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Home My WebLink About2013-00056 - replace water heater � � ' CITY OF ORONO 2750 KELLEY PARKWAY * � 0 1 3 — PJ 0 fd 5 6 * DATE ISSUED: Ol/22/2013 ORONO, MN 55356- (952)249-4600 FAX: (952) 249-4616 ADDRESS : 3704 LIVINGSTON AVE PIN : 17-117-23-34-0062 LEGAL DESC : LAKE MINNETONKA WOODS : LOT O10 BLOCK 001 PERMIT TYPE : PLUMBING(<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURE NOTE: REPLACE WATER HEATER APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 CHAMPION PLUMBING LLC STATE SURCHARGE PLBG(<$500) 5.00 3670 DODD ROAD-SUITE 100 EAGAN,MN 55123- MAIL-IN FEE 2.00 () TOTAL 22.00 OWNER SWANSON,JUSTIN 3704 LIVINGSTON AVE WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires sepazate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. ` / lv��.l L3 17�� 1 /�� l /.3 Applicant Permitee Si ature Date Issu By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � � r . -�,C�j� �s�y of�ron0 � R C Y USE ONLY (� � P.O.Bo�66 Date Receive � Permit# oC�� D`� � �. 2750 Kelley Parkway '' ?'y' F: Cn'stal Bay,MN 55323 Approced By: Amount$:Q� �tskesicowwu" (95�)'49-4600—Main _..__. (9�-)�49-4616—Fax ��T�' Q�.� Q�I��l1�T�—�TL�Tl@��Tc�'s 1��1@/LI['�' (All Commercial Permits 1F9f�st be�k,p�roved by�he State Prior to City Approval) '£==�.��¢�=;`F�-.::€�.c�:�.s�v/��!�:��;-�� a[t��,.h��tt•ev�E��.��f GENERAL INFOR.MATION 1. You ma��apply for plumbing permits by mail or in person at the City o�ces. Applications will be reviewed and a permit wili be issued within two working days. � 2. Permit cards will be sent by retum mail after a review is completed. PERMITS ARE NOT �; VALID UNTIL YOU RECEIVE A PERMIT. Qv`'OR�C 1��JST I`�O�'��Ll`I UPp1'F'IlL�I�L �ERIV�IT CA,R�IS PQST��1V T'F6�,FOB SiT'E. AJ 3. Plumbin�pennits may be issued ONLY to licensed plumbin�contractors and to property owne ��f v �' ? ��,� residi.�g in:Le dwelling. ��p��'!��'V 4. When any new construction or remodeling is involved,a separate building permit must be �� obtaii�ed. 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 A 1 �]Residential ❑Commercial(Approval Required) ❑New ❑Additiona] ❑Repairs ❑ Replace ❑ In Accessory Structure? �'You will need e�rior aAnroval and may need CUP.(Per Orono City Code,Chapter 78,Article IV) Job Site/O��ner Information: Site Address: �� 1--� '��y��1'n �"� Owner:�l.l�S�1 V\�jYV(,(.(�j�p� Mailing Address: Sa,W�,.� C�tS': Y V��iGl.�(�— Zip: �/J�" �1_�— . Home Phone: �I �' �(� �d` Alternate Phone: Contractor Information: Contractor: �/1(1 f! Contact Person: � Address: (�d State Bond#: City: y � Zip:��piration Date: Phone: �� `'�� Alternate Phone: ❑ Insurance—Current: 1 . � , • . , PLUMBING FIXTURES BE1NG INSTALLEI3 FIXTURE BSMT 1 2�D OTHER FI�TURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL. Water Closet Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sinh Water Heater � Disposal Water Sofrener Dishwasher Wet Bar Sil lcocks Miscellaneous PER.MIT FEE CAI:.GULA'I'IOI�T.{.S) BASED OFF-2002 STATE STATUE. � Yes,this section applies The replacement of only one Residential fta�ture or appliance that meets all three of the followin� requirements: i. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less;excludinQ the cost of the fiature or appliance:and 3. Is improved,installed or replaced by the homeowner or licensed plumbing contractor. Sl;ip next section,if this applies; Cost of Permit $ 15.00 State Surcharge $ 5.00 Mail-Tn Fee(if Applicable) $ 2.00 Total Permit�ee $ Z2,UJ (�er�m4�ees Co�itir�ued�3n Idext�'��e) 2 . ,� . • . . . � PERMIT FEE CI�LCLII,ATIaN � -JQ�BS Q�1ER$SOQ:00 If above does not apply;follow guidelines below: t• ��1�''TFZR,��'F'k2.FC'� '�is 1.25%of contract price with a(l�fii�eAmum Fee of��Q.dQ) x.0125$ (contract price) (minimum 550.00) 2. S�'/;T'E S�JFtC�,�,f��L V*Add the State Bldg Code Div.Surcharge(Pvienimurn�'ee of�5.00) x.0005 $ (contract price) (minimum S 5.00) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4• `�'CA7'�k,PE�ffIT FE�(Add Lines 1-3 Above) $ ° * CONTRAC i PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted worl: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 tlle job cost,the City may request the submission of a si�ed copy of the actual contract. • *y The ST,ATE SURCHARGE is.0005 of the contract price under$],000,000 or$5.00—whichever is greater. For valuations over$1,000,000 call the Building Department at(952)249-4600 for the price. ` PLUMBIl�T�PERMIT APPLICATIO�T AGIZEENfENT : ' The undersigned hereby app]ies 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 are complete, true and correct. Applicant's Sionature: � '�3te: � ` ( �O �� ` -_ _.�-. E��s�� c�c-�a - 3 ✓ DATE TIME CITY OF ORONO CALLED IN INSPECTION N�Of!T'ICE SCHEDULED c �.�.��3 PERMIT NO.�� '�d�� COMPLETED �D �4�!�� ADDRESS c3 7d� L�vr�S�3�t. �lir�... OWNER TELEPHONE NO. CONTRACTOR C��id� ,�s• ��- � DESCRIPTION � ❑ FOOTING �-RLUMBING FINAL p EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL p TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE � SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP p PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT r ❑ DEMO-SITE ❑ SEPTIC MAINT. ��LLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: o� /f / a C��wa.� Ifref�•sr Y'4,l�!!O � G��l -�6✓ G � 0 �KkL ��?��c��i.c. >. � � ��e �te atc — W � Q Z Y��4 S< <4LI �'a�la Cs�y /frs�r fd SC/��u�-e Wc� ,�,�.��Ssec�ia.t, w�i�.i, �a aP�c or j �.tJ!(�[ G sL�f ��llfL��Lf ' W ❑WORK SATISFACTORY:PROCEED ❑PROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WRHIN HOURS. ❑ pH0T0 TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED �OROER POSTED.CALL INSPECTOR INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca�1 torthe next inspection 2a hours in adva . (952) 2�49-460 Owne�IContractor on site: Inspector: �M White Copyllnapector's Ffle Canary CopylSite Notice �`�� C�_- DAT TIME � CITY OF ORONO CALLED IN I - '/ INSPECTION N TICE SCHEDULED - - � /�� PERMIT NO. - � COMPLEfED. ADDRESS �_� � 7D � [� 61�1 ci � /.f" �� OWNER �4 �� LEPHONE NO.C�� -Z��7 CONTRACTO � � ` � DESCRIPTION v� � � � � ❑ FOOTtNG ❑ PLUMBING F L ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICA I ❑ LAKESHORE/WETLANDS y O FRAMING ❑ MECHANICA FINAL ❑ TREE REMOVAL Z ❑ INSU ION ❑ WOOD BURNER/FIREPLACE � SITE INSPECTION Q ❑ R ON SLAB ❑ WATER HOOK-UP O PROGHESS � INAL ❑ SEWER HOOK-UP ❑ COMPLAINT � EMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL � SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/FEMOVAL � OWNERfCONTRACTOR TO MEET YOU:_YES_NO � CGMMENTS: � W a J . O >. � O � W � Q � 2 W � W � � J GW ❑WORK SATISFACTORY:PROCEED ROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED ❑ IS E CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR �INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 h rs in adv 2) 249-46�� i" OwnerlContractor on site: ' � ; Inspector. _ White Copyllnspector's File Canary CopylSite Notice