HomeMy WebLinkAbout2002-P05155 - water heater CITY OF ORONO PERMIT
275Cf Kelley Parkway - PO Box 66 Permit Number: posiss
Crystal Bay, Minnesota 55323 Permit Type: FiX�ures
(952) 249-4600 Date Issued: si�i2oo2
SITE ADDRESS: 2170 Shevlin Dr
Wayzata,MN 55391
P I D: 03-117-23-34-0018
DESCRIPTION:
Proposed Use: Kesidential
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Water Heater
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 35.00
Valuation: $ 750.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 35.50
APPLICANT: Standard Plumbing&Applicance OWNER: Mr. &Mrs.Wiens
8015 Minnetonka Blvd 2170 Shevlin Dr
St. Louis Park,MN 55426 Wayzata MN 55391
THE LJNDERSIGNED 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 iSSUED'�Y SIGNATURE �'�
Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reoorts, 1-Assessing, 1-Finance Page 1
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CITY OF ORONO APPLICATION FOR PLiTMBING PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMATION ;
1. You may apply for plumbing permits by mail or in person at the City offices.
2. Permit cazds 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 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.
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. I�ICOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call 249-4600.
Please check one: New Addition Repair k Replace
_� Residential Commercial
JOB SITE: � � ?� sl�'���lGl �✓,c'� Zip: ��3��!
Owner's Name: � ' i- Telephone Number: ��t� ��3�����: `
1Vlaili�lg Address: �, l � G� ' ".�/ C�� r- City� � J rl�:: Zip:`����'j( �
Contractor's Name: - "cc• cu�- -� / ;Tele�hone l�umber: �� �j3�3$'�''�
viailing Address: � � ^-�c+ v �`City:� ,(G'r��S-Pi�: Zip: ���(2!�
PLUMBING FIXTURE SCHEDULE
' FIXTURE BSMT 1ST 2ND OTHER FIXTURE BStiiT 1ST 2ND OTHER
i TYPE FL FL TYPE FL FL
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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)
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PERMIT TEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
� -�,�, x .0125 $
(contract price)
2. State Surchar�e. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $
(contract price)
or $.50, whichever is greater
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 fixed costs. It is the amount to be charged to the
customer for the work done. If any material, equipment, labor,or installation are fumished by the owner,
a 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 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.
A licant's Si nature: ��2+G� �� �� Date:
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