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Home My WebLink About2010-00064 - water heater CITY OF ORONO PERMIT NO.: 2oia00064 . 2750 KELLEY PARKWAY 4 ORONO,MN 55356- DATE IssuEn: 02/08/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 20 MYRTLEWOOD RD PIN : 36-118-23-33-0010 LEGAL DESC : MYRTLEWOOD : LOT 002 BLOCK 001 PERMIT TYPE : PLUMBING(<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WATER HEATER APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 NORBLOM PLUMBING CO. STATE SURCHARGE PLBG(<$500) 0.50 2905 GARFIELD AVENUE S. MINNEAPOLIS,MN 55408- MAIL-IN FEE 1.50 (612)827-4033 TOTAL 17.00 OWNER ANDERSON,JUDIE A 16441 26TH AVE N PLYMOUTH,MN 55447- 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 revoked at any time for due cause. `/'�R''� L�' l l l i 'l Applicant Permitee Signature Date Issued B 'gnature ate SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. .FOR'CI�i'<X�USE�ONUi' , .:� ,��, City of Orono ; �; �� O QI P•O.Box66 DaleRecervsd. Permrt# 2750 Kelley Pazkway , ; . a� � Crystal Bay,MN 55323 �,App;o�ed B�r: 2,mQunt� �d��8�� (952)249-4600 � '�� ' � i CITY OF ORONO—PLUMBING PERMIT (All Commercial permits must be approved by the Building Official or Inspector) :CrEI�]E�A,� ]NF�1�:N1,�'-T101�1 _. , , _ . _ � , _. . �. . . . _.. 1. Youj may apply for plumbing permits by mail or in person at the City offices. Applications will be reviewed and a pemut will be issued within two working days. 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VAL�ID UNTIL YOU RECEIVE A PERMIT. WORK MUST 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 consirucrion or remodeling is involved,a separate building pemut 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) � t ' 1R;t3�PE O�'�?� '� ��'� ,. ( �.,. 1 F • 4i 1 � . h� � . � � t - `'= ,��3t �G�'ec�c Al�'x,>�h�at,A 1 , �r �Residential ❑ Commercial(Approval Required) ❑New I' ❑Addirional ❑Repairs ❑Replace ❑ In Accel�ssory Structure? *You will need arior aanroval and may need CUP.(Per Orono City Code,Chapter 78,Article I� :��b-ES�t`��/r ��,vnerr��o atf on�;�',.'�K��,��, ,�y�,�� .� ;� . , �... ,� � �.� �� ,. Site Addres � � ,S� — V. Pearson ', 20 Myrtlewood Road Owner: Orono,MN 55391 Ldress: ' 9523562647 City: Home Phone: Alternate Phone: �Contraetar:�nforrna.tion:, ' Contractor:Il ��rbLOYY� pwt�I�b� ContactPerson: � Address: I'I �� a1�1�d � sti, State Bond#: ��Y �-J� � City: II, � �s Zip�b$ Expiration Date: I l v�/� 1 '� ��r�-)g2�� fa3"3 ._._. Phone: Alternate Phone: I ,� Insurance—Current: 1 I . . i , FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 Z OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains ! Lavatory Sewer Ejector Bathtub Laundry Tray , . � Shower Washer , Kitchen Sink Water Heater I ' Disposal Water Softener i Dishwasher Wet Bar Sillcocks Miscellaneous I ❑ Yes,this section applies II The replacement of a Residential fixture or anpliance that meets all three of the following requ4irements: 1. Does not require modification to electrical or gas service. I 2. Has a total cost of$500.00 or less;excludinQ the cost of the fixture or appliance�',and 3. Is improved,installed or replaced by the homeowner or licensed contractor. Skip next section,if this applies; Cost of Pernut $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ I 2.� Total Permit Fee $ i7 0 t (Permit Fees Continued On Next Page) ' 2 I � • 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$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) x.0005 $ (contractprice) (minimum$ .50) � 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount chazged for the pernutted 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. 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 xnade on this application are complete, irue and correct. Applicant's Signature: Date: �"` I2-� �o 3 ,�� -�!-Y -� ATE T I M E V � CITY OF ORONO CALLED IN � ��-'� �� INSPECTION NOTICE SCHEDULED ---�� PERMIT NO. �F��.�OMPLETED ADDRESS ��! (�Q, � �fit � ��%�� VLd OWNER CONTR. 'J V C�� .�J TELEPHONE NO. � � � - �' �' ��c �- DESCRIPTION �'�� Y �-"''��" � � ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL � ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU: " YES_NO � COMMENTS: � W a � � O a � O � W � Q � Z W � W � j a W� ❑WORK SATISFACTORY:PROCEED I� PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CQRRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN INSPECTOR W{lL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CAL�INSPECTOR O IfVSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (J52� 249-4600 OwnerlContractor on site� Inspector. �, ��_� White Copyllnspector's File Canary CopylSite Notice