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.
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Applicant Permitee Signature Date Iss B ignature Date
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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,
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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: ���� � `
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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
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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,'
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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.
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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:
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