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Home My WebLink About2017-00129 (Water Heater) CITY OF ORONO * 2 0 1 7 — 0 0 1 z 9� * � 2750 KELLEY PARKWAY DA'rE ISSUED: 02/10/2017 ORONO,MN 55356- (952)249-4600 FAX: (952) 249-4616 ADDRESS : 1384 BALDUR PARK RD PIN : 08-117-23-31-0004 LEGAL DESC : BALDUR PARK : LOT 019 BLOCK 001 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WATER HEATER NOTE: WATER HEATER VALUATION OF PLUMBING 600 APPLICANT PLUMBING FIXTURE FEE 50.00 STATE SURCHARGE PLBG(VALUATION) 030 APPLIANCE CONNECTIONS,INC. MAIL-IN FEE 2.00 12850 CHESTNUT BLVD TOTAL 52.30 SHAKOPEE,MN 55379- Payment(s) (952)445-4803 52.30 Minnesota State License#:mech-MB004165 OWNER PEARSON,CRAIG&LISA 1384 BALDUR PARK RD WAYZATA,MN 55391- 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 governing this type of work shall be compied with whether or not specified herein.This permit will expire and become nuli 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 aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. � ��u.c�Qc o P-�' `e � �Ij .2 i l D i 1� Applicant Permitee Signature Date Issued y ignature Date City of Orono �,J Q �,�r'V C FFJR GITY U�E� �Y.. � �' �� ' �4 P.o. Box ss �� Date Rece��±ed: -x-1 d�=/� �` :s��'�.. 2750 Kelley Parkway � �, Crystal Bay, MN 55323 �E� 1 O �01� Permi�# ;,,_,_,,��P�� ` �� kESHO'Q'�'`` �952)249-4600—Main ro�fed B : � (952)249-4616—Fax �Y��Q �� Y � �'�� Amo�nt$: a'�."�'� �� ;��, �� ti�. CITY OF ORONO— PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) htta://www.dli.mn.nov/CCLD/PDF/ae plumbalanrevaap �df ��v�i�►�. i�Fa��na-rio�N - �� 4 { 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 finro 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 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 T�at Apply) -°'� � Residential ❑ Commercial (Approval Required) ❑ New ❑ Additional ❑ Repairs ❑ Replace ❑ In Accessory Structure? *You will need arior aaproval and may need CUP. (Per Orono City Code, Chapter 78, Article I� .�bb Site! Qwrrer Information: Site Address: 13� i/ �/ � r � Owner: 'r t Y 0 Mailing Address: �'�� . City: Zip: Home Phone: _�5��q� ��(� � qlternate Phone: G�ratractor=�nfiorrnation: � Contractor: � � Contact Person: �°� Address: 12850 Chestnut Blvd. � State Bond #: V(U L 7 �_ � 952-445-480'3 C�� Z�p: Expiration Date: � 3l / � Phone: Alternate Phone: / � ❑ Insurance — Current: � Page 1 . , � FIXTURE BSMT �sT 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER �'PE Floor Floor TYPE Floor Floor Water Closet Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Silicocks Miscellaneous .�_. � 1. CONTRACT PRICE * is 1.25% of contract price with a (Minimum Fee of$50.00) �� 1Z �/� - x .0125 $ �/v- � 0 (contract price) (minimum $50.00) 2. STATE SURCHARGE __ Co o� � � X .0005 � 3 b (contract price) ' 3. POSTAGE & HANDLING (Only on Mail-In Applications) $ 2.00 �0 4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ 5�j " CONTRACT PRICE or JOB COST means the actual or estimated dolfar 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 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 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. { ��; � ,� _>:��:P . �, 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 statem ts made on this application e complete, true and correct. � c Applicant's Signature: Date: V � _� Building Official/ Insp ctor: Date: C� Page 2 �/� DATE TIM CITY OF ORONO CALLED IN iNSPECTION��ICE �� Z� SCHEDULED � �� PERMIT NO. 1 � COMPLETED ADDRESS �3�� g��`-�� OWNER , �'`' TELEPHONE NO�� A� ��J CONTRACTOR �� DESCRIPTION `��I(`-3.� t� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ 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 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: � � , � _ L� ., ��,�...Jn� �-�- �n,4 � � � �-e/� OI n � �..�✓t�.` V C� '� ��. � l � - �� ° - T r r' �� l..t, c�,� W / / Q ' U ✓1 ,hh�,) �v�i � �.z. I---C�J �� F+ � � �(`��/I � �i0�`^ J / J^G��r o G ' � G �� C J ��/' �--j� — �, 1�'ti�r-. W ❑WORK SATISFACTORY:PROCEED � `❑/CORRECT NfORK 3 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY o `�'CORRECT WORK,CALL FOR REINSPECTION TEMPORARY �j��BEFORE CONERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTiON REQUIRED.CALL TO ARRANGE ACCESS. Call ror the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector. �`� � Whits Copyllnspector's Ffle Cenary CopylSite Hoties