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Home My WebLink About2013-00273 - water heater • CITY OF ORONO 2750 KELLEY PARKWAY * 2 P1 1 3 - 0 0 Z 7 3 * DATE ISSUED: 04/23/2013 ' ORONO,MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1480 LONG LAKE BLVD PIN : 26-118-23-33-0027 LEGAL DESC : REG. LAND SURVEY NO.0934 : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING(<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WATER HEATER APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 APPLIANCE CONNECTIONS STATE SURCHARGE PLBG(<$500) 5.00 12850 CHESTNUT BLVD SHAKOPEE,MN 55379 MAIL-IN FEE 2.00 (952)445-4803 TOTAL 22.00 Minnesota State License#: 057209PM OWNER BRADEN,ANITA&KEITH VANDER 1480 LONG LAKE BLVD LONG LAKE,MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City,approvals,_and the State Building Code. 'I'his permit is for only the work described and does� � ' � ' not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if consVuction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due�cause. ��1�L� GK- / i / / Applicant Permitee Signature Date Issued By S' ature ate SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO . � ' FOR CITY USE ONLY O��O City of Orono P.<).Bo�66 ()ate Received: Permit� 2750 Kelicy Parkway � r,"'?'•� k*.: Crystal Bay,MN 5�i2; Approved By: Amount$: ;.� `�,;:;yc:�� (952)Za9-460U—�Tain ��saxo$�'�� (952�249-4616 Fas CITY OF ORONO — PLUMBING PERMIT (All Coinmcrcial Pcrmits Must be Approved by the State Prior to City Approval) i�tt �://��.dla.stat�.��a��/C(�i.�)%1'DF/�c �lu�ut>>lanrc��a >>.�df' GENERAL INFORMATION 1. Yon may apply for plumbing pennits by mail or in person at tl�e City oftices. Applications will be rcvicwcd and a pennit will bc issucd��ithin t�vo w<�rking days. 2. Pennit cards will be scnt by return mail afier a rcvicw is completed. PERMiTS ARE NOT VALID UNT�L YOU RECEIVE A PERMIT. W'ORK MUST NOT BEGiN UNTIL THE PERMIT CARD IS POSTED ON THE JOB S1TE. 3. Plumbing permits may be issued nNLY Co liccnsed phunbing eontractors and to property owners residing in the dwelling. 4. When any new construction or remodelinb is invol��ed,a separate building permit must be obtained. _S. All work must bc done in accordancc with Skatc Cbde requiremcnts. 6. All work must be inspected and air Cested before it is covered. Call(952)249-4600. (24-48 hour notice required) TYPE OF PERMIT (Check All That A 1 � �Residential ❑ Commercial(Appro�al Required) ❑ Ne�� ❑ Additional ❑ Repairs ❑ Replace ❑ Tn Acccssory Structure:' *You will need prior approval and may need(_tJl'. (Per Orono City Code,Chapter 78,Article TV) Job Site/Owner Information: Site Address: �� n Y" ' 1� c. Owner. Q,� ,a (/,�,n/�{/y�Mailin Address: �-�`L� ��v-►�� City: �t 1'lf�,� Zip: Home Phone:G��-��j' ��y�O Alternate Phone: Contractor Information: � Contractor: ontact Person: Y � pp iance onnections�nc. Address: 128�0 Chestnut Blv tate Bond#: �r " �-' --Shafcopee;-MN 5537� 952-445-4803 � City: Zip: Expiration Date: Phone: Alternate Phone: ❑ Insurance—Current: �, ^ 1 PLUMBING FIXTURES BEING iNSTALLED FIXTURE BSMT 1�� 2"" OTHER 1=1XTURE BSMT 1" 3ND OTHER TYPF FL FL TYPF, FL FL Water Closct Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sink Water Heater � Disposal Water Softei�er Dishwasher Wet Bar Sillcocks Miscellancous PERMIT FEE CALCULATION(S) � BASED OFF - 2002 STATE STATUE � Yes,this scction applics �� The replacement of only one Residei�tial tixture or a�liance 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; excludin�*the cost of the fixture or appliance: and 3. [s improved, installed or replaced by the homeowner or licensed plumbing contractor. Skip next section, if this applics; Cost of Pennit $ 15.00 Statc Surchargc � 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $�(� (Permit Fees Cuntinued On Next Page) 2 PERMiT FEE CALCULATION(S)-JOBS OVER $500.00 If abovc docs not apply;follo��buidelines bclow: I. CONTRACT PRICE * is 125°%of contract price with a(Minimum Fee of$50.00) x .0125 S �contract price) (minimum$50.00) 2. STATE SURCHARGE x .0005 � (contracc pricc) 3. POSTAGE& HANDLWG(Only on Mail-[n Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Abovc) $ • * CONTRACT PRTCE or JOB COST mcans thc actual or estimated dollar amount charged for the pennitted work includiilg materials, labor, profit, and otller fixed costs. tt is the amount to be charged to the custoi�er for the work done_ Tf any material, equipment, labor or installations are furnished by the owner, tcnant or any other party, thc rcasonable markct value of such items must be added to the estimated cost or contracl pricc for pennil fce purposes. Tn the event that there is a dispute on the amowlt of the job cost, the Ciry may request the submission of a signed copy of the actual contract. �— PLUMBING PERMIT APPLICATION AGREEIVIENT 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 Minncsota, and ce►-tifie ��that all statements madc on this application are complete, true and correct. � Applicant's Signats�re: Date: P'C�� Reset Form 3 � ATE TIME v CITY OF ORONO CALLED IN � INSPECTION NOTICE SCHEDULED '2—�3 � PERMITNO. �4��—��73 COMPLETED ADDRESS / �� n ��d� OWNER �'�EC6Rk10NE NO.�� ,�73 7�� CONTRACTOR ' �� j, DESCRIPTION �� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO h COMMENTS: � W a � J O � � O � W � Q � Z W � W � � � ❑WORK SATISFACTORY:PROCEED �PROJECT COMPLETE r�•• W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTtON TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ppHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Ca11 forthe next inspection 2a hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector. WhRe Copyll�spector's File Canary Copy/Site Notice