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Home My WebLink About2000-P02373 - water heater � -- PERMIT CITY OF ORONO 2750 Kelley Parkway - PO Box 66 Permit Number: Po23�3 Crystal Bay, Minnesota 55323 Permit Type: FiXtUres (612) 249-4600 Date Issued: 4i26�2o0 SITE ADDRESS: 1720 Shadywood Rd WAYZATA,MN 55391 PID: 17-1 17-23-21-0019 DESCRIPTION: �-,--��_, Pl'OpOS2C1 USe: nc�iucu�iai Permit Class: Plumbing Permit Type: Fixtures Permit Sub-type(s): Water Heater DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: PermitFee: $ 35.00 Valuation: $ 400.00 State Surcharge Fee: $ 0.50 Misc.Fee: $ 1.50 TOTAL FEE: $ 37.00 APPLICANT: Norblom Plumbing Co OWNER: W H&M E PEMBERTON 2905 Garfield Ave South 1720 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. � �� 1 � (;�'�'h.o�it--� /J� �-C' -� �c APPLICANT PERMITEE SIGNATURE SUED BY SIGNATLJRE Copies: City,Applicant,Assessor, Finance Page 2 � � • INSPECTION RECORD CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: Po2s�3 Crystal Bay, Minnesota 55323 (612) 249-4600 Date Issued: 4�2s�2000 SITE ADDRESS: 1720 ShadywoodRd WAYZATA,MN 553 91 APPLICANT: NorblomPlumbingCo 2905 Garfield Ave South Minneapolis,MN 55408 Proposed Use: Residential """":`°..L '-��'�•Water Heater 1 Wlllll ULLV'l�'�/V`Jf. Pennit Class: Ylumbmg Pernut Type: Fixtures S�arate inspections required: Building: General: Plumbing: Rough plumbing Final plumbing ALL INSPECTIONS MUST BE CALLED 24 HOURS IN ADVANCE. THLS CARD MUST BE POSTED IN A CONSPICUOUS PLACE ON THE PREMISES ON WHICH Tf�WORK IS TO BE DONE. � - - � 373 � � CITY OF ORONO APPLICATION FOR PLUMBING PERMIT Box 66 (2750 Kelley Parkway) Crystal Bay, MN 55323 GENERAL INFORMATION 1. You may apply for plumbing pemuts by mail or in person at the City offices. 2. Pernut 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 pernvt 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 Replace Residential Commercial ��3� ( JOB SITE: � I�ZU �I�IG�y�Vuc� �d Zip: 4l l— OZC�4 Owner's Name: Telephone Number: '�1/ Mailing Address: City: Zip: Contractor's Name: Telephone Number:5�7= ��,3 Mailing Address:' (. � � � City: Zip: �hy(�g PLUMBING FIXTURE SCHEDULE FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sink Water Heater , Disposal Water Softener Dishwasher Wet Bar Sillcocks Misc (list) ♦ _ . a. PERMIT FEE CALCULATION 1. 1.25% of Contract Price* or Minimum Fee 35.00 x .0125 $ (contract price) 2. State Surchar� ** Add the State Building Code Division Surcharge to each permit. x .0005 $ (contract price) or $.50, whichever is greater 3. Posta�e and Handlin� (Only mail-in applications) $ 1.50 n 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ �21=�- .� - 6 * CONTRACT PRICE 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. IFany material, eqaipment, 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 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 conect. , (�� % �- vi Applicant s Signature: Date: