Loading...
HomeMy WebLinkAbout2016-01390 - water heater � ~ CITY OF ORONO * 2 pJ 1 6 - 0 1 3 9 0 * 2750 KELLEY PARKWAY DATE ISSUED: il/0]/2016 ORONO,MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 2640 NORTH SHORE DR PIN : 09-117-23-13-0009 LEGAL DESC : COLWELL ADDN : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WATER HEATER ACTIVITY : O/S GENERAL NOTE: WATER I-IEATER VALUATION OF PLUMBING 3920 APPLICANT PLUMBING FIXTURE FEE 50.00 PRONTO HEATING&AC STATE SURCHARGE PLBG(VALUATION) 1.96 7415 CAHILL RD MAIL-IN FEE 2.00 EDINA,MN 55439- TOTAL 53.96 (952)835-7777 Payment(s) Minnesota State License#:mech-MB004828 CREDIT CARD 8852 53.96 OWNER HODDER,KENT H&JUDITH B 2640 NORTH SHORE DR ,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 dces 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 ot 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 resyonsible 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. c_.,---� � 1 � ,(� Applicant Permitee Signature Date Iss B ignature Date From:Pronto Heating and Air 952+767+9Y10 77/O�/20�6 07:29 #383 P.00Y/003 I,, ,i'�, i �� '�II .� �+--. i � +�� !. � ���I i ' iii /'f`r�'i��/%i � :i!l; ,:�f)rfl)%T;1�;."F,i:i ��,�-nt� it lti�cc�� an `��- ' �� ���� �cc��r� o���i ��-- C�r�� c� i in_c CC� �� u��l— ���� - ���c�— ���z �.� �� 02 - t� c�� : qa—� a � � � _ a e � i � � � m e � �-b � � # $ �� .� From:Pronto Heating and Air 952+767+9yy0 7iiov2o7s 07:3� #383 P.002/003 ��pN� City of Orono FOR CITY USE ONLY \O P.Q.Box 66 Date Received: 2750 Kelley Parkway -+ �. Crystal Bay, MN 55323_ Permit# ' c,� (952}249-4600-Main �p y, ����FSHnR� (952)249-4616-Fax roved B � Amount$: CITY OF ORONO—PLUMBING PERMlT (All Commercial Permits Must be Approved by the State Prior to City Approval) http://www dli mn qov/CCLD/PDF/pe plumbqtanrevaRD pdf GENERAL INFORMATION 1. You may apply for plumhing 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 compteted. PERMfTS ARE NOT VALID UNT1l YOU RECEIVE A PERMIT. WORK MUS7 NOT BEGIN UNTiL THE PERMIT CARD I5 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 buiiding 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. (2448 hour notice required) TYPE OF PERMIT(Check All That Apply) �esidential ❑ Commercial (Approval Required) [Backflow Device:Q AVB ❑PVB) ❑ New ❑Additional ❑ Repairs �eplace ❑ !n Accessory Structure? 'You will need prior apqraval and may need CUP. {Per Orano City Code, Chapter 78, Article IV) Job Site/Owner lnformation: Site Address: Z�' `-i O ���'1{�-t-r 1 ���(Q � Owner:�� -t'�'[���� Mailing Address: ��.�. ,,,.,.. City• ��Y��';�« Zip: ���� � ` , � Home Phone: l.� � Z�J� ;� `t ��(�n Alternate Phone: Contractor Information: Contractor: I -� �( ontact Person: ��.�i�{3 C� � fp Address: 1 1 State Bond #: �� �y �� � , City: � ,�y� Zip: ,�r 1 y��Expiration Date: Phone: - '�- �r Alternate Phone: ❑ Insurance —Current: Page i From:Pronto Heating and Air 9b2+767+97�0 Yy/OY/20Y6 07:32 #383 P.003/003 � � . . ., � rA. :..-: .,m -:y. �r ,.t>,"�, I"`���y'�!�,��`,t����l����.'1?�i+���������,... '•: , . . ���,: �w.e �. ? . ..�,...: ., ,�- FIXTURE BSMT �sr 2ND OTHER �IXTURE BSMT �sT 2ND OTHER TYPE Floor Floor TYPE Floor Floor Water Closet Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sink Water Heater ✓ Disposal Water Softener Dishwasher Wet Bar Si!lcocks Miscelianeous '{ r� ...�..� , ..,r. ::f.M..�.,f .A . s..._.1.... - �M1•n�. \�'i.�i.��� , :������ t� .:�* ?a. ,-tA r�.U� . !I,' .�=�`4. �...*.��: ..A�,d; 1. CONTRACT PRfCE 'is 1.25% of contract price with a(Minimum Fee of$50.00) ,���� . C' l_i x .0125 $ �• C�' 1..1 (contract price) (minimum $50.00) 2. STATE SURCHARGE ,3qZc,� c� x .0005 $ i� � c� (contract price) 3. POS7AGE 8 HANDLING (Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �',G�� 0 , . "` CONTRACT PRICE or JOB COST means the actual or estimated dolfar 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 cont�act. < �'�����.�'��T� ., �:��,��������. �r� �'�.i 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 and the regulations of the State of Minnesota, and certifies that all statements made on this application are complete, true and correct. Applican#'s Signature: Date: Building Official/ Inspector: Date: Page 2