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Home My WebLink About2017-00801 - water heater CITY OF ORONO I 11 H I 1 1 1 2750 KELLEY PARKWAY * 21 7 - 0 0 1 DATE ISSUED: 07/11 3/22 017 ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS : 795 OLD CRYSTAL BAY RD N PIN : 28-118-23-34-0003 LEGAL DESC : UNPLATTED 28 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING PROPERTY TYPE : COMMERCIAL-BUSINESS CONSTRUCTION TYPE : WATER HEATER VALUATION OF PLUMBING 7000 APPLICANT PLUMBING FIXTURE FEE 87.50 STATE SURCHARGE PLBG(VALUATION) 3.50 GSD2 LLC TOTAL 91.00 2136 SANDY LANE Payment(s) MOUND,MN 55364- CREDIT CARD 5536 91.00 Minnesota State License#:plbg-PC724024 OWNER 278,ORONO SCHOOL DIST NO. 795 OLD CRYSTAL BAY RD N LONG LAKE,MN 55356- 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. 7 ,isi( Applicant Permitee Signature Date Iss -d Signature Date �o City of Orono RECEIVED FOR CITY USE ONLY O P.O. Box 66 tiDate Received: 7--/ q —oZ0/7 2750 Kelley Parkway a ,. Crystal Bay, MN 55323 c- (952)249-4600—Main JUL 2 tZ�1 Permit# j/ 7 —Ulf / �elkrseo4'8" (952)249-4616—Fax Approved By: CITY OF ORONO Amount$: 9/. CITY OF ORONO - PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) http://www.dli.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) [Backflow Device: ❑AVB ❑PVB] ❑ New ❑ Additional ❑ Repairs `1;7 -place ❑ In Accessory Structure? *You will need prior approval and may need CUP. (Per Orono City Code, Chapter 78, Article IV) Job Site / Owner Information: :�Site Address: % � % r�J - -� �fiY . t AS ol d_ sr-f-aL , J ied v Owner: Mailing Address: City: 0 roti v Zip: a Home Phone: Alternate Phone: Contractor Information: 144 C Contractor: 0 L,� Contact Person: cg j 1 f f,-- h C./1,-e-, Address: 2J 3 (e , State Bond #: l74- 7Z �C Z ( r City: (' 4%°'L,1.2 i' Zip: , $ 36 `1Expiration Date: /Z / / C--- Phone: 7 2 ` Z-/ 5 C)1/6 Alternate Phone: >r' - -G/ `� / '10,j!)-1urance - Current: Page 1 ' i i j JMBING FIXTURES#3EINGD NSTALLED .. ','f, , . ,al* 0:: FIXTURE . BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND r 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 2 ' Kt',tr,N k,+fir'yea '9^- 1. CONTRACT PRICE * is 1.25% of contract price with a (Minimum Fee of$50.00) 7 &Ci x .0125 $ (contract price) (minimum $50.00) 2. STATE SURCHARGE 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. 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: / '-1�� • > Date: P � 7--- / 2-- -17 Building Official/ Inspector:1C)pe--/ y Date: 7//3/1 Page 2 ►owrwwrar>rriroR PLUMBING CONTRACTOR T ABOR&INDUSTRY Construcson Codes and Licensing Division Licensing and Certificsaion Services 443 Lafayette Road N St Paul,MM 55155 Website: vrww.dlian.aovk dd.aso Erna dikenseOstatennas Phone: 651284.5034 This is to certify that the certificate holder is licensed as a PLUMBING CONTRACTOR in the state of Minnesota and is in compliance with Minnesota Statutes 326B.46,and may perform or offer to perform plumbing work in all areas of the state during the license period; provided the responsible individual is at all times a MASTER PLUMBER and the certificate holder maintains compliance-with the required bond,general liability insurance,and workers'compensation laws.' License : PLUMBING CONTRACTOR Lic Number : PC724024 GSD2 LLC Effective Date 04/19/2017 2136 SANDY LN s Expiration Date : 12131/2017 MOUND,MN 55364 VERIFY UP-TO-DATE STATUS,BOND,AND INSURANCE INFO AT ww)v.dli.mn.aov/ccldlLicVerifv.asp IENTER NUMBER). STATE OF MINNESOTA MASTER PLUMBER r; License# PN062083 � ii Expiration Date 12/31/2018 Effective Datea!?�, Original Issue Date 04/11/2017 10/18/2007 WILLIAM D MCELHANEY 2136 SANDY LANE MOUND,MN 55364 DATE TIME t," CITY OF ORONO CALLED IN 7_/J INSPECTION f�OTI E _ , / SCHEDULED 7-I -/7 PERMIT NO. COMPLETED ADDRESS /P t // (irl�l c I W �1. OWNER 1TELEPHONE NO. C1-j- 5 //,b � CONTRACTOR /// E DESCRIPTION 1L kit° IQ 0 FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING . a' 0 0 FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL Z ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS is ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT Q 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP W ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL ❑ DEMO-SITE 0 SEPTIC INSTALL IC Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO LO COMMENTS: ix W e o le477ny -- 11,e 0 i4 t 7 ?X( x/ 1, /i;t_ /` J 4 ycticp . Q CC / _ e. i A i• ! W 67� �rea�� cC f/e fc CC W 0 WORK SATISFACTORY:PROCEED ECT COMPLETE etW 0 CORRECT WORK&PROCEED D I E CERTIFICATE OF OCCUPANCY O 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT D CORRECT UNSAFE CONDITION WITHIN HOURS. D PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR CI CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. CaN for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContra on site: Inspector. G 1 White Copynnspectors Filo Canary CopylSite Notice