HomeMy WebLinkAbout2016-00406 - water heater �` CITY OF ORONO
' 2750 KELLEY PARKWAY * 2 0 1 6 - 0 0 4 0 6 *
DATE ISSUED: 04/2ll2016
ORONO,MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 1925 LAKEVIEW TER
PIN : 27-118-23-42-0014
LEGAL DESC : LONG LAKE COUNTRY CLUB ADDN
: LOT 002 BLOCK 002
PERMTT TYPE : PLUMBING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WATER HEATER
NOTE: 2 REPLACEMENT WATER HEATERS
VALUATION OF PLUMBING 2600
APPLICANT PLUMBING FIXTURE FEE 50.00
CITY VIEW PLUMBING&HEATING STATE SURCHARGE PLBG(VALUATION) 130
1880-B WAYZATA BLVD W TOTAL 51.30
P.O.BOX 150 Payment(s)
LONG LAKE,MN 55356 CHECK 36164 51.30
(952)473-8793
Minnesota State License#:plbg-MB005208
OWNER
REUTER,VANESSA
1925 LAKEVIEW TER
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. This permit is for only the work described and dces
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 I80 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 n .,,
revoked at any time for due cause. �„ �� �
- �) �tS i'.s��`� v � i 2/i l(�
pli itee Signatur e Issued By Signature Date
C
FIXTURE BSMT 1sT 2ND OTHER FIXTURE BSMT 1sT 2ND OTHER
TYPE Floor Floor TYPE Floor Floor
Water Closet Floor Drains
Lavatory Sewer Ejector
Bathtub Laundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Miscellaneous
� �� r �
s�,� � �.
1. CONTRACT PRICE " is 1.25% of contract price with� (Minimum Fee of$50.00)
�; ��v �`x .0125 $
(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 1-3 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. 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 the job cost, the City may request the submission of a signed copy of the actual contract.
:
,_.
� �� �• _ ���,
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 le on this application are complete, true and correct.
.-
ApplicanYs Signature. Date: `/`� �
Building O�cial/ Inspector: Date:
Page 2
�p� City of Orono FOR CITY USE ONLY
O P.O. Box ss Date Received:
2750 Kelley Parkway
Crystal Bay, MN 55323 Permit#
s�^�1 �c,� (952)249-4600—Main A rOved B
'�ESH�Q' (952)249-4616—Fax Pp y�
Amount$:
CITY OF ORONO- PLUMBING PERMIT
(All Commercial Permits Must be Approved by the State Prior to City Approval)
httq://www.dli.mn.aov/CCLD/PDF/pe plumbalanrevana.pdf
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
UNTIL 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 Apply)
�Residential ❑ Commercial (Approval Required) [Backflow Device: ❑AVB ❑PVB]
❑ New ❑Additional ❑ Repairs �] Replace
/\
❑ In Accessory Structure?
*You will need prior approval and may need CUP. (Per Orono City Code, Chapter 78, Article IV)
Job Site /Owner Information:
Site Address:j��� C����` e� ������
Owner: v��C�?�^ ���` 1"r Mailing Address:
c��: � rvvY�� z�p: ���5�
Home Phone:��J �� t���"Alternate Phone:
Contractor Information: - '
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Contractor:C`T v �� (�-�-�� Contact Person:� '""C �
Address:����� ���" �����.� ����\State Bond #: �� � � �
City: �n �a� Zip: �s3-s� Expiration Date: �� `3 � I�
Phone: U�'-(��� � � / � Alternate Phone:
�Insurance -Current: Y�---S
Page 1
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DATE TIME
CITY OF ORONO CALLED IN ����
INSPECTION NOTICE SCHEDULED
PERMIT NO. a�I�-�_��/n COMPLETED
ADDRESS � � �--�- ��-c> i -P�L. .
OWNER TELEPHON NQ, �a�y73- �l'3--
CONTRACTOR �_� v`�`�
� DESCRIPTION � � �'
41 ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
v3 ❑ FOUNDATION WATERPROOF PL BING FINAL
�M ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q�� ❑ WATER HOOK-UP ❑ FOLLOW-UP
41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
J ❑ DEMO-SITE S PTIC INSTALL
2 OWNERKANTRACTOR TO MEET YES_NO
c�., COMMENTS:
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� O VMORK SATISFACTORY:PROCEED C�iO�IEL,`T COMPLEfE
W ❑OORRECT WORK 8 PROCEED O ISSUE CERTIFICATE OF OCCUPANCY
0 O(�RRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECONERING PERMANENT
❑CORRECT UNSAFE CONDITION WRHIN HOURS. ❑pHOTO TAKEN
INSPECTOR WFLL RETURN ❑CITATION ISSUED
O STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (g52) 249-4600
OvmerlContractor on site:
Inspector: Q //—'
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