HomeMy WebLinkAbout2002-P04798 - water heater � PERMIT
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C I TY O F O RO N O Permit Num ber:
2750 Kelley Parkway - PO Box 66 Po4�9g
Crystal Bay, Minnesota 55323 Permit Type: F�X�ures
(952) 249-4600 Date Issued: t�isi2oo2
SITE ADDRESS: 2224 Shadywood Rd
Wayzata,IvII�I 55391
PID: 17-117-23-42-0003
DESCRIPTION:
Proposed Use: Kesidenhai
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. QWNER: Mark& Susanne Griffin
2905 Garfield Avenue S. 2224 Shadywood Rd
Minneapolis, MN 55408 Wayzata, MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEN�NTS 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 PERMIT�E S[GNATURE ,LSSUED BY SIGNATURE
Copies: 1-File(SiQnitures Reauired). 1-Aaolicant, 1-Monthlv Renorts, 1-Assessin�.1-Finance Page l
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CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323 '�°C r �r uN��"�
GENERAL 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 pemuts 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 pemut must be obtained.
5. All work must be done in accordance with the State Code requirements.
6: AlI work must be insp�eted and air tEsted before it is �cvered. Call 249-46C0. 24-hour notice iEqu;;ed.
Instructions Complete all items on this application. Compute the permit fee. Sign and date
the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCE�SE�. Ii you have
questions, call 249-4600.
Please check one: New Addition Repair x Replace
� �_ Residential Commercial
JOB STTE: GRIFFIN, MARK Zl
2224 SHADYWOOD ROAD p'
Owner's Name: ORONO, MN 55391 Telephone Number:
Mailing Address: (952)471-7056 City: Zip:
Contractor's Name: Nprblam PlLimb;nU Telephone Number: �tv�)So�7���
Mailing Address: �iCS C��xFi e td �wt . sc. City: rn pis . z�p: �5yc�
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor D:ains
Lavatory Sewer Ejector
Bathtub Laundry Tray
Shower Washer
Kitchen Sink Water Heater '
Disposal Water Softener �
Dishwasher Wet Bar
Sillcocks Misc (list)
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PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.001 ,
(L-J G
x .0125 $ J J � G
r
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $ e� ���
(contract price)
or $.50, whichever is greater
3. Postage and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ 37. ��
* CONTRACT PRICE or JOB COST means the actual or estimated dollaz amount charged for the permitted
work including materials, labor, profit, and other fixed costs. It is the amount to be charged to the
custorr�er for the W ork danc. Ii any material, equiprnent, iabor,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 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 Inspectional 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: � � ��—