HomeMy WebLinkAbout2006-P09768 - water heater � ' � PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: p09768
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952)249-4600 Date Issued:
4/19/2006
SITE ADDRESS: 1620 Shadywood Rd Unit#
Wayzata,MN 55391
P��� 17-117-23-21-0012
DESCRIPTION:
Proposed Use: Residential
Permit Class: Plumbing
Permit Type:
Fixtures Pemut Sub-type(s): Water Heater
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 15.00 valuation: $ 0.00
State Surcharge Fee: $ 0.50
Misc.Fee: $ 1.50
TOTAL FEE: $ 17.00
APPLICANT: Norblom Plumbing Co. OWNER: John Ericson
2905 Garfield Avenue S. 1620 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 COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMITEE SIGNATURE SSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
Box 66 (2750 Kelley Parkway) .
Crystal Bay, MN 55323
GENERA,L INFORMATION �
1. You may apply for plumbing permits by mail or in person at the City offices. ' '
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 properry 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 the State Code requirements.
5. All :vo:k :r.�.:st be �rsrJVVLGd �,d ai: te;te� uefore it is covered. Caii (G�2� 249-4600. '14-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 (952) 249-4600.
Please check one: New Addition Repair Keplace
_ �e ERICSON,JOHN
` 1620 SHADYWOOD ROAD . s
J�$,�I�I _ ORONO, MN 55391 ,Zlp� �
4wner , .,
's Name:, (952)471-9560 nber: y ..,
M'ailing Ac�dress:;,____ '`Zip:��
Contractor's Name: '`
c TelephoneNumber: ,_(��z��Z��y�3,�
Mailing Address: ZqOS �e,��/ .so: City: /VJ,�/S Zip: SS��`�'
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
Lavato Sewer E'ector
Bathtub Laund Tra
Shower Washer
Kitchen Sink Water Heater
Dis osal Water Softener
.
_ ... _. . _
Dishwasher : . Wec Sar
Sillcocks Misc (list
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PERMIT FEE CALCULATION(SZ
2002 State Statute � Yes, This Section Applies
The replacement of a Residential fixture or aQpliance 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; excludin� the cost of the fixture or appliance:
and
3) Is improved, installed or replaced by the homeowner or licenced contractor.
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State Surcharge $ .SQ
Mail In Fee $ 1.50
If above does not apply, follow guidelines below:
1. Contract Price* is .0125 % of job with a Minimum Fee of ($35.00)
x .0125 $
(contract price) (minimum$35.00)
2. State Surcharee. ** Add the State Building Code Division a (Minimum Fee of$ .50)
x .0005 $
(contract price) (minimum $ .50)
3. Postage and Handling (Only mail-in applications) $ 1,50
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 fized costs. It is the amount to be charged to the customer
for the work done. If any material, equipment, labor, or installation aze 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 che amount of the job cost, the City may
request the submission of a signed copy of the actuai 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 Inspection 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
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correct. � �, ;
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Applicant's Signature: 1� Date:� � �� '"� �
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� ` DATE TIME �+
CITY OF ORONO CALLED IN ' '�
INSPECTION y,OT/I�CE � SCHEDULED �� �
PERMIT NO. ��D'7 7� COMPLETED
ADDRESS��o�a �la�s, a-�`��'
OWNER � CONTR. P
TELEPHONE NO. �f 7�� �'S��O
� DESCRIPTION 1.U4� ���
� 01 FOOTING 11 ME HA 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANI 19 LAKESHORE/WETLANDS
y 03 INSULATION /25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL � 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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W WORK SATISFACTORY:PROCEED PROJECT COMPLETE �
� O CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECWERING
PERMANENT
❑CORRECTUNSAFECANDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP OROER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIREO.C L TO ARRANGE ACCESS.
Call for the n x inspection 24 hours in advance. (g52) 249-4600
OwnedCon a ron i •
Inspector.
White Copyllnspector's File Canary Copy/Site Notice