The URL can be used to link to this page

Home My WebLink About2011-00352 - water heater i ! � � CITY OF ORONO rERMiT No.: 2011-00352 ; �, 2750 KELLEY PARKWAY ORONO,MN 55356- DATE IssuEn: OS/17/2011 ' � 952 249-4600 FAX: 952 249-4616 ADDRESS : 1235 LYMAN AVE PIN : 02-117-23-21-0005 LEGAL DESC : ORONO ORCHARDS : LOT 043 BLOCK 000 PERMIT TYPE : PLUMBING(<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WATER HEATER APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 BAXTER MECHANICAL STATE SURCHARGE PLBG(<$500) 5.00 PO BOX 591 ELK RIVER,MN 55330- MAIL-IN FEE 2.00 (612)227-6710 TOTAL 22.00 Minnesota State License#: 066036 PM OWNER PESEK,PAUL&RAE 1235 LYMAN 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 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 scommenced 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. / / / / Applicant Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. FOR CITY USE ONLY ``��` City of Orono w. /i��'r� P.O.Box 66 Date Reoeived= Permit# r ��3;� ,� �� 2750 KeUey Parkway �� a''� Crystal Bay,MN 55323 Approved By: Amount S: •�,;j�iy�..� (952}249-4600-Main ��ei� (952)249116 1 6-Fa�c CITY OF ORONO-PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) �ICI 1::�:�iS-4)1�.(�If.mn. cairC�t�Lll�PI)�;' e� luf��b �3��re�-a . lf 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 cazds will be sent by retum mail after a review is completed. PERMI"TS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL TNE PERMIT CARD IS POSTED ON THE 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 petmit must be obtained. 5. All work must be done in accordance with Staie Code requiremerrts_ 6. AIl 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 ��,esidential ❑Commercial(Approval Required) / " ❑New ❑Additional ❑Repairs �Replace ❑ In Accessory Structure? *You will need prior approval and may need{.�t P.(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: Site Address: ��-�J� �-`-�M C7l 1�� Owner: 1'A.:r�� 1`-`'�� t��-� 1L Mailing Address: �� t''�' ►N`�+^ �` City: � C Or�J Zip: �S �� I Home Phone: ��r � �� lternate Phone: Contractor Information: Contractor. 1�� '�''��Ebnta t Person: ��P r��/'^ � i� Address: 1 � �� ( State Bond#: City: L�-�1� Zip:�3�L�piration Date: � ��✓ � �i j Phone: l.(�'�� '�� Alternate Phone: ❑ Insurance-Cunent: 1 � � t PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT l 2 OTHER F�IXPTE RE BSMT � �L OTHER �,pE FL FL Water Closet Floor Drains Sewer Ejector Lavatory Bathtub �un�T�y Washer Shower Ititchen Sink Water Neater x / � Disposal �yater Softener Dishwasher Wet Bar Miscellaneous Sillcocks PERMIT FEE CALCULATION(S) BASED OFF -2002 STATE STATUE � Yes,this section applies The replacement of only one Residential fixture or avvliance that meets all three of the following requirements: � 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. Is improved,installed or repiaced bY the homeowner or licensed plumbing contractor. Cost of Permit $ 15.00 Skip next section,if this applies; � 5.00 State Surcharge Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee s_`� (Permit Fees Confinued On Next Page) z • PERMIT FEE CALCULATION S -JOBS OVER$500.00 If above does not appty;follow guidelines below: 1. CONTRACI'PRICE #is 1.25%of contract price with a(Minimum Fee of 550.00) x.0125$ (contract price) (minimum 550.00) 2. STATE SURCHARGE x.0005 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines l-3 Above) S ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work incWding 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 fumished 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. PLUMBING PERMIT APPLICATION AGREEMENT 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 Minnesota, and certifies that all statements made on this application are complete, true and correct. � Applicant's Signature: �L `-� Date: ( Reset FoRn 3