HomeMy WebLinkAbout2002-P05159 - water heater � �ITY OF ORONO PERMIT
2750 Kelley Parkway - PO Box 66 Permit Number: Posis9
Crystal Bay, Minnesota 55323 Permit Type: FiXcures
(952) 249-4600 Date Issued: s�s�2oo2
SITE ADDRESS: 1770 Shadywood Rd
Wayzata,MN 55391
PID: 17-117-23-21-0023
DESCRIPTION:
Proposed Use: Kesidential
Pernut Class: Plumbing
Permit Type: Fixtures Permit Sub-rype(s): Water Heater
DE7AILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 15.00
Valuation: $ 0.00
State Surcharge Fee: $ 0.50
Misc. Fee: $ 1.50
TOTAL FEE: $ 17.00
APPLICANT: Norblom Plumbing Co. OWNER: Sue Henderson
2905 Garfield Avenue S. 1770 Shadywood Rd
Minneapolis, MN 55408 Wayzata MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE TI IE 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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A PLICANT PERMITEE SIGNATURE I� ED BY S[GNATURE
Copies: 1-File(SiQnitures Required), 1-Apolicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
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CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORNIATION
1• You may apply for plumbing permits by mail or in person at the City offices. •
2• Permit cards will be sent by return mai] 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 K
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 the State Code requirements.
6. All work must be inspected and air tested before it is covered. Call (952) 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 (952) 249-4600.
Please check one: New Addition Re air
__�___/�tesidential Commercial p � �eplace
J4B SITE: I�7O �Jl�lad L�Oc� �oa� Zi : SS3`�
O�vner s Name:. . ,._P. �
� 5r.� [��i Telephone Number:(95z
_ �Y7��-309(0 .
Mailing A�dress: 70 Sh�/ wo�� �Poad Cit�: 'D���c� `,Zip:�; SS3�l
Contractor'sName: c TelephoneNumber: (��Z��Z�-y�.�
Mailing Address: ZqOS �,�✓ .sa.
Cityt_�'1p�5 Zip:' �'s�c��
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE I 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 I
Dis osal Water Softener
Dishwasher . Wet Bar
Sillcocks
Misc (list) '
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PERMIT I�'EE CALCULATION(S)
2002 State Statute � Yes, This Section Appiies
The replacement of a Residential fixture or a�pliance 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.
Skip next section; Cost of Permit $ 15.00
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 Surcharge. ** Add the State Building Code Division a (Minimum Fee of $ .50)
x .0005 $
(contract price) . (minimum $ .50)
3. Posta�e 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 amotmt 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 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 that there is a dispute on the amount of the job cost, the Ciry may
request the submission of a signed copy of che 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 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
correct,
Applicant's Signature; Date: � 3�/GZ •
/
� /�E TIME
CITY OF ORONO CALLED IN
INSPECTI T SCHEDULED 511.3 , . mC� � ��
PERMIT N0. �'�� COMPLETED �� ��
ADDRESS I -1 �G -� `v�C�y c�,r�; r.Q�
OWNER CONTR. ���f��Ct�+,. Y�� w���
TELEPHONE N0. ��- - ��� �3�9 �
� DESCRIPTION I�� W�- h,���..-
� Oi FOOTING 11 MECHANICAL RI 18 EXCA�//GRADING/FILLING
Q 02 FRAMING x3 MECHANICAL FINAL--' 19 LAKESHORE/WETLANDS
_.,._._... .
y 03 INSUIl�TION 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 O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAI. 35 HARO COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W��RK SATISFACTORY:PROCEED PROJECT COMPLETE
W ❑CORRECT WORK 8�PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEM PORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETUFN ❑CITATION ISSUED
O STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUtRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-46�0
OwnerlContract r sit .
Inspector.
White Co y/lnspector's File Canary CopylSite Notice