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Home My WebLink About2001-P03878 - water heater " -� PERMIT C I TY O F O RO N O Permit Number: 2750 Kelley Parkway - PO Box 66 P03878 Crystal Bay, Minnesota 55323 Permit Type: FiXtures (952) 249-4600 Date Issued: 6�i�2ooi SITE ADDRESS: 1610 Shadywood Rd WAYZATA,MN 55391 PID: t�-i i�-23-2i-ooto DESCRIPTION: �-,--�,_, Pl'OpOSeC�USe: nc�iucuuai Permit Class: Plumbing Permit Type: Fixtures Permit Sub-type(s): Water Heater DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 400.00 State Surcharge Fee: $ 0.50 Misc. Fee: $ 1.50 TOTAL FEE: $ 37.00 APPLICANT: Norblom Plumbing Co OWNER: D&G Rogers 2905 Garfield Ave South 1610 Shadywood Rd Minneapolis,MN 55408 Wayzata MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMI'LIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. ^ . � �C .x__. ��./'�l �/J/�� '�f�/[. ,-r�-' /�- �" APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATLJRE Copies: City,Applicant,Assessor,Finance Page 1 � � CITY OF ORONO APPLICATION FOR PLUMBING PERMIT Box 66 (2750 Kelley Parkway) Crystal Bay, 1VI�i T 55323 GENERAI. INFORI�IATI ON 1. You may apply for plumbing pemuts by mail or in person at the City o�ces. 2. Permit cards will be sent by retum 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 buildina permit must be obtained. 5. All work must be done in accordance with the State Code requirements. � 6: All work must be inspected and air tested before it is covered. Call 249-4600. 24-hour notice required. Instructions Complete all items on this application. Compute the permit fee. Sign and date the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 249-4600. Please check one: New Addition Repair x Replace - - rcial ROGERS A,GAIL JOB SITE: 1610 SHADYWOOD ROAD ZIP: Owner's Name: ORONO, MN 55391 hone Number: i�tailing Address �952)471-9211 Zip: Contractor's Name: No r b 1�n p/�h,��a �elephone I�umber: t[vr�)82�'�033 Mailing Address: �05 f�ufielc� ftv; 5,:�. City: 171�IS. Zip: 5`�U� ` PLUMBING FIXTURE SCHEDULE FIXTURE BSMT 1ST 2ND OTHER FIXTURE BS:�iT 1ST 2ND OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector a Bathtub Laundry Tray Shower Washer � Kitchen Sink Water Heater Disposal Water Sofrener Dishwasher Wet Bar Sillcocks Misc (list) ,.. . � PERMIT FEE CALCULATION 1. 1.25% of Contract Price* or Minimum Fee ($35.00) �!�U x .0125 $ �S °`� (contract price) 2. State Surchar�e. ** Add the State Building Code Division Surcharge to each permit. $4t�D x .0005 $ • 5� (contract price) or $.50, whichever is greater 3. Postage and Handlin� (Only mail-in applications) $ 1.50 4. TOTAL PERNIIT FEE (Add lines 1-3 above) $ �7. o0 * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including materials, labor, profit, and other fixed cosu. It is the amount to be charged to the customer for the work done. If any material, equipment, labor, or installation 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[hat there is a dispute on the amount of the job cost, the Ciiy 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 Department of Jnspectional Services for the price. 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: ;� Ylb�lU�-�—, Date: �/�"/o� �/ `�D TIME CITY OF ORONO CALLED IN `� �� INSPECTION NOTICEno 3y-�gSCHEDULED �� PERMIT NO. �' 0 � COMPLETED ADDRESS /J�v ��/ OWNER CG�� G�r��S CONTR. TELEPHONE NO. ��`� � �� DESCRIPTION �-tQ S L�� W 01 FOOTING � 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL = 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL J Q OWNERICONTRACTOR TO MEET YOU:_YES_NO Z � COMMENTS: � W a � J O � � O � W � Q � Z W � W � � d �VORK SATISFACTORY:PROCEED �ROJECT COMPLETE W � � �-C� CORRECT WORK R PROCEED � C�ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. n pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �' CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-46�0 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice