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Home My WebLink About2009-00355 - water heater CITY OF ORONO PERMIT NO.: 2009-00355 2750 KELLEY PARKWAY E ORONO, MN 55356- DATE ISSUEn: 06/25/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 1509 LONG LAKE BLVD PIN : 35-118-23-22-0003 LEGAL DESC : ALBEES LONG LAKE ADDN : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WATER HEATER VALUATION OF PLUMBING 1100 APPLICANT PLUMBING FIXTURE FEE 50.00 TONKA PLUMBING HEATING&COOL INC. STATE SURCHARGE PLBG(VALUATION) 0.55 265 CTY RD 110 NORTH TOTAL 50.55 MOUND, MN 55364 (952)472-9200 Minnesota State License#: 060524-PM OWNER CASHMAN, THOMAS 1509 LONG LAKE BLVD LONG LAKE, MN 55356 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revo ed at any time r due cause. � �?C-- `C" F -- /_ :�7 � �"1 l Z . l c r ��,( ' �_ �' CYj'+�c f� l i �Applicant it 'gnature Date � � Issued By Signa ure Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. FOR CITY USE ONLY 0,��0 City of Orono P.O.Box 66 Date Received: Permit# . ..;..;,. 2750 Kel{ey Parkway aj, t.a'�:. Crystal Bay,MN 55323 Approved By: Amount$: �? =��o�� (452)249-4600 CITY OF ORONO-PLUMBING PERMIT (Alt Commereiai pecmits must be approved by tl�e Building Official or Inspector) 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 retum mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTII.THE PERMIT CARD IS POSTED ON TI�JOB STI'E. 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 buildin�permit must be obtained. 5. All work must be done in accrordance with State Code requirements. 6. All work must be inspected and air tested before it is covered. Call(952)249-4600. (24-48 hoar notice required) TYPE OF PERMIT Check All That A 1 �jZesidential ❑Commercial(Approval Required) ❑New ❑Additional .�Repairs �Replace ❑ In Accessory Structure? *You will need arior annroval aod may need CUP.(Per Orono City Code,Chapter 78,Article Il� Job Site/Owner Information: Site Address: �CJ� �-ES1'�st �-�(' (��I . Owner: �� l�,SI/1 IrYI�,�✓l� Mailing Address: � � � cl�y: �o� z�p: 5�35 �' Home Phone: Alternate Phone: �D�Z-� (�`�J' /,�� Contractor Information: Contractor: �r��'��'tit,�1 Contact Person: �� Address: 1�((t7�State Bond#: q 3 �'-� �O B(7� � City: v _� Zip:�p�Expiration Date: ��3// �� Phone: l Sl'�1�-�� Alternate Phone: ��✓Z��j� �] Insurance-Current: 1 � PLUMBING FIXTURES BE1NG INSTALLED FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTI�R TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector Bathroom Laundry Tray Shower Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Silicocks Miscellaneous �Q,�Gll�1�I J�k,��GCQ� sf�`2 �l� (il.�'.,�"t^'��0�� ' `7� i � ,►�--�C�aC�O- PERNIIT FEE CALCULATION(S) BASED OFF-2002 SfiATE STATUE ❑ Yes,this section applies The replacement of a Residential fixture or appliance that meexs 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;exciudinQ the c�st of the fixture or appliance:and 3. Is improved,installed or re�laced by the homeowner or licensed contrador. Skip next section,if this applies; Cost of Permit $ 15.00 State Surc6arge $ .50 Mail-In Fee(If Applicable) $ 1.50 Total Permit Fee $ (Permit Fees Continned On Nezt Page) 2 , � � � PERNIIT FEE CALCULATION S -JOBS OVER$500.00 If above dces not apply;follow guidetines below: 2. CONTRACT PRICE *is 1.25%of contract price with a(Minimnm Fee of 535.00) ,� �Q �� x.0125$ (comract price) (minimum 535.00) 2. 5TATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum Fec of$.50) � 1 oa,fl c� X.0�5 � (contr�t price) (minimum E .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) � • * CONTRAGT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including materials,Iabor,profit,and other fixed costs. It is the amount to be charged to the customer for the work done. If any mat�ial,equipment, labor or installations are fumished by the owner,tenant or any other party,the reasonable mazket 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 STATE SURCHARGE is .0005 of the contract price under$1,000,000 or$.50—whichever is greater. For valuations over 51,000,000 cail the Building Depathnent at(952)249-4600 for the price. PLUMBTNG P�RMIT APPLICATT4N AGREEMENT The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrces 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 a}�plication are complete, true and correct. Applicant's Signature: � Date: �I�� Reset Fonn 3 � DATE TIME ✓ CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED ��,_� � PERMIT NO.�� COMPLETED ADDRESS �5�9 L�g L�Q- �O�uC� OWNER CONTR. 7^ll7l�c ��C.�►- TELEPHONE NO. �SZ ZD� QZ/S J�� DESCRIPTION /�— ��//'l � ❑ FOOTING ❑ MECHANICAL RI EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORFJWETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q � Z W � W � � d W RKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑ RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC�/ERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on 'te: inspector. White Copyllnspector's File Canary CopylSite Notice