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Home My WebLink About2013-00451 - water heater CITY OF ORONO * z 0 1�3�- 0 0 4 5 1 * , 2750 KELLEY PARKWAY DATE ISSUED: 06/OS/2013 ORONO, MN 55356- � (952) 249-4600 FAX: (952)249-4616 ADDRESS : 3215 LAFAYETTE RIDGE CT PIN : 17-117-23-44-0088 LEGAL DESC : LAFAYETTE RIDGE : LOT 001 BLOCK 001 PERMIT TYPE : PLUMBING(<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WATER HEATER APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 CHAMPION PLUMBING LLC STATE SURCHARGE PLBG(<$500) 5.00 3670 DODD ROAD-SUITE 100 EAGAN,MN 55123- MAIL-IN FEE 2.00 () TOTAL 22.00 OWNER JONES,TERRI 3215 LAFAYETTE RIDGE CT 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 no[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. �/'K.u-�l �' / / / / Applicant Permitee Signature Date Issued By Si ture Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 1 � ''� FdR CIT'Y USE O!!'LY �,0�..�, �i�i3�oti'dr��o �'�j�` �� I',0.Box 66 DateReceived: Pennit,= ?7�0 I�elley Parkv,�a}� ': 7. '- Cn'stal Bay.N;��Sj323 :;„� } - : � � Approved B�c: Amount�: �ir_.',��,�. (y�_')249-4600–Main tsxo , (9��)?�9-�1G16–Fax ��T�i�J �� 'C�'�.QI�T� —I�I'I��TIF��LI�C� I�EI�� (All Commercial Permits ��s�be:4g�rQve� by t€�e�tate Prior io City Approval) , . - . .. „-':-: � .:ia.c�� : ��F't�.�..�rs'F�T'��'iilt, GE€:Fa:�.[r'1.��€;'� i�4';..�::i4 GENERAL INFORMATION 1. You ma��appl}� for plumbing perinits by mail or in person at the Cit��offices. Applications«�ill be reviewed and a permit��il]be issued within two workin�days. 2. Permit cards wiil be sent by return mail after a review is completed. PER1��1TS ARE NOT VALID U1vT1L YOU RECEI�'E A PERMIT. FT�'�RF�h'fLJS'�'�'�T'&E�F�?�T�'�IL'L'f�L �'�EZiC�F�T C,4.F�3 ES�'Q�S'�'�[�dT�I"�'��,�O�i�S�"�'�. 3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners ,-es;di;,^in t!�e a ' ' o � wz,l;n�. 4• �'heil any new construction or remodeling is involved,a separate building permit must be obtained. 5. .All worl.must ue done in accordance with State Code requirements. 6. All work must be iilspected and air tested before it is covered. Cali(9�2)249-4600. (24-48 hou;no�ice reqsired) TYPE OF PERI��IT (Check All That Ap ly) � � �esidential ❑ Commercial(Approval Required) ��'��' ❑Additional ❑Repairs `�Replace ❑ In Accessory Structm�e? rYou wilP need prior anpro��$i and may need CliP.(Per Orono City Code,Chapter 78,Article IV) Job Site/O��ner Information: Site Address: �� U�� ( (,� �,�- • � �.? Owner:��( ( cn�S Mailing Address: �s��J ��: �o z�p: 5 �3� � , � � / -} , Home Phone: �� '� `� � � Alternate Phone: lP��o( ��' � �U� Contractor I�Iforil�ation: r"{ �y � , Contractor: � F 1 1�q�I,�Contact Person: �I( ; S Address: �� l � ��J �d " State Bo�zd#: J �� City: � �l,l� Zip"��':�{�� Expiration Date: Phone: r � � �" �. � Alternate Fhone: ❑ Insurance-Current: 1 , ��! r t PLU�ViBII��FI�TURES t�EI1�T�INST:ALLEL� FIXTURE BSMT 1 2ND OTHER FIXTURE BSMT 15T 2 OTHER TYPE FL FL T1'PE FL FL Water Closet � Floor Drains Lavatory Se��er Ejector Bathtub Laundry Tray Shower Washer Kitchen Siilk Water Heater � Disposa] Water Softener Dishwasher VJet Bar Sillcocks Miscellaneous �'ERMITFEE CALCULATIQI�,T(S) "' BASED OFF -2002 ST�TE STATtiE ':, � Yes,this section appiies The replacement of or.@y one Residential fia�ture or ap�liance that meets all three of the following requirements: l. Does not require modification to electrical or gas service. 2. Has a total cost of��00.00 or less;excludinQ the cost of the fixture or appliance:and 3. Is improved, installed or replaced by the homeowner or licensed plumbin�contractor. Sl:ip next section,if this applies; Cost of Permit $ 15.00 State Surcharge $ 5.00 Mail-in Fee(If Applicable) $ 2.00 �'otzl Permet�'ee � 'l�Z'l�J (PeczrEt�ees�o��ti�:�ed�l'r� �Ie�:t�'a�e) 2 , . ,, P�FtIV�IT FEE C�LCITL�4TIalvT{�)-3�BS O�T��$�00.0� If above does not app]y;follow guidelines belo�v: t• ��'�'F�F�'� "� is l.25%of contract price with a(1VIIi�im�rti I'ee of�S�.�Q�) x.OL�$ (contract price) (minimum 550.00) 2. S�'.4,�'C StJFtCF�.4I�2Cs� x.000� $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 �• T�1'L';:�,k��ZE'�'E�'E�(Add Lines 1-3 Above) � ° '� CONTRACT PR10E or JOB COST means the actual or estimated dollar amount char�ed for the pernlitted worl: including materials, labor,profit, and oiher 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 permit fee purposes. In the event that there is a dispute on the amount of ihe job cost, the Ciry may request the submission of a si�ed copy of the actual contract. ° ��' The STATE SUP,CHARGE is.0005 of the contract price under$],000,000 or$5.00—whichever is greater. For valuaiions over$1,000,000 call the Building Department at(9�2)249-4600 for the price. PLUIvIBI?�TG PERMIT APPLICaTIO�4GREEI�ENT The undersi�ned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all work in strici accordance with the ordinances of the City and the regulations of the State of Minnesota, and ce;rtifies that all statements inade on this application are camplete, true and correct. � �� .�pplicant's Signatw-e: Date: E�� =cc� 3 �'� _C=� D TE TIME✓ CITY OF ORONO � CALLED IN � — — INSPECTION NO�ICE SCHEDULED � — � � PERMIT NO. c PLETED ` ADDRESS � �� OWNER �� H 0.�� S ��J CONTRACTOR � DESCRIPTION / , �`-' � ,,,___,,,/// � ❑ FOOTING t7�'PLUM G FINAL ❑ EXCAV/GRADING/FIWNG Q ❑ POURED WALL ❑�EC ICAI RI ❑ LAKESHORENVEfLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION O WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP = p DEMO-FINAL O SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � i�/�ie� l( 4L`er p ' e�OG�S�'/�k� 4�S �irl�. ' . �` ' c x.�.St�yc 1?a�'�.��/ �re�f I/e�« � 0 � W ' Q � S !.�N�I.1J m,�T��dG2 r.M a�- �w -- � �J �- 2 fiZ Ki Q✓�/Pi �� .JC�✓�� W � � WorlC G��e%�� — ..c�� '<•rrcl,� � � �WORK SATISFACTOR`t PROCEED �R6iE.CT COMPLETE W ❑CORRECT WORK 8�PROCEED `�O ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. I for the next inspection 24 hours in advan�. (952) 249-4600 wner ctor on site: �� r� Inspector: �L�'"�' '�— White Copyflnspector's File Canary CopyfSfte Notice DATE TIME CITY OF ORONO cnLLED IN � INSPECTION I E .{�CHEDULED PERMIT NO. � v F MPLETED ADDRESS � � OWNER LE HO NO. � CONTRACTOR � DESCRIPTION v�� / � 4~j ❑ FOOTiNG LUMBING FINAL � EXCAV/GRADING/FIWNG Q ❑ POURED WALL ❑ MECHANICAL RI � LAKESHORFJWETLANDS Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGFiESS � O FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v p DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDA170N/REMOVAL Z OWNERICONTRACTOR TO MEET YiOU:_YES_NO y COMMENTS: � � jr �O � O W � Q � W � W R J d W ❑WORKSATtSFACTORY:PROCEED ❑PROJECTCOMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF O UPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN INSPECTOR W{LL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail forthe next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector: White Copyllnspecto�'s Fil� Cenary CopylSite Notiee