ 15.00 State Surcharge $ .SQ Mail Tn Fee $ 1.50 If above does not apply, follow guidelines below: 1. - Contract Price* is ,0125 % of job with a Minimum Fee of ($35.00) x .0125 $ (contract price) (minimum$35.00) 2. State Surcharee. ** Add the State Building Code Division a (Minimum Fee of$ .50) x .0005 $ � (contract price) (minimum $ ,50) 3. Posta�e and Handling (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 fized 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, tenane 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. ** 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 Inspection Services for the price: The undersigned hereby applies to the City for issuance of a Plumbing Pernut, 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: 0 7 2 3 A 5 � ��—f r House heating test record �CenterPoint� Energy � Owner �` � � �-% �� Controls Conversion � �, Address �� H��'��F�h ��Apt. Thermostat �L�� Heat plug 1/ent size � City�/��'' Ualue �F� Kind of liner/size ;�lviY1�ti�:1n Heat loss Date htg. insi 7�� Limit -S'":t 4,'C�? Draft hood �/�%�y�, �yjegulator Sold by CenterPoint Energ� Limit setting % /G' Filters:Size �,;xL_ h_�l�Number J Installed by CenterPoint Enerqy Fan setting i /�j k-� Chimney location: � Inside � Outside -� , . E!ectrical v✓crk by �B�It�rPc;�7� Enerc�y Pilot type S/.'t1L�t Chimney construction �-i,'.r �.�� Neat type: � FA � Space heater Pilot make �'�l!-� Wiring 7L' Test tag X Gas line by Pilot model ��r� Lighting Inst x Date tested � /5�� Unit heater Other Pilot timing �C,J�L Company testing P 1 t YI ,l 7j��/ �� '� _/�, � Pressure: Hi fire/Lo fire Tester's name 7L Gas design ��-� 1 , _P rcent C0� z= Make �13� L� Model (,(:� ��C 1�•�l'�L G)c" 7� n�ut CFH 7 IJ�iPercent Oz / �� Serial no. r��7��L C-�c��-��'. r i�C. -�� (�. ., Stack temp 5�L Percent CO�L�J�� Input ?`� -� - �s�2005 CenterPoint Energy Form 235 Rev.7/05 ID�2352 , l.J/ Q � � ` / �I (�-�j QA E TIME V CITY OF ORONO CALLED IN � �� INSPECTION NQTICpE�y� f_ SCHEDULED � • �% PERMIT NO. '�'��l�/�C� COMPLETED � ADDRESS 1�:�.5 .�? / 7`�x c'sZ � OWNER�'� - �fd�C�NTR. TELEPHONE NO. <J�� 73 � �CS�S � DESCRIPTION ��,.� ��- �L.�Lk-�2- 1`i��' � 01 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 � 04 WALI BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU�YES_NO � COMMENTS:_��_�ha i37,r�v�4 ��JL ��h�m0 ,� W C � � O � � O � W � Q � Z W � W � � d W WORKSATISFACTORY:PROCEED PROJECTCOMPLEfE �� ❑ CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY 0 ❑ CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETl1RN ❑STOP ORDER POSTED.CALL INSPECTOR `-� CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next i spection 24 hours in advance. (952� 249-46�� OwnerlContra�tai-an s e: - � Inspector. White Copyllnspector's File Canary CopylSite Notice