HomeMy WebLinkAbout2009-00404 - water heater .
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` CITY OF ORONO PERMIT NO.: 2009-00404
2750 KELLEY PARKWAY
ORONO,MN 55356- DATE ISSUED: 07/14/2009
952 249-4600 FAX: 952 249-4616
ADDRESS : 3090 NORTH SHORE DR
PIN : 09-117-23-32-0006
LEGAL DESC : CRYSTAL BAY PARK
: LOT 000 BLOCK 002
PERMIT TYPE : PLUMBING(<$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WATER HEATER
APPLICANT WATER HEATER 15.00
NORBLOM PLUMBING CO. STATE SURCHARGE PLBG(<$500) 0.50
2905 GARFIELD AVENUE S.
MINNEAPOLIS,MN 55408- MAIL-IN FEE 2.00
(612)827-4033 TOTAL 17.50
OWNER
MCGLYNN,DAN
3090 NORTH SHORE DR
WAYZATA,MN 55391
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable Ciry approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires sepazate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if constsuction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
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Applicant Permitee Signature Date Issued By gnature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO
,
J � �I City of Orono �FOR CITX�JSE OlY�3',•
` �� �� P.O.Box66 DateReceived � �.Rer�mt# � �
2750 Kelley Parkway � - ?i ,
\ � � Crystal Bay,MN 55323 Appro'sed B� AmounY$
� (952)249-4600 � �� � � ,���
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CITY OF ORONO—PLUMBING PERMIT
i (All Commercial permits must be approved by the Building O�cial or Inspector)
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1. You�may apply for plumbing permits by mail or in person at the City offices. Applications will be
reviewed and a pernut will be issued within two working days.
2. Pemut cards will be sent by return mail after a review is completed. PERMITS ARE NOT
VA�.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 conshuction or remodeling is involved,a separate building pemut must be
obtained. �
5. ?;11 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)
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�Residential ❑ Commercial(Approval Required)
❑ New ❑Additional ❑Repairs ❑Replace
❑ In Accessory Structure?
*You will need nrior anproval and may need CUP.(Per Orono City Code,Chapter 78,Article IV)
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� Daniel McGlynn
Site Address: �
�090 Northshore Drive �
Orono, MN 55391
Owner: 9524710816 Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
�Con�ractor��rifoima:tion ; ':
Contractor:�' �QC IOL OJ1'Y� Pwtn/�b�12� Contact Person:
' 2qo5 �iarfi��d � sti.
Address: �; State Bond#: ����� �
City: I, � �S Zip�b$ Expiration Date: ( � v�/v /
, ��r2)g2�� �a33 .�
Phone: i Alternate Phone:
I, � Insurance—Current:
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FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER
TYPE FL FL TYPE FL �L
Water Closet Floor Drains I!
Lavatory Sewer Ejector
Bathtub Laundry Tray I
Shower Washer i
Kitchen Sink Water Heater I '
Disposal Water Softener i
Dishwasher Wet Bar
Sillcocks Miscellaneous !
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❑ Yes,this section applies ��,
The replacement of a Residenrial fixture or appliance that meets all three of the following req�irements:
1. Does not require modification to electrical or gas service. I
2. Has a total cost of$500.00 or less;excludine the cost of the fixture or appliance I and
3. Is improved,installed or replaced by the homeowner or licensed contractor. �
Skip next section,if ttus applies; Cost of Perxnit $ I 15.00
State Surcharge $ I .50
Mail-In Fee(If Applicable) $ I 2.00
Total Permit Fee $�
Permit Fees Continued On Negt Pa e II
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If above doesinot 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 $
(contract price) (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 charged 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 Deparhnent at(952)249-4600 for the price.
The undersi'gned hereby applies to the City fQr 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: Date: � � � O � D /
3
DATE TIME
� TY OF ORONO CALLED IN L��-�S.
INSPECTION T�ICUE ��_r SCHEDUIED --3�'� 1�'. 3� _
PERMIT NO. � ct `�"' COMPLETED
ADDRESS =� ��-ldf� -_`'?��
OWNER�n �1c CONTR. ��������``�"'�'
TELEPHONE NO. ��`� -�� �• 6 8 I�o
� DESCRIPTION ��� ��
� ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILIING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
� ❑ DEMO-FINA� ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
i ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J�LUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOIi TO MEET YOU:_YES_NO
c�n COMMENTS:
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� �WORKSATISFACTORY:PROCEED PROJECTCOMPLEfE
W ❑COHRECT WORK&PROCEED ❑ SUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFORECO�/ERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL REfURN
�STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION RE�UIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-46�0
OwnedContractor on site:
Inspector. .
White Copyllnspector's File Canary Copy/Site Notfce