HomeMy WebLinkAbout2006-P10185 - water heater PERMIT
C��lr F ORONO permit Number:
2750 Kelley Parkway- PO Box 66 P1o185
Crystal Bay, Minnesota 55323 Permit Type:
Fixtures
(952) 249-4600 Date Issued:
8/7/2006
SITE ADDRESS: 2050 Shoreline Dr Unit#
Wayzata,MN 55391
PID: 10-117-23-34-0014
DESCRIPTION:
Proposed Use: Residential
Permit Class: Plutnbing
Permit Type: Fixtures Permit Sub-type(s): Water Heater
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 15.00 vatuation: $ 0.00
State Surcharge Fee: $ 0.50
Misc.Fee: $ 1.50
TOTAL FEE: $ 17.00
APPLICANT: Norblom Plumbing Co. OWNER: Berta Kvamme
2905 Garfield Avenue S. 2050 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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APPLICANT PERMITEE SIGNATURE D BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) 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 Ciry 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 permits may be issued ONLY to licensed plumbing contractors and to property owners residing
in the dwelling.
4. When any new construction or remod�ling is involved, a separate building per�sit 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 (952) 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 (952) 249-4600.
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Please check one: New Addition Repair �Keplace
,_�eSldeIItlB. KVAMME, BERTA
_ .. _ -
2050 SHORELINE DRIVE
.r.Q$SI�i:.. ORONO, MN 55331 ;
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O'wt�er's'Name:. (952)893-0286 � .-......
MaiLng�Acic�ress:�� i�.-;: -
Contractor's Name: ` TelephoneNumber..:_; (��2��JZ�-y�3_
Mailiag Address: ZqOS e,�/ .So. City: ,�VJ,�/S Zip:` �S�c��'
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER I FIXTURE BSMT I 1ST 2ND OTHER
T�'p� FL FL TYPE FL FL
Water Closet Floor Drains
Lavato Sewer E'ector
Bathtub Laund Tra
Shower Washer
Kitchen Sink - - Water Heater
Dis osal .
Water Softener
___ . __...
__ _ _ _. .
ec._. . Wet Saz .` ._.
Dishwash
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Sillcocks Misc list
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PERMIT FEE CALC I N
2002 State Statute Yes, This Section Applies
The replacement of a Residential fixture or appliance that meets all three of the following
° requirements:
1) Does not require modification to electrical or gas service.
2) Has a total cost of$500.00 or less; excludin� the cost of the fixture or appliance:
and
3) Is :mFr�ved, installed 3r re�laced by the �omeown�r or licenced contractor.
Skip next section; Cost of Permit $ 15.00
State Surcharge $ ,SQ
Mail In Fee $ 1.50
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� If above does not apply, follow guidelines below:
,
� 1. " Contract Price* is .0125 % of job with a Minimum Fee of ($35.00)
x .0125 $
(contract price) (minimum$35.00)
2. State Surchar�e. ** Add tlie State Building Code Division a (Minimum Fee of $ .50)
x .0005 $
(contract price) (minimum $ .50)
3. Posta�e and Handling (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $
'" C�NTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted
work including materials, labor,profit, and other fized costs. It is the amount to be charged to the customer
for the work done. If any material, equipment, labor, or installation are furnished by the owner, tenant or
any other parry 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 City may
request the submission of a signed copy of the actuat 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 Inspection 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 statemen maGie on,this application are complete, true and
correct. ' �
' , � �' 310 �
Applicant's Signature: � - Date: �
� �� ��� A TIME �
CITY OF ORONO CALLED IN �
INSPECTION NO,Z����s SCHEDULED
PERMIT NO. f COMPLETED
ADDRESS � �- I �
OWNER CONTR. -
TELEPHONE NO. � I� •�� ' �.1�`� �O�Q ��1U � NO�hI
� DESCRIPTION� UV� r ���,r1T� ��urnb.
� 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
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-F�NAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WlLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Ca11 for the ne inspection 24 hours in advance. (952� 249-4600
OwnerlContra si e:
Inspector.
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