HomeMy WebLinkAbout2014-01163 - water heater , � CITY OF ORONO * 2 0 1 4 - 0 1 1 6 3 *
2750 KELLEY PARKWAY DATE ISSUED: 10/08/2014
ORONO, MN 55356-
(952 249-4600 FAX: 952 249-4616
ADDRESS : 659 MINNETONKA HGLD LA
P1N : 06-117-23-44-0006
LEGAL DESC : MINNETONKA HIGHLANDS ESTATES
: LOT 002 BLOCK 002
PERMIT TYPE : PLUMBING(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WATER HEATER
NOTE: 1 WATER HEATER
VALUATION OF PLUMBING 1800
APPLICANT PLUMBING FIXTURE FEE 50.00
STATE SURCHARGE PLBG(VALUATION) 0.90
BENJAMIN FRANKLIN PLUMBING MAIL-IN FEE 2.00
1424 3RD STREET N TOTAL 52.90
MINNEAPOLIS,MN 55411-
(763)755-6468 Payment(s)
CHECK 22266 52.90
OWNER
SPEETER, RICHARD
659 MINNETONKA HGLD LA
LONG LAKE,MN 55356-
AGREEMENT AND SWORN STATEMENT
The work for which this pertnit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances goveming this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be �
revoked at any time for due cause.
1�-�--�.J c.J .L:��c,�_ � � �-
Applicant Permitee Signature Date Issued By Signature Date
.�.� � a. � U J� � 3 �-� ���- �Q-� ��� �� �
. �
FOR CI7'Y USE ONLY
City of Orono
�.O�O P.O.Box 66 Date Received: I'ermit#
2750 Kelley Parkway
Crystal Bay,MN 55323 Approved By: Amount$: _
� (952)249-4600—Main
�
(952)249-4616—Pax
yF c�`� CITY OF ORONO—PLUMI3ING PF,RMI'I'
����s►�o�`� (All Commercial Permits Must be Approved by the State Prior to City Approval)
� htt ://www.dli.mn.=ov/CCi..,D/PI)F/3e �himb lanre��a > >.�df
GENERAL 1NFORMATION
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 ARF,NO'1'
VALID LTNTIL YOU RECENE A PERMIT. WORK MUS7'NOT BEGIN UNTIL THE
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 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 covered. Call (952)249-4600.
(24-48 hour notice required)
TYPE OF PERMIT �
(Check All That Apply)
esidential ❑Commercial(Approval Required)
❑New ❑ Additional ❑ Repairs �tc�place
�
❑ In Accessory Structure?
*You will need prior approval and may need CUP.(Per Orono City Code,Chapter 78,Article IV)
Job Site/Owner Information:
Site Address: �i �
r
J�i�h�hd �I S�`�-� S�-�-�
Owner: � /(,/)1+l/M Ma�ling Address:
City: � �U n 0 Zip: S`, J� l0
Home Phone:� � � �����I � l� Alternate Phone:
Contractor Information: �
._— �
CO11tT1CtOP: Voah Acqu�>110n'.LLC J t nn;� 00
�hinu Contact Person:
a�
�;�.1 3rd St K
ACICII'OSS: htinneapo�i�•���S�a�� State Bond #: P���_�_
City: Zip: Expiration Date: _
Phone: l0� d` � o���� I �� Alternate Phone: ��
'� Insurance— Current: _ / __�✓�n�
� R���.r��.�
r�;-li ,:,a 2o1a
CITY �F ORONO
a
_...__...__...—I
° PLUMBIN��TXTt7RES'BEING INSTALLED
FIXTUKE BSMT Isr 2 OTHER FIX"1�UR1: BSM'1� I�� 2�'D O"flltiR
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
Lavatory Sewer Ejector
Bathtub Laundry Tray
Shower Washer
Kitchen Sink W ter Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Miscellaneous
�� PERMIT E��,E CALCULATION(S)� �� �� ��
�QSED OF�' - 2002�'S'TATF: STA�I'UE
❑ Yes,this section applies �
i
The replacement of only one Residential fixture or appliance that meets�Ythree of the following
requirements: ��
1. Does not require modification to electrical or gas sefvice.
2. Has a total cost of$500.00 or less;excludin�the'cost of the fixture or appliance: and
3. Is improved,installed or replaced by the hor�eowner or licensed plumbing contractor.
Skip next section, if this applies; j�Cost of Permit $ 15.00
i State Surcharge $ 5.00
i' Mail-]n Fee(lf Applicable) $ 2.00
Total Permit Fee $
(Permit Fees Continued On Next Pa�e)
//
2
��.
�.�� ' �`��.t:�'t?�:�GLT�,ATION(S)-JOBS'OVER $SOO.OQ �
If above does not apply; follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00)
�� � �� x .0125 $_---�---
(contract price) (minimum$50.00)
2. STATE SURCHARGE
� J x .0005 $ ° �
(co tract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TO"I'AL PERMIT FEE(Add Lines 1-3 Above) $ `)� • �
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for thc
permitted work including materials, labor,}�rofit, 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. [n the event that there is a dispute on thc
amount of the job cost, the City may request the submission of a signed copy of lhe actual contract.
� ` ' PLU1kIBING FT��MIT APPLIEATION'AGR�'EMENT �
I'he undersigned hereby applies to the City ior 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, truc and
correct. ��,
; �
Applicant's Signature: Date: �
. �
L3'�
�� D TIME �
CITY OF ORONO CALLED IN L�� �� 3�' �'
INSPECTION n SCHEDULED � c-?�`�
PERMIT NO. ��� `�� I��COMPLEfED
ADDRESS ��
OWNER TELEPHONE NO. ������
CONTRACTOR � �^^'�^ ��'"'�`'�'''
� DESCRIPTION ��`�"`f � �I-��'�
� � FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL 0 MECHANICAL RI ❑ LAKESHORENVETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� �-PINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL O FOUNDATION/REMOVAL
2 OYYNERICONTRACTOR TO MEET Y�U:_YES_NO
y COMMENTS:
a� —✓ L
� �,��G r �l4�C� Ir�/[��llydd�G�
� ' 2J�C.Lbf"i i a� Y141i4 rq L s�i'e�{£ !/d���ec
� - � ' —
� CD����tc �145 liK�
�O �
T P� vQ[u� — D
W
� l.�e r/L Gb-�vt.A�c L<< -
Q
�
� 1"QY�.� 9,vr.���
W
�
�
J
� ❑WORK SATISFACTORY:PROCEED �'�ROJECT COMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WFLL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (952) 249-4600
�Mractor on site: /���E�'7s
Inspector. ���"
White CopyflnspectoPs File Canary CopylSite Notiee