HomeMy WebLinkAbout2009-00616 - water heater CITY OF ORONO PERMIT NO.: 2009-00616
�, 2750 KELLEY PARKWAY
' ORONO,MN 55356- DATE ISSUED: 09/22/2009
952 249-4600 FAX: 952 249-4616
ADDRESS : 2650 SILVER VIEW DR
PIN : 33-118-23-42-0009
LEGAL DESC : MEYER DAIRY ADDN
: LOT 008 BLOCK 001
PERMIT TYPE : PLUMBING(<$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WATER HEATER
NOTE: INSTALL WATER HEATER
APPLICANT WATER HEATER 15.00
CITY VIEW PLUMBING&HEATING STATE SURCHARGE PLBG(<$500) 0.50
1880 WAYZATA BLVD W TOTAL 15.50
P.O. BOX 150
LONG LAKE,MN 55356
(952)473-8793
OWNER
DAVIS,MICHAEL&LINDA
2650 SILVER VIEW DR
LONG LAKE,MN 55356
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and dces
not grant permission for additional or related work which requires separate
permiu. All provisions of laws and ordinances goveming this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring alI required inspections aze
requested in co ance with the State Building Code.This permit may be
revoked at y ti e for due cause.
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A 'cant Permitee Signat e Date Issued By Si ature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER N DESCRIBED ABO .
FOR CITY USE ONLY
,O¢��O City of Orono
P.O.Box 66 Date Received: Permit#
2750 Kelley Parkway
,`� �,`.x- � Crystal Bay,MN 55323 APProved By: Amount$:
� '�,��:,���,:� (952)249-4600
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CITY OF ORONO-PLUMBING PERMIT
(All Commeroial permiu must be approved by the Building O�cial or Inspector)
GENERAL INFORMATION
1. You may apply for plumbing permits by mail or in person at the City offices. Applications will be
reviewed and a permit will be issued within two working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB STTE.
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 remodeling is involved,a separate building permit must be
obtained.
5. All work must be done in accordance with State Code requirements.
6. All work must be inspected and air tested before it is covered. Call(952)249-4600.
(24-48 hour notice required)
TYPE OF PERMIT
Check All That A 1
�Residential ❑Commercial(Approval Required)
❑New ❑Additional ❑Repairs �Replace
❑ In Accessory Structure?
*You will need nrior aparoval and may need C_l_I'.(Per Orono City Code,Chapter 78,Article IV)
Job Site/Owner Information:
Site Address: �� �� > > '�� � v��� �C �V �
Owner: L�nG�a �aV �=i Mailing Address: ��,�U J:�dt'd'��� 1��
City: ���'n/` c� Zip: � � �� �' -
Home Phone: �5���� ��i�� Alternate Phone:
Contractor Information:
Contractor:G,� U;�,r� 1�1 t�'��T Contact Person: Q�;n � ���i r�i �1�'��
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Address: I g7�O g We�t Wq�Z�t7ol $��'� State Bond#: I�'I jo�J�JS� �
City: ��t�'-� ���.: Zip:�535�,Expiration Date: I�- 3 I �'JC>
Phone: �,���1-1�� �7�3 Alternate Phone: G 1 d����3�l�I
❑ Insurance-Current: 1��
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PERMIT FEE CALCULATION S -30BS OVER$500.00
If above does not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
x.0125$
(contract price) (minimum$50.00)
2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum Fee of$.50)
x.0005 $
(contract price) (minimum S .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) S
■ * 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 installations are furnished by
the owner, 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 City may request the submission of a signed copy of the actual contract.
■ ** The STAT'E SURCHARGE is .0005 of the contract price under$1,000,000 or$.50—whichever is
greater. For valuations over$1,000,000 call the Building Department at(952)249-4600 for the price.
PLUMBING PERMIT APPLICATION AGREEMENT
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.
Applicant's Signature: Date: �� �
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