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HomeMy WebLinkAbout2008-P12217 - water heater r � PERMIT CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: p12217 Crystal Bay, Minnesota 55323 Permit Type: Fixtures (952) 249-4600 Date Issued: 6/30/2008 SITE ADDRESS: 80 Luce Line Ridge Unit# Maple Plain,MN 55359 P��� 31-118-23-34-0010 DESCRIPTION: Proposed Use: Residential Permit Class: Plumbing Permit Type: Fixtures Pernut Sub-type(s): Water Heater DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: Replace Water Heater FEE SUMMARY: Permit Fee: $ 15.00 Valuation: $ 0.00 State Surcharge Fee: $ 0.50 Misc.Fee: $ 1.50 TOTAL FEE: $ 17.00 APPLICANT: Norblom Plumbing Co. OWNER: Kevin&Gayle Talbot 2905 G�eld Avenue S. 80 Luce Line Ridge Minneapolis,MN 55408 Maple Plain,MN 55359 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. APPLICANT P E SIGNAT RE ISSUED BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 , � � FOR CTTY`. � Y �„�p�O City of Orono � t. . : P.O.Box 66 i3ateRece�ved. �ntt�� 2750 Kelley Pazkway ' < Crystal Bay,MN 55323 <Ap,pmvedB�+' _��t4mount$„�� � � � (952)249-4600 , � CITY OF ORONO—PLUMBING PERNIIT (All Commercial permita must be appmved by the Building Official or Inspector) GENERAL Il�iFORMP�TYQ�' . �' ..' ` 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 petmits 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. A�work must be inspected and air tested before it is covered. Call(952)249-4600:� (24-48 hour notice required) - �. ; . . , ;, "�PE OF.PERMIT , ,. ... ., , ,, . . A., ,`:C1�ckA1�.'I.7ia�A ...,:1 . : . ❑Residential ❑Commercial(Approval Required) ❑New ❑Additional ❑Repairs �Replace ❑ In Accessory Structure? *You will need urior aanroval and may need CLTP.(Per Orono City Code,Chapter 78,Article I� '7ob�rte!Ovv�er:Tnformat�on •? �,; Site Address: 0 � Ll�-� �--� Vl.�_ ���e � Owner:� V�� �Gl,�,�Dd +" Mailing Address: Sa�- � � L�- " '�,I c J� � ciry: Y U�-� zip: ' �u5 Home Phone: � GJa��a �J X�Il� Alternate Phone: Contraeti��r In�oxx�iatiQn; ` � �', , ; r Contractor: N_VY �CJ��� ��u�b�n ontact Person: uC/�� Q-- Address:��� � tate Bond#: ����p� City: ��,��- Zip�J,�l'"- "xpiration Date: 01- U� � �^ � l � Phone: C��' �0"� "G� 3 Alternate Phone: ❑ Insurance—Current: 1 . . .. . - ... � � . �. _ _ �: : - - - ,.. . , � .. _ ..: _.. . . , , t .� � �,�r. �.. . .. . - FIXTURE BSMT 1 2 O"THEIZ FIXTURE BSMT 1 2 OTF�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 - Sillcocks � Miscellaneous �� ❑ Yes,this secfion applies The replacement of a Residential fixture or appliance 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;excludine the cost of the fixhue or appliance:and � 3. Is improved,instailed or replaced by the homeowner or licensed contractor. �� Skip next section,if this applies; Cost of Permit $ 15_00 State Surcharge $ .50 , Mail-In Fee(If Applicable) $_�0� Total Permit Fee ��}l� ,. ' • (Permit Fees Continued On Next Page) - 2 , . . . PERMIT FEE CALCULATION S —JOBS OVER$500.00 If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00) x.0125$ (contract price) (minimum$35.00) 2. STATE SURCHARGE '�*Add the State Bldg Code Div. Surchazge(Minimum Fee of$.50) x.0005 $ (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 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 STATE SURCHARGE is :0005 of the contract price under$1,000,000 or$.50—whichever is greater. For valuations over$1,000,000 call the Building Department at(952)249-4600 for the price. ' PLUMBING PERMIT APPI,ICATION AGREEMEN'F 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 ana the regulations of the State of - - Minnesota, and certifies that a11 statements made on this application are complete, true and conect. Applicant's Signatu : Date: (,� �G` � Reset Form 3 � —� � T TIMEy CITY OF ORONO CALLED IN � b 8 INSPECTION N TI SCHEDULED /� PERMIT NO. COMPLETED '" ADDRESS � OWNER�(� CONTR. ��'���� TELEPHONE NO. `✓� — 7� ^��� � � DESCRIPTION `� � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORFJWETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE Q ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBiNG FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO v�, COMMENTS: � W C j O a � O ' � W � Q � Z W � W � � � ��WORK SATISFACTORY:PROCEED �OJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT �CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 2a hours in advance. (952) 249-4600 OwnerlConVactor on site: � Inspector. / White CopyllnspectoPs File Canary Copy/Slte Notice