HomeMy WebLinkAbout2000-P02992 - water heater PERMIT
�!TY O F O RO N O Permit Number:
2150 Kelley Parkway- PO Box 66 P02992
Crystal Bay, Minnesota 55323 Permit Type: Fixt�►res
(612) 249�600 Date Issued: 9/19/200
SITE ADDRESS: 1860 Shoreline Dr
WAYZATA,MN 55391
PID: 10-117-23-42-0004
DESCRIPTION:
^--�,--.�_,
PIOPOS6(�USe: no�iucuuai
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: $ 500.00
State Surcharge Fee: $ 0.50
Misc.Fee: $ 1.50
TOTAL FEE: $37.00
APPLICANT: MIKE LARSON PLUMBING OWNER: PAULINE M BOUCHARD
3402 LIBRARY LANE 1860 SHORELINE DR
ST.LOUIS PARK,MN 55426 WAYZATA MN 55391
'THE UNDERSIGNID HEREBY REQUESTS PERMISSION TO MAKE TI�REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND
STATE OF MINNESOTA BUII.DING CODE REQUIREMENTS.
��- l� �i�- .(,�, ��
ISSLJE Y SIGNATURE
Copies:City,Applicant,Assessor,Finance Page 1
, ..3 ,
�
� CITY OF URQNO APPLICA7�ION FOR PLU'1�T1�G FERVIIT
B�x 66 (�"'S0 Kcll:,y 1'ark��..';!
Cry�stal I�:;J, !i�' S5_123
S:#;;'��'.RAI_ l.y�'c3iL".IaT14ti
!. You a�ay �tpply for plumbmg peraucs by mul or w person ac thc (;uy ott�ces.
2. Permit carda wiil be senc by return aiall ahtr a review �s compleced. YEKM1"I'S Ak�: NU1" VAL1L�
UIv'TIL YOU REC�NE A PERMIT. WORK MUST NQT BE�IV .i�,'VTI�, T_ HE P�RMIT CARU IS
��s,�:�.� ���� �r�i�: ��u �:l�
3. Ylumbing pemuts may be issucG VN1,Y to I�censtd plumbing contracton and �o properry owners res�dwg
!n the dw�ollinR.
4. When any uew construcuon or remodeling �s lnvotvcd, a separaca ouildmg permit must oe obtained.
S. All wocfc must bo done in accordancc with the State Codc rcquirancuts.
6. All worlc mwt be inspccted and air tated before it is covercd. Cali 7A9-4b00. �4-hour noticc require4.
�,�r��iocis Complete a11 �tems on this application. C:ompucc �he pccmit ree. Sign and daee
the certi�cation. INCOiViPL.E'CE APPLTCATIONS WILL IvUT I3E YROCESSED. If you have
quc�i��ns, call Z4���3�(�t.).
Ple.�se check c�ne: ____ New �_ Add�tion _ _ kepa�r � 'rc�piece
.x _ R�:s�;'�t:ti«f --- Cc��: ��cr�.���
1Uts �T1�'� 1g1o0 Shore ���e �r . _ _._.__._.�i�:_,�53y-�-- -
Orvner's Name: T3o�eha�d_F,P�.�.���� ._ ____. Teiepl�one :�utnber: ?���-_a3Sl,..
'�taiilu� ���ldress: 1��,....Q__Shofel�►ne, __D��_ City: Oro:--- - Ziu: --- ._ .
Contractc�r'c Name: Y�'1;_Ke. �a�sc,�• i�ln.b�_ Teiephone Nuni�er: gao-a�9Q
ti'[��iing �lcitire,�s:3�.Q.�__.1..�.br�.�_y __ l.�___�it�-: �I,�u:s P1� Zi�: SS�1aco
P�1�.'�1��k��.L�tE SG�I�-r��i.�
FIXTLIRE � BSMT 1ST I 2ND � OTl�ER FIXTU4tE l HSMT 1 1S7" + 2ND I OTHER
�TYPE F!. ` FL IYr i� � r:l. ' F1, '—_
-- -- ! f
}=ioo: U:s::�: 1
��iater Ciose: � � � .
[:s✓a:�ry � � 1 Sewe: ��e.,: o: -�-- --�� � __-- -
__ _..�.—_ -- ---�--r----
Bacbtub l.au::�:. .:.;� �
------ -- ----- -t---- -----}----_'
�� . _ �
S�lt\Vt; ' �L�AS.''�C: �
_`-_ � - - - --_.
_..��_.._ __._-"__"`" ,
lti�u:t'.cn S�nk � WflICT Hca::.* L' / 1
.} ---�" �v�:�. �:,,�...��i -- - — � - + -�-
.. ...,
r,�e,o:al � � . � ----f-- � --
___.__. .__� ... . . . -- - ,-- ----- � --- --�--
-�----- � _�.�.
(I µiC� :�i ; � ,
Ui�c«ashc;`-�_- - . __ . _ ` __._ `_ _ -
� � i-------t-----t-----�----_.
�:�.��.,�k� ; L �- -�^--'� r��,,. ;�,, . ! __._.______
--__1_.__ _ - -- ___ .-�- ---. _---- -� ___- -- ..________ _ -------- -
. ,.� �
4
'.�' � l , � � t�.:;►-.1.7 1.c�1�I(►;ti
1. 1.25°�i of act P�w or h�ilnim�m ��ee c5�5^t1�!
x Ut:.S �
� {c0otia�t G�ri.:e)
2 S��t.g �ulGha�Re, '""` Acid t��e Statc 4iuilding Code liivis�t�n
S;�rcharge �o +�ac!� �c;i��t- — ------ --- ' JthlS } _ .- -- - _�
i.u�tfact pnCej
C�l �.5�, r`};i�:1::VCs' ;S �:C'ttl�:
�. Y_Qs�B.�_�nd I�ar�d!utg (Only mail-in applicationsJ a ---------1�.�----
4. "IOTAL PEKIyiTT FEE (Add lines 1-3 abovc) � __ _ _3�1 t�C� _.
" CONTRACT PRICfi or JOB COST means th�actual or tsiimated dullar an�ount cnsrgcd for u�c pzrrnit�ea
work induding matcrials, latx�r, profit, and other fixed cost9. lt is the arnount to bc charged to ule
custoaur for the work done. If any roaeerial, equipment, labor, or�nstaliauon are Yurnishco by cnc owner,
tenant or any other party the reasonablc market value of su:.h ��ems mu�t bc ao�co �o tl�� cstiitta:cii cosi
or contract price for permit Pet putposcs !n the tvent tnat Were �s a dispute o��tAc a,-nt�uat o�tne jo�cos�,
the Ciry may req�ecst �h� subraiss�on of a signed copy oi the accual conird�i.
«« -�he STA7'F: S1�RCiiARGE is .0005 of tbe con!ract price uoder �1.UC�u.u��u or �.�u wn�chevcr �s
grcater. For valuatt�us over 51,U(�,t)0(! ca�l the Dtpartmeni of Inspcatonal Scrv�ces Ior tht pnce.
The undersigned herehy applies to the City for rssuance o2 a Y►umb�n� renrut, agrees t� cio al�
work in strict accor�iance with the ordinances of the C=�ry and the regutau���s oi �he S�a�e ur
Mirtncsota, and certifies that all statements made on this application are c�rnple�c, [cue anci
c��rre�►..
. i?�:ii�i ; 51��'ia.'..:�� . a�i���� -- — -- � .i' �__°__.�_'--
r�J '.. . ..__�_.. �