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Home My WebLink About2008-P12025 - water heater � PERMIT C'iTY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: p12025 Crystal Bay, Minnesota 55323 Permit Type: Fixtures (952)249-4600 Date Issued: 5/2/2008 SITE ADDRESS: 2750 Kelly Ave Unit# Excelsior,MN 55331 PID: 21-117-23-23-0038 DESCRIPTION: Proposed Use: Residential Permit Class: Plumbing Pemut Type: Fixtures Pemut Sub-type(s): Water Heater DETAILS: Approved per resolution#: Separate perrnits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 15.00 valuation: $ 0.00 State Surcharge Fee: $ 0.50 Misc.Fee: $ 1.50 TOTAL FEE: $ 17.00 APPLICANT: Champion Pluxnbing LLC OWNER: John Kozar Etal 3670 Dodd Road-Suite 100 2750 Kelly Ave Eagan,MN 55123 Excelsior MN 55331 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. ��R-C�Q C�, ��,Y� APPLICANT PERMITEE SIGNATURE UED BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 CITY OF ORONO APPLICATION FOR PLUMBING PERMIT Box 66 (2750 Kelley Parkway) Crystal Bay, MN �5323 GEN`ERAL INFOR1�1A1�ION 1. You may apply for plumbing permits by mail or in person at the Ciry offices. 2. Permi[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 70B SITE. 3. Plumbinb permits may be issued ONLY to licensed plumbing contractors and to properry owners residing in the dwelling. 4. When any new construction or remodeling is involved, a separate building permit must be obtained. �. All work must be done in accordance with the State Code requirements. 6. All work must be inspected and air tested before it is covered. Call (952) 249-4600. 24-hour notice required. Instructions Complete all items on this application. Compute the permit fee. Sign and date the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call (952) 249-4600. Please check one: New Addition Repair ✓Replace ✓ Residential Commercial JOB SITE: .�c.7�(`1 �� Q✓ Zi p: `�53��I O«-ner's Name: ��p�� ;7,,��,r Telephone Number: `j`a �- t�71- �j j� l�lailing Address: ,S'��'Y1 e� City: (,,� (��n�,Zip; �'j�� Contractor'sName: g�1365134A TelephoneNumber: �Iailing Address: 3670 Dodd Rd. #100 City: Zip: Eagan, MN 55123-1339 PLUI�TBING FIXTiJ12E SCHEDULE FIXTURE BSNiT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER T�'PE FL FL TYPE FL FL Wa�er C1ose� Floor Drains Lavator}' Sewer E�ector Bathrub Laundr Tra Shower Washer Kitchen Sir�h Water Heater � Dis osal Water Softener Dishwasher Wet Bar Sillcocks Misc (list) 3�� L PERMIT F`EE CALCULATION(Sl 2002 State Statute � Yes, This Section Applies The replacement of a Residential fixture or appliance that meets all three of the following requirements: � 1) Does not require modification to electrical or gas service. 2) Has a total cost of$500.00 or less; excludina the cost of the fixture or appliance: and 3) Is improved, installed or replaced by the homeowner or licenced contractor. Skip next section; Cost of Permit $� 15.00 State Surcharge $ .50 Mail In Fee $ 1.50 If above does not apply, follow guidelines below: 1. Contract Price* is .0125 % of job with a Minimum Fee of ($35 00) x .0125 $ (contract price) (minimum $35_00) 2. State Surcharge. ** Add the State Building Code Division a (Minimum Fee of $ .50) x .0005 $ (contract price) (_rninimum $ .50) 3. Postage and Handlin� (Only mail-in applications) $ 1.50 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ �� • L�(� M CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including materials, labor, profit, and other f xed costs. ;t is the an�ount to oe charged to the customer for the work done. If any material, equipment, labor, or installation are furnished by the owner, tenant or any other party the reasonable market value of sueh 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. *` The STATE SURCHARGE is .0005 of the contract price under$1,000,000 or $.50 - whichever is greater. For valuations over $1,000,000 call the Department of Inspection Services for the price. The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all work in striet 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 conect. _..�-_ Applicant's Signature: Date: �� -''� D�D `o� d�` D E TIME CITY OF ORONO CALLED IN 5-� INSPECTION NOnTICE SCHEDULED � /; �C� PERMITNO. O"�Z�Z � COMPLETED ADDRESS___ �7�� Ke�, � . OWNER af'/� `�OZ�� CONTR. G��'��7'' G�� TELEPHONE NO. �SZ �7� ��S Z- � DESCRIPTION ��( ��-- � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING y ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS O ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WAIL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP ? ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: � W 4 a �.(J T�h�ll l�C�.A'i l� j� "�"�1 I � >. � 0 � W � Q � Z W � W � � � �WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ppHOTOTAKEN INSPECTOR WILL RETURN �CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR �INSPECTIONREQUiREO.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. � t J / White CopyllnspectoPs Flie Canary CopylSite Notice