The URL can be used to link to this page

Home My WebLink About2008-P12132 - water heater PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway- PO Box 66 P12132 Crystal Bay, Minnesota 55323 Permit Type: Fixtures (952) 249-4600 Date Issued: 6/4/2008 SITE ADDRESS: 1376 Park Dr Unit# Mound,MN 55364 P�� 07-117-23-41-0096 DESCRIPTION: Proposed Use: Residential Permit Class: Plumbing Permit Type: Fixtures Pern,it Sub-type(s): Water Heater DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: Water Heater and Gas Piping FEE SUMMARY: Pernut Fee: $ 50.00 valuation: $ 4,000.00 State Surcharge Fee: $ 2.00 TOTAL FEE: $ 52.00 APPLICANT: Al's Master Plumbing Inc. OWNER: Dayton F Larson&Teresa 1424 3rd Street N S 1376 Park Dr Minneapolis,MN 55411 Mound,MN 55364 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CtTY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. C� t� . APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, i-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 . 4 � , FOR CIT 'US�� ONLY Cit of Orono / �� P.O Box 66 Date Recerved:� � Permit#�lS, ��;, � 2750 Kelley Parkway ,�i'� �s;' !�� Crystal Bay,MN 55323 Approved By; Amount$:� � �'iA��°+��p�� (952)249-4600 � � .�.��%, CITY OF ORONO—PLUMBING PERMIT (All Commercial permits must be approved hy the Building Official or Inspector) GENERAL 1NFORMATION 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. Cail(952)249-4600. (24-48 hour notice required) TYPE OF PERMIT Check All That A 1 �Residential ❑Commercial(Approval Required) ❑ New ❑Additional ❑Repairs �teplace / ` ❑ In Accessory Structure? *You will need nrior annroval and may need CUP. (Per Orono City Code,Chapter 78,Article IV) Job Site l Owner Information: ' Site Address: � �� k � r Owner: ��y �"0�'1 �rS� Mailing Address: I ��(� I��r�l� �(— c�Ty: Urono z�p: s�S 3� `� Home Phone: �SZ"��Z— S 2-�� Alternate Phone: Contractor Information: A15,n��4-�Uib�. Contractor: dba 3�,��+M; „�'r�A�''��ContactPerson: l��r� Address: � �2� 3� S� . N. State Bond #: City: � Zip:SS�� Expiration Date: Phone: �0 �2"��'2"�Z�� Alternate Phone: �I Z'(��`�-� �S �� ❑ Insurance—Current: 1 , � . .�.,,, ... � .s. rF �� .� ° _� �` � � ', . ,, � ,, � : �� n� �-, rt... , .. � ....... ... �.� � ��.: ��....v m� . ,,., _ �� s _ . .__, FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2N OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector Bathroom Laundry Tray Shower W asher Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous �t S , . PF,RMIT FEE CALCULATI4N(S} � �� BASED OFF — 2002 STATE STATUE ❑ Yes,this section applies The replacement of a Residential fixture or appliance that meets all three of the following requirements: 1. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less;excludine the cost of the fixture or appliance:and 3. Is improved, installed or replaced by the homeowner or licensed contractor. Skip next section,if this applies; Cost of Permit $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 1.50 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 � i . �r , x"` � �v = ,�� ,,�;�� ,�� .��DVER $500 00 �;}� .� ��,� If above does not apply; follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00) "1�/w x.0125 $ �V (contract price) (minimum$35.00) 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) x.0005 $ � (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �� ' - �/ ■ * CONTRACT PWCE 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 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 Department at(952)249-4600 for the price. �.`� :"��`��:�1',�APPLICA+ ' ��1:ENT :,,' �' �. . 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. / `/�, � UB Applicant's Signature: Jw� '� Date: � � �' Reset Form 3 �� l,/1 D TIME � CITY OF ORONO CALLED IN 6_� INSPECTION TI�3 SCHEDULED (0-5- 08 /.'30 PERMIT NO. �' COMPLETED ADDRESS �37�o OQ-��- �� OWNER CONTR. �/�Q.I�'�Ll.�rs�-" TELEPHONE N0. ��Z- 29� �lo lO � DESCRIPTION � �� Lr/�sf � ��"`�` �d��'L � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORFJWETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE Q ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a j �� ilI Q � •'�C� -�-C� 71 o - � ��- � s.= �O " `'� ^O �' 0 � � � �-�-<,j � C�� Q � z W � W � � d W� �WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFOREC�/ERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED 0 STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTOARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952) 249-4f)�� OwnerlContractor on e: Inspector. White Copyllnspector's File Canary Copy/Site Notice