HomeMy WebLinkAbout2018-00360 - water heater CITY OF ORONO �I I� 11 1' 1' I
* 2018 - 00360 *
2750 KELLEY PARKWAY DATE ISSUED: 03/27/2018
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 500 HANLON AVE
PIN : 02-117-23-31-0051
LEGAL DESC : MINNETONKA BLUFFS
: LOT 000 BLOCK 014
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WATER HEATER
VALUATION : $ 600.00
NOTE: REPLACE WATER HEATER
APPLICANT MECHANICAL 50.00
STATE SURCHARGE MECH(VALUATION) 0.30
APPLIANCE CONNECTIONS,INC. MAIL-IN FEE 2.00
12850 CHESTNUT BLVD
SHAKOPEE,MN 55379- TOTAL 52.30
(952)445-4803 Payment(s)
Minnesota State License#:mech-MB004165 CHECK 10331 52.30
OWNER
BENNETT,PAUL&MEGAN
500 HANLON AVE
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 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.
(441114 if0 ilsz)
Applicant Permitee Signature Date Issued B ignature Date
City of Orono
i�
Q\ P.O.Box 66 RECEIVE
2750 Kelley Parkway
I,a 4 Crystal Bay,MN 55323 'i n18 __; _
`4. r % (952)249-4600—Main 6
trio,-j
(952)249-4616—Fax � .; .
CillV C F ORONO . _ __
CITY OF ORONO- PLUMBING PERMIT
(All Commercial Permits Must be Approved by the State Prior to City Approval)
http:/lwww.dli.mn.aov/CCLD/PDF/De plumbplanrevapp.pdf
1. You m.y apply for plumbing permits by mail or in person at the City offices. Applications will be
review 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 OU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS
POS D ON THE JOB SITE.
3. Plumbi g permits may be issued ONLY to licensed plumbing contractors and to property owners
residin 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)
)1 Residential 0 Commercial (Approval Required)
❑ New 1 ❑Additional 0 Repairs [Replace
❑ In Accessory Structure?
*You mill need prior approval and may need CUP. (Per Orono City Code, Chapter 78, Article IV)
Site Addres : 500 f4c
go Owner: a Uk 4.nne4 Mailing Address: t 1111-
City:
7)1City: Zip: S7q
Home Phon-:R5d"AD- 13'19 Alternate Phone:
Contractor: Contact Person j am i c 110�
Appliance Comnecti r,s : � :• State Bond #..' U`7`IL
Address: 12850 Chc3tnut Blvd.
Shakopee, MN 5537919
City: 952-445-480 Zip: Expiration Date: II
Phone: Alternate Phone:
❑ Insuran -Current: .S
1 Page 1
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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
Sil'cocks Miscellaneous I
1. CONTRACT PRICE * is 1.25% of contract price with a(Minimum Fee of$50.004
x .0125 $
5-76
(contract price) (minimum $50.00)
2. STATE SURCHARGE 2
(POD x .0005 $ - 3 0
(contract price)
3. PO TAGE& HANDLING (Only on Mail-In Applications) $ 2.00
s -A 3u
4. TOJFAL PERMIT FEE (Add Lines 1-3 Above) $
* CONTRAC PRICE or JOB COST means the actual or estimated dollar amount charged for the
permitted wo 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, tenan or any other party, the reasonable market value of such items must be added to the
estimated co t or contract price for permit fee purposes. In the event that there is a dispute on the
amount of t 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 thordinances of the City and the regulations of the State of Minnesota, and
certifies that II stateme . made on this application are -•mplete, true and correct.
I `-,
Date: 3/09ma /i
Applicant's S nature: Aa . . 1�� _
r
Building Offi al/Ins.= or:.
Date:
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