The URL can be used to link to this page

Home My WebLink About2012-00556 - Water Heater ° CITY OF ORONO * 2 0 1 2 - 0 0 5 5 6 * �� 2750 KELLEY PARKWAY DATE ISSUED: 06/19/2012 , ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS : 3548 IVY PL PIN : 20-117-23-42-0017 LEGAL DESC : TAYLORS SUBD OF SPRING PARK LO : LOT 174 BLOCK 000 PERMIT TYPE : PLUMBING(<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WATER HEATER APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 BAXTER MECHANICAL STATE SURCHARGE PLBG(<$500) 5.00 PO BOX 591 ELK RIVER,MN 55330- MAIL-IN FEE 2.00 (612)227-6710 TOTAL 22.00 Minnesota State License#: 066036 PM OWNER PYLE,MR.&MRS.CHARLES 3548 IVY PL WAYZATA,MN 55391 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and dces not grant permission for additional or related work which requires sepazate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if consWction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections aze requested in conformance with the State Building Code.This permit may be � revoked at any time for due Cause. �'KQ'�'� �"�` � � � /�`''�`'n, / / Applicant Perrnitee Signature Date Issued By ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. FOR CITY USE ONLY 1 �$��e\ P.O.Box 66rono Date Reocived: Permi[# "''� ~� '`� 2750 ICel1 �; � ey Parkway 1t ��',� � Crystat Bay,(�QJ 55323 Approved By: Amoiurt S: II� � ,�.��.6� (952)249-4600—Main \� (952)249-4616—Ea2c CITY OF ORONO-PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) htt ://wwww.dti.mn. ov/CCLD/PDF/ e lumb lanreva . df GENERAI, INFORMATION 1. You may aQply for plumbing permits by mail or in person at the City o�t£ioes. Apptications will be reviewed and a pem�it will be issued within two working days. 2. Permit cards will be se.nt by return mail after a review is compl�ted. PERMI'TS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORI�MIJST NUT BEGIN UNTII.TNE PERMIT CARD LS POSTED ON THE JOB SITE. ' 3. Plumbing pem�its�y be issued ONLY to licensed plumbing contractors and to pmperty owners residing in ti�e dwelling. 4. When any new construction or remodeling is involved,a sepazate building peanit must be obtained. 5. Alt work must be done in ac�cordance with State Code requirements. 6. All work must be inspected and sir tested before it is covered. Call(952j 249-4600. (24-48 hour notice required) TYPE OF PERMIT Check All That A 1 idetrtial ❑Commercial(Approval Required) ❑New ❑Additional ❑Repairs eplace ❑ In Accessory Structure? 'You will nced urior aaaroval and may nced CiJP.(I'er Orono City Code,Chapter 78,Article I� Job Site/Owner Information: Site Address: U L Owner�il P ` r ailing Address: �a�� City: Zip: Horne Phone:��'O �"a711ternate Phone: Contractor Information: Contractor. I Y � �a�'lZ�c�Person: „�l�i ��f��Q/ Address: V � State Bond#: , �+ 33c� City: �1��4 ,�� 2ip:� Expiration Date: ��- � � Phone: � �� ( (� Alternate Phone: ❑ Insurance-Cunent: 1 : PLUMBiNG FIXTURES BEING 1AiSTALLED FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTE�R TYPE FL FL TYPE FL FL Water Closet Fioor Urains Lavatory Sewer Ejector Bathtub [.aundry Tray Shower Washer Kitchen Sink Water Heater � Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous PERMIT FEE CALCULATION(S) `BASED OFF-2002 STATE STATUE � Yes,this section applies T'he replacement of only one Residential fiacture or appliance that meets all three of the following requirements: l. Does not require modification to electrical or gas service. 2. Has a total cost of$SOO.QO or.less;excludin¢the cost of the fixture or appliance:and 3. Is improve�,installed or replaced by the homeowne.�or licensed plumbing contractor. Skip next secUion,if this applies; Cost of Permit � I S.OU State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Tof�l Permit Fee a ci� (Permit Fees Continued On Neat Page) 2 , PERMIT FEE CALCULATI4N S -JQBS OVER Sr40.U0 If above dces not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contraat price with a(Minimam Fee of S5(1.00) x.0125 S (contract prioe) (miAimam SSo.00) 2. STATE SURCHARGE x.0005 � (��P�) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) S • * CONTRACT PRICE or JOB COST means�e actual or estimated dollar amourn charged for the permitted work including matetials,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�rty,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. I'LI3MBING P�RMiT APPLICATTON 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 af the City and the regulations of tl�e State of Mitmesota, and certifies that all staxements made an this application are complete, true and correc� . ApplicanYs Signature: Date: O � , Res@t FOrm 3 1 �� `�� DATE TIME V ITY OF ORONO CALLED IN � ?, INSPECTION NOTICE �� SCHEDULED � T—o;� PERMIT NO. :�C;/.� – � COMPLETED ADDRESS �� `��L � �/ OWNER �h i��t/ ��_TE�ONE N . 5� 7 �� 7`� CONTRACTOR / -"'`/`� `'� � �: DESCRIPTION �/�-�n � �-`�� '��r � W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS h O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECT�ON Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEP I FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:�YES_NO � COMMENTS: `-t/(1 � ` C?"f l�-.�O W �r't' � � � O a � O � W � Q ti Z W � W � � GW ❑WORK SATISFACTORY:PROCEED �I PROJECT COMPLETE � � W ❑CORRECT WORK&PROCEED Cl ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cali for the next inspection 24 hours in advance. �95Z� 249-4600 Owner/Contractor on site: Inspector. . r-� White Copyllnspector's File Canary Copy/Site Notice