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Home My WebLink About2014-01193 - water heater CITY OF ORONO *2 0 1 4 — 0 1 1 9 3 * • —� 2750 KELLEY PARKWAY DATE ISSUED: 10/15/2014 � ORONO,MN 55356- (952) 249-4600 FAX: (952 249-4616 ADDRESS : 3726 LIVINGSTON AVE PIN : 17-117-23-34-0053 LEGAL DESC : LAKE MINNETONKA WOODS � : LOT 001 BLOCK 001 PERMIT TYPE : PLUMBING(<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WATER HEATER NOTE: 1 WATER HEATER cre,� �� APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 ECOWATER STATE SURCHARGE PLBG(<$500) 5.00 3208 FIRST STREET S MAIL-IN FEE 2.00 WAITE PARK,MN 56387- TOTAL 22.00 (320)251-2505 Payment(s) CREDIT CARD 3331 22.00 OWNER MATSEN,MARK 3726 LIVINGSTON AVE WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this pertnit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and dces not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. V ' \� �-� �\�1J�_ ��LAc� �� /,'� / /� Applicant Permitee Signature Date Issued y Signature Date l��L��(� . ,a L�, t-�"--��,. �.�� f � �,��J .. ' �' c�1 c..i c.� ~�15 7 5`' ��3 �� a FOR CITY USE ONLY /��, City of Orono / �/��' � P.O.130�fib Date Received: Pe�nit l! �'1 r7 +�,,,," 2750 helley Parkwa}' �� "��." Cry�stal t3ay,MN i5323 Approved By: Amount$: �,.�r�s�� (952)2A9-�1600—Main (952�2�9.4616—Fa� CITY OF 4RON0—PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) htt�:lh��ti��.dli.mn.<rr►v/['Ct,l)/PDF/ie lumb>I;�nre�:y ��. df GENERAL INFORMATION I. 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�vorking days. ?. Permit cards will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A AERMIT. WORK MUST NOT BECIN IJNTIL THE PERMIT CARD IS POSTED ON TNE 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 cavered. Call(952}349-4G00. (24-48 hour noticc required) TYPE OF PERMIT Check All That A I �Residential ❑Commercial(Approval Required) ❑New ❑Additional ❑Repairs Q■ Iteplace ❑ In Accessory Structure? *You will need arior�nnroval and may�eed C'UI'.(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: Site Address: 3726 Livingston Avenue �wner: Mark Matsen Mailing Address: 3726 Livingston Ave c;tY: Orono Z; 55391 P� Home Phone: �952� 456-4245 Alternate Phone: Contractor Information: Contractor: ECOWat@C Contact Person: TOdCI 3208 First Street Soulh PC643402 Address: State Bond#: waite Park 56387 12/31/13 City: Zip: Expiration Date: Phone: ��20) 251-2505 Alternate Phone: � Insurance—Current: YeS 1 � ' ` �;?<'°'.PI:fiJMB�I�� .,�'��R�S�"�E�':Ct ij.STAL•��Y1 FIXTURE BSMT 1 2 OTWER FIXTURE BSN1T 1 2' OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejecto� Bathtub Laundry Tray Shower Washer Kitchen Sink Water Heater � Disposal Water SoRener Dishwasher Wet Bar 5illcocks Miscellaneous � �` i �*��Idll�a�A'",LTiy �� L'I}n�4�J��`��Ol`1�47� �',,y � s-.. ' ::�BA"S�D+0 . ,�-�"L002,'�STA��;S�TATUE �� Yes.this section applies The replacement of only one Residentia!fixture or appliance that meets all three of the following requirements: I. Does not require rnodification to electrical or gas service. 2. Has a total cost of$500.00 or less;excludina the cost of the fi�ture or appliance:and 3. Is improved,installed or replaced by the homeowner or licensed plumbing contractor. Skip next scction,if this applies; Cost of Pern�it $ I5.00 State 5urcharge $ S.QO Mail-InFee(IfApplicable) $ ?.00 Total Permit Fee S �� (Permit Fees Continued On Next Page) 2 . . . + � ` . .�P��T'FE�`�'� � ��'I�ON' 5��;a��OBS�b�ERr$500':00,:. , lfabove does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1?5%of contract price with a(Minimum Fee of$_50.00} ;c .Q f 25$ (contmci price) (minimum S.{0.00) 2. STATESURCHARGE x.0005 $ (contract pricc► 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines I-3 Above} $ ■ * CONTRACT PRIGE or JOB COST means the acwal or estimated dotlar 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 af such iteros rnust be t►dded to the estimated cosl or contract price for permit fee purposes. In the event that there is a dispute on the amounl of the job cost, the Ciry may request the submission of A signed copy of the actual contract. . .. `. .�,,.: ..+ f" �f��. � ae, v.„i . „�.�,�� "' �n � �'t��V1BT�t�'� . , ��I,�gA�IO a.AGR�EIVIEIVT The undersigned hereby applies to the City for issuance of a Plumbin�; Permit, agrees to do all work in strict accordance with the ordinances of the City and the regulations nf the State of Minnesata, and certities that all statements made on this application are complete, true and correct. Applicant's Signature• �� f�/ Date: 10/14/14 �, ,, � „� � A R@SBt�Orf11�� :�: 3 �—� / DATE TIME V CfTY OF ORONO cnLLED IN l�<z�(�p INSPECTION NQ�IC��/�� SCHEDULED < O? 'al—1 lO � PERMIT NO. ��1 � COMP ED ADDRESS �� ✓ �� C� OWNER TELEPHONE N �— �^��y CONTRACTOR � � � DESCRIPTION �'w�— �� ty ❑ FOOTINCa ❑ DEMO-FINAL ❑ S P IC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ AV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 O'WNERlCONTRACTOR TO MEET YOU:_YES._Ii0 � COMMENTS: � ��"� � ° — / _ �L G� ./�'' O ' /"L�,.�.� ct— C�i,� �✓�ril v L- � �" � � t��d--�y, � �� O W � Q � � W R � W ❑WORKSATISFACTORY:PROCEED PROJECT COMPLEfE � ❑CORRECT NfORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORECO'VERINO PERMANENT ❑CORRECT UNSAFE CONDITION WfTHIN HOURS. p pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REW IRED.CALL TO ARRANGE ACCESS. Can for the next inspection 24 hours tn advance. (952) 249-4600 OwnedContractor s� Inspector:1 � �� Whib CopyAnspector's File Canary CopylSits Notiee