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Home My WebLink About2017-01674 - water heater CITY OF ORONO * 2017 - 01674 * 2750 KELLEY PARKWAY DATE ISSUED: 12/28/2017 ORONO,MN 55356- 952 249-4600 FAX: 952 2494616 ADDRESS : 4775 NORTH SHORE DR PIN : 07-117-23-32-0022 LEGAL DESC : BERGQUIST&WICKLUNDS PARK LOT 000 BLOCK 006 PERMIT TYPE PLUMBING PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE WATER HEATER NOTE: (1)WATER HEATER VALUATION OF PLUMBING 600 APPLICANT PLUMBING FIXTURE FEE 50.00 STATE SURCHARGE PLBG(VALUATION) 0.30 APPLIANCE CONNECTIONS,INC. MAIL-IN FEE 2.00 12850 CHESTNUT BLVD TOTAL 52.30 SHAKOPEE,MN 55379- Payment(s) (952)4454803 Minnesota State License#:mech- B004165 CHECK 9972 52.30 M OWNER WASSCHER,BEN&KATRINA 4775 NORTH SHORE DR MOUND,MN 55364- 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. Applicant Permitee Signature Date Issued By Signature Date City of Orono RECEIVED FOR CITY USE ONLY Q ; O P.O. Box 66 Date Received: Crystal Kelley Parkway Crys A tal Bay MN 55323 �DEC 2 6ZU11 Permit G 7- 01 �, e4elllHoa``c? (952)249-4600—Main Approved By: (952)249-4616-Fax CITY OF ORONO Amount$: CITY OF ORONO - PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) http://www.dii.mn.gov/CCLD/PDF/pe plumbplanrevapp.pdf GENERAL INFORMATION 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 ARE NOT VALID 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 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) *-Residential ❑ Commercial (Approval Required) ❑ New ❑ Additional ❑ Repairs Replace ❑ In Accessory Structure? "You will need prior approval and may need CUP. (Per Orono City Code, Chapter 78, Article IV) Job Site / Owner Information: 1- Site Address: �� UO. 5hoy c I' ),(- S te{ Owner: LCc+Y-t V O, WQ SS Cli Mailing Address: 0 Vk-0-- City: Ma-41Cy1 Zip: 5 J 3& Ho a Phone: q.J 9/01 54 U G Alternate Phone: Contractor Information: I 1 / Contractor: Contact Person: _Jo m w Appliance Connections Inc Address: 12550 Chi-0m it Rlvd -Bond #: IDn4 Shakopee, MN 55379 City: 95-2-445-4803 Zip: Expiration Date: Phone: Alternate Phone: ❑ Insurance — Current: Page 1 PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT 1sT 2ND OTHER FIXTURE BSMT 1sT 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 Sillcocks Miscellaneous PERMIT FEE CALCULATION 1. CONTRACT PRICE * is 1.25% of contract price with a (Minimum Fee of$50.00) x .0125 $ 50, 00 (contract price) (minimum $50.00) 2. STATE SURCHARGE co, CC-) x .0005 $ (contract price) 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 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 contract. PLUMBING PERMIT APPLICATION AGREEMENT 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. Applicant's Signature: �-�-� Date: dLl 6 Building Official/ Inspector: Date: Page 2 7 4zDATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE /I SCHEDULED /—/.2—/ 'IO PERMIT NO.�l7- 01 &I y COMPLETED ADDRESS G/77) 1U!'ti- 1..) Fr OWNER /J TE EPHONE NO. ,6',3-el ..--700 7 CONTRACTOR /7 I/O-n� Cf' c5-1-2._ (th' i- i DESCRIPTION v" a r- j-et.}2 — tU ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING Q ❑ FOUNDATION DRAIN TILE 0 PLUMBING FINAL 0 TREE REMOVAL ❑ LATHE 0 MECHANICAL RI 0 SITE INSPECTION Cr 0 FRAMING ANICAL FINAL 0 RATED WALLS .+ ❑ FINSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT Q ❑ FINAL 0 WATER HOOK-UP 0 FOLLOW-UP 14.1 ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL v ❑ DEMO-SITE 0 SEPTIC INSTALL It Z OWN ERICONTRACTOR TO MEET YOU:_YES_NO 4 '41TL COMMENTS: G! / 4-Tf#- cc cc fibdisemve ,i/,4-g- ev/G o cc / /-/t 7sr? 37 . i'rrs7 -//er 2.6,---<-) OLi. /RJ1'✓Ni+-d7 de L.,,. I - W 2 W X W cc W 0 WORK SATISFACTORY:PROCEED fPFIC56CT COMPLETE CCW 0 CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY CZI 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY Ou BEFORE COVERING PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for then: . inspection 24 hours in advance. (952) 249-4600 Owner/Contra • • • site: Inspector. r Gs-ifro1 y White Copy/Inspector's File Canary Copy/Site Notice