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HomeMy WebLinkAbout2013-01217 - water heater � CITY OF ORONO * z 0 1 3 - 0 1 z 1 7 * ' 2750 KELLEY PARKWAY DATE ISSUED: lUi9/2013 ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS : 525 HUNTER PASS PIN : 25-118-23-31-0006 LEGAL DESC : HUNTER PASS : LOT 002 BLOCK 001 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WATER HEATER VALUATION OF PLUMBING 5800 APPLICANT PLUMBING FIXTURE FEE 72.50 PLUMB RIGHT STATE SURCHARGE PLBG(VALUATION) 2.90 1216 82ND AVE N BROOKLYN PARK,MN 55444- MAIL-IN FEE 2.00 (763)561-3306 MISC FEE 0.00 TOTAL 77.40 OWNER STOBEL,MARK& SUSAN 525 HUNTER PASS WAYZATA,MN 55391 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires sepazate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of l80 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. / / / / Applicant Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. . � FOR CITY USE ONLY �O A TO City of Orono �y P.O.Box 66 Date Received: Permit# 2750 Kelley Parkway Crystal Bay,MN�5323 Approved By: Amount$: (952)249-4600—Main -� � (952)249-4616—Fax y�' �� CITY OF ORONO—PLUMBING PERMIT �RkFSN��� (All Commercial Permits Must be Approved by the State Prior to City Approval) htt ://www.dli.mn. ov/CCLD/PDF/ e lumb lanre��a . df 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 UNT[L 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 1 �,Residential ❑Commercial(Approval Required) ❑New ❑Additional ❑ Repairs �Replace G11� /�� ❑ In Accessory Structure? *You will need prior approval and may need(,'t_=P.(Per Orono City Code,Chapter 78,Article 1V) Job Site/Owner Information: Site Address: �J'��� ���f��_ ���`� Owner: �tCt,P�. .�f'l�I�1�� Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: 1"/���� �l Contact Person: �C/� �U � Address: ��� �� S�'.nQ // State Bond#: �� �T��� City: ��� , �/ Zip: /�l' Expiration Date: �'2"3l—�✓ � Phone: 7����'l��v� `� �Alternate Phone: ❑ Insurance—Current: 1 PERMIT FEE CALCULATION S -JOBS OVER$500.00 If above does not apply;follow guidelines below: ]. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) �S1�dD• � X .o�2s $ �r-� ��� (contract price) (minimum$50.00) 2. STATE SURCHARGE x.0005 $ � �� (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 �- `'`' 4. TOTAL PERMIT FEE(Add Lines l-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. [t is the amount to be charged to the customer for the work done. [f 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. [n 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 the City and the regulations of the State of Minnesota, and certifies that all statements made on this application are complete, true and correct. /3 / Applicant's Signature: Date: ��/�%3 3 � � MtNNE50TA DEPARTMENT OF 1�ABOR & INDUSTRY r CONSTRUCTION COCiES ANO LJC£NSMlG . Licensee Name and License Number Origination Expiration Mailing Address License Description Date Date PLUMB RIGHT CORP M6004313 1/12J2010 1/1I2014 1216 82ND AVE N MECHANICAL CONTRACTOR BOND BROOKLYN PARK ,MN 55444 PLUMB RIGHT CORP PC643614 1Ml2012 12/31l2013 1216 82ND AVE N PLUMBING CONTRACTOR BROOKLYN PARK ,MN 55444 -- ------ -- -----------------------� �City of 3�aaespolis ----------fi12-673-5892 � �Iaspectioas Divisioa � - ; 2so s 4m st a�,��r ssais 2 013 j , , � � —�———--�TATE OF l�i1NN�SOTA - -———— �CERTII+'ICATE OF COII�'ETENCY , ; MASTER PLun�ER ��� i v' ux �'. � "Y� � �Heep t2�is Cu'd iII yotil pOsseesiOII Oa�thE job. , �':�� .3. ;.n��c�ce,�ry r�c: D�T.F �g�R ; License# PM058734 �,,..�-�^ ' holds the foIlawing competiencies: ' Expiration Date 12/31/2014 �j y�`_;�,� � Effective Date O1/Ol/2013 �:��� ; rc�201100 �►ssax pLv�sx/c�►srt�rax ; Original Issue Date 09/17/1981 ; ; DALE R CARTER ; ; 1216 82ND AVE N ; ; BROOKLYN PARK,MN 55444 � � � � � � � � � � � �T�gg Cp�l�F.�'iRE: Nov. O 1, Z 013 � '--------------------------------------------------------= Y�YJVL VV�V� •MMV�J1f�V1 City of Saint Paul Please call for inspections pe�r�nent of Safety behveen 730 and 9:00 am. end lnspxtiorts Monday-Friday CERTIFfCATE OF COMPETENCY This is to certify that: Eloctriat 266-9003 DALE R GRTER "s holds d�e fo�lowmB comPe�n�ies: P�nDinB I66-9005 Mester PUGF 20090000365 �� Mahail�l �66-9004 .ss Warnt Air/Y� 2b6-9006 ' ... Build'mg �-�2 ..• 24 hour�ofotsx 266-9096 -fh�e cwmp�tencies expirc: 12/01l2013 �" Ricardo X. Cervantes T"de L'� �'9090 Director C���� ... Signature of Certifiod Card Nolder Kecp�ie c,.a:y.er ooreawe.e.ek i� THIS CARD tS YOUR RECE 1PT 2/1 412 01 2 Page 1 of 1 � DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE 6���1 SCHEDULED PERMIT NO.26/�" COMPLETED /-30-/�— ADDRESS � 01.�� �ie.r.�� ��sS ���3 OWNER TF�LEPHONE NO. �� CONTRACTOR ��4 wt'� �i�L'` � DESCRIPTION �'�r-'' ���'� f� �` � ❑ FOOTING ❑ PLUMBING FINAL � EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB � WATER HOOK-UP ❑ PROGRESS � �d■{NAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. r�FQLLOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL V❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 �NNERICONTtiACTOR TO MEET YOU:_YES_NO h COMMENTS: y /-�✓f.Gt•L /lG,�cyG r -�,¢•lGd/ � ��� /'�✓ � Q+ � /1 S�/C.,. 0 a� � l� C,1'l� ,�.•,a.rr.e - W � Q / z �1 e�.s� l!� `� �rd KO l s�cf /l4 Cl j¢— W ��f���l,P G� �i nc(�i rlf./.���lJ•f�.ti d � � � ' �ro J W O WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE � O CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WRHIN HOURS. ❑pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED �ECTION REWIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�� Owner/CoMractor on site: Inspector: �� White Copyllnspector's File Canary CopylSfte Notice `� � DATE TIME ✓ �cITY OF ORONO � CALLED IN INSPECTION NOTICE2 SCHEDULED � �L .�1 PERMIT NO. �� �J �O� � � COMPLEfED ADDRESS �Z � � r�, OWNER, � TELEPHONE N0.71°3��� _ ���"��" �-p 3 4-7� "(t tc�`7(o CONTRAC��R 7 �L�����'t � �: DESCRIPTION L��-��- �� � �P� ��ha � ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT J INAL ❑ WATER HOOK-UP ❑ FOLLOW-UP = AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑�PTIC INSTALL ❑ FOUNDATION/REMOVAL � OWNERICONTFiACTOR TO MEET YOU: YES_NO � COMMENTS: � }�.Q.(�I I y� `l S ��`E-�� � , j � ��- I O � � ° wEetc✓ �.¢..�tG� ►''e �. - Q � e,��� �.�S� ��� - Z - ��c�v�,t% r�c<��� � s,O�c s - W � W � kJo r'�C G°6 wc/l/�� �I �/���5 1S� j - �W ❑WORKSATISFACTORY:PROCEED �OJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT 0 CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION RE(�UIRED_CALL TO ARRANGE ACCESS. Call forthe next inspecti 24 hours in advance. (952� 249-46�0 OwnerlContractor on site: � Inspector. �- White Copyllnspector's Ffle Canary CopylSite Notice