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
-- ------ --
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�City of 3�aaespolis ----------fi12-673-5892 �
�Iaspectioas Divisioa � -
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� � —�———--�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
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�T�gg Cp�l�F.�'iRE: Nov. O 1, Z 013 �
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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
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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
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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:
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W O WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE
� O CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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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��� _ ���"��"
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CONTRAC��R 7 �L�����'t
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�: 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-�� � ,
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�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