HomeMy WebLinkAbout2000-P03057 - water heater PERMIT
CI�Y QF ORONO
2750�Celley Parkway - PO Box 66 Permit Number: Po3os�
Crystal Bay, Minnesota 55323 Permit Type: FiXtures
(612) 249-4600 Date Issued: 9�29i2oo
SITE ADDRESS: 1860 Shoreline Dr
WAYZATA,MN 55391
P I D: 10-117-23-42-0004
DESCRIPTION:
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PI'OpOSeCi USe: i�c�iuc�i�iai
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 OWNER: PAULINE M BOUCHARD
2905 Garfield Ave South 1860 SHORELINE DR
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.
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APPLI ANT PERMITEE I NATURE ' SSLTED BY SIGNATURE
Copies: City,Applicant,Assessor,Finance Page 1
.
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 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 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 per-nit iee. 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
JOB STTE: � g�C� ��Of�i✓1 e- �('�v� Zip: 55 3�j j
O�vner's Name: �30�.1�,ro1 � �a,,�.l i,r�. Telephone Number: y 76 -235/
Mailing Address: A'ba,re City: Zip:
Contractor's Name: ���b�uw� 1 ww�b�� Telephone Number: (�t Z �Z 3�-10 33
Mailing Address: Z9D5 (riu�r�eld Ave. x. City: �'�h�1s Zip: 11,h,,�
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
Lavatory S�wer Ejec:or
Bathtub Laundry Tray
Shower Washer
Kitchen Sink Water Heater �
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Misc (list)
.
� PERMIT I`EE CALCULATION
! 1. 1.25% of Contract Price* or Minunum Fee ($35.00)
' �f0� `—'" x .0125 $ 5
� (contract price)
2. State Surchar�e. ** Add the State Building Code Division
Surcharge to each permit. y� � x .00DS $ , SU
(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) $ , �7. O�
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount chazged for the permitted
work including materials, labor, profit, and other fixed costs. It is the amount to be chazged 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 mazket value of such items must he 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 Ci[y 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 lnspectional 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 Ciry 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: �/Z z��