HomeMy WebLinkAbout2004-P07692 - water heater - -� PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 P07692
Crystal Bay, Minnesota 55323 Permit Type: FiXc�es
(952)249-4600 Date Issued: 7/9/2004
SITE ADDRESS: 1410 Shoreline Dr
Wayzata,MI�i 55391
P1D: 02-117-23-33-0010
DESCRIPTION:
Proposed Use: Kesidential
Permit Class: Plumbing
Pernut Type: Fixtures Permit Sub-type(s): Water Heater
DETAILS:
Approved per resolurion#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 35.00 Valuation: $ 985.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 35.50
APPLICANT: City View Plumbing&Heating OWNER' Alfred&Ingrid Harrison
1880 B Wayzata Blvd W. � 1410 Shoreline Dr
P.O.Box 150 Wayzata MN 55391
Long Lake,MN 55356
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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APPLICAN SIGNATURE ISSUEDBYSIGNATURE
Conies: 1-File(Si¢nitures Required), 1-At�plicant, 1-Monthlv Revorts, 1-Assessins, 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 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 RECENE A PERMIT. WORK MUST NOT BEGIN UNTII.. 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 sepazate 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. INCOMPLETE APPLICATIONS WII�L NOT BE PROCESSED. If yo� have
questions, call 249-4600.
Please check one: New Addition Repair _'� Replace
Residential Commercial
JOB STI'E: Iy I� �hdC'CJ) �v�l� 'O� ZiP� S 3
Owner's Name: q►��p� ��„a�;d Flarr�s �,� Telephone Number:
Mailing Address• City: Zip:
Contractor's Name: C'�� �;�„� P/i�,.v�h;��-f a �h�i Telephone l�umber: qS�-y73 87q 3
Mailing Address: P,O,(�o,� I�n City: Lon L.a Zip: �3��
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Wa[er Closet Floor Drains
Lavatory Sewer Ejector
Bathtub Laundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Baz
Sillcocks Misc (list)
PERIVIIT TEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
����� x .0125 $
. (c�ntract price)
2. State SurcharQe. ** Add the State 3uilding Code Division
Surcharge to each permit. x .0005 $
(��ntract price)
or $.50, whichever is greater
3. Posta�e and Handlin� (Only ma�in applications) $ 1.50
4. TOTAL PERNIIT FEE (Add li�s 1-3 above) $
* CONTRACT PRICE or JOB COST means 2he actual or estimated dollaz amount charged for the permitted
work including materials, labor, profit, �d other fixed costs. It is the amount to be chazged to the
customer for the work done. If any ma[er.:a, equipment, labor,or installation aze furnished by the owner,
tenant or any other party the reasonable �arket value of such items must be added to the estimated cost
or contract price for permit fee purposes. �the event that there is a dispute on the amount of the job cost,
the Ciiy may request the submission of a signed copy of the actual contract.
�
** The STATE SURCHARGE is .0005 of =ne contract price under $1,000,000 or $.50 - whichever is
greater. For valuations over $1,000,000 :all the Department of Jnspectional Services for the price.
The undersigned hereby applies to the Cit: for issuance of a Plumbing Permit, agrees to do all
work in strict accordance with the ordina.�ces of the City and the regulations of the State of
Minnesota, and certifies that all statemetcs made on this application aze complete, true and
correct.
Applicant's Signature: Date: / ' a
r
/
DATE TIME
CITY OF ORONO CALLED W - -v�
INSPECTION NOT E Q SCHEDULED J iS�-C� La.7`�
PERMIT NO. C� -(2-co PLETED
ADDRESS � �
OWNER CONTR.�� //O�P�
TELEPHONE NO. _S_ a �73 c�793
� DESCRIPTION ���� f��lC./ ��
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
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09 PLUMBING Rf 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBING FIN 36 FOUNDATION/REMOVAL
� CTOR TO MEET YOU:y�YES_NO
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� WORK SATISFACTORY:PROCEED _ PROJECT COMPLETE
W O CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR W4LL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑ CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the n t inspection 24 hours in advance. (J52� 249-46��
OwnerlContra� n ite:
Inspector.
White Copyllnspector's ile Canary CopylSite Notice