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Home My WebLink About2014-00251 - replace water heater : . CITY OF ORONO * 2 0 1 4 - 0 PJ 2 5 1 * 2750 KELLEY PARKWAY DATE ISSUED: 03/3U2014 ORONO, MN 55356- 952 249-4600 FAX: (952) 249-4616 ADDRESS : 1040 KNOLL MANOR RD PIN : 26-118-23-31-0014 LEGAL DESC : KNOLL MANOR : LOT 004 BLOCK 001 PERMIT TYPE : PLUMBING(<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURE NOTE: REPLACE WATER HEATER APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 STATE SURCHARGE PLBG(<$500) 5.00 APPLIANCE CONNECTIONS MAIL-IN FEE 2.00 12850 CHESTNUT BLVD SHAKOPEE,MN 55379 TOTAL 22.00 (952)445-4803 Payment(s) Minnesota State License#: BUIL-057209PM CHECK 21157 22.00 OWNER CARGILL,W BIGLEY&K 1040 KNOLL MANOR RD LONG LAKE,MN 55356 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. 1'his permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. ��3/ � � c�_ � , .31 , /�'�' Applicant Permitee Signature Dat Iss d By Signature Date � O CTt U E ONLY �,¢p� City of Or�(,� I�� O ' O P.O.Box 66 � Date Receiv . � ermit#�� —� �5 / i 2750 Kelley Paz n-y n�� ' � � ��'�r t�i Crysffi1 Bay,h1I�:'T � �b 1� Ayproved By: Amount$:�� "�n�r,o� (952)249�600 C��—PLUMBL�TG I'ERMIT (All Commercial pemiits must be approved by the Building Official or Inspector) GENERAL INFORMATION 1. You may apply for plumbing permxts 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 UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB S1TE. 3. Plumbing permits may be issued ONLY to licensed pluznbing contractors and to property owners residing in the dwelling. 4. When any new construction or remodeling is involved,a separate building permit must be obta.ined. 5. All work must be done in accordance with�tate Code requirements. 6. Ali 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 Apply) �Residential ❑Commsrcial(Approval Required} ❑New ❑AdditionaI ❑Repaizs ❑Replace ❑ In Accessory Structure? *You will need nrior aauroval and may need CUP.(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: Site Address: �d�0 ��p%� ��Q i'IGGY��U Owner: , / ivlailing Address: .�/'N`� City: Zip: Home Phone: �/� - ��'�Jr� Alternate Phone: Contractor Information: Contractor: Contact Person: �.JQ�»-t�c..e. �f�� App iance onnections Inc. Address: �2850 Chestnut Blvd. State Bond#: �jtj�7,�(}9 S a opEe, 55379 C�ty: 952-445-48(�: Expiration Date: Phone: Alternate Phone: ❑ Insurance—CurrenY: 1 PL,�iJI�r�BING FIXTt1R�S BEING tNSTAI:LED FIXTURE BSMT ls 2 ° OTHER FIXTURE BSMT IST 2 O'THER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sink Water Heater I Disposal Water Softener Dishwasher Wet Bar Sillcocks � Miscellaneous � PERMIT FEE CALCLTLATION(S) - �`BASED OFF -2002 STATE.STATUE ❑ Yes,this section applies The replacement of only one Residential fixture or appliance that meets all three of the following requirements: I. Does not require modification to electrical or gas service. "l. Has a total cost of�SO�.OU or iess; excludine the cost of tt��e fixture or appliance:and 3. Is improved,installed or replaced by the homeowner or licensed plumbing contractor. Skip next section,if this applies; Cost of Permit $ 15_00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $_�,�(� (Permit Fees Continued On Next Page) 2 . . , If above does not apply;follow guidelines below: 1. �ONTRACT PKICE * is 125%of contract price with a(Minimum Fee of$50.00) x.0125$ (contract price) . (m�nimum 550.00) 2. STATE SURCHARGE '*Add the State Bldg Code Div.Surcharge(Minimum Fee of S5.00) • x.0005 $ (conuact price)' (minimum S 5.00) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2•0(1 4. TOTAL PERMTT FEE(Add Lines 1-3 Above) S y ■ '� CONTRAC'T PRICE or JOB COST means t�he actua! or estimazed dallaz amount c3:ar��d fcr the permitted svork 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'pernut 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$1,000,000 or$S.UO—whichever is greater. For valuations over$1,000,000 call the Building Department at(952)249-4600 for the price. 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 aze complete, true and correct. � .._�- e Date: ��`o��"�� Applicant's Signature: ._— �� . ` ` � .. � ' �.�.. , ► , . � , � 3 �