HomeMy WebLinkAbout2001-P04665 - water heater PERMIT
C!T�'OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: po4665
Crystal Bay, Minnesota 55323 Permit Type: F;Xtures
(952) 249-4600 Date Issued: t v2�i2oo1
SITE ADDRESS: 1570 Sixth Avenue N
Long Lal:e,MN 55356
PID: 26-1 18-23-32-0003
DESCRIPTION:
Proposed Use: Kesidentia�
Permit Gass: 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: $ 0.00
State Surcharge Fee: $ 0.50
Misc. Fee: $ 1.50
TOTAL FEE: $ 37.00
APPLICANT: Norblom Plumbing Co. OWNER: Mr. & Mrs. Whitman
2905 Garfield Avenue S. l 570 Sixth Avenue N
Minneapolis, MN 55408 Long Lake MN 55356
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TOMAKE 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.
, ��A PLICANT PGRMIT�E SIGNATURG ISSUEDBYS[GNATURE
Copies: I-File(Sienitures Reauired). 1-Avplicant. 1-Monthlv Reports, 1-Assessin�, l-Finance Page I
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CITY OF ORONO � L� APPLICATION FOR PLUMBING PERMIT
Box 66 (2750 Kelley Parkway� ,�,� �h�., :
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 return 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 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 permit fee. 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
WHITMAN,JOHN
J�B SI'I'E: 1570 COUNTY ROAD 6 NORTH Zlp:
Owner's Name: ORONO, MN 55356 Tele hone Number:
Mailing Address �952)475-3748 Cit p Zip:
Contractor's Name: N�B�,t�N� ur✓�$�lJ�.� Telephone Number: E,/Z-��7-�j053
Mailing Address: ZCiO�� ('�'��(EZD �(�;"; .SG'• CitY� �i�'CS Zip: �.f�f/��
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
Lavatory Sewer Ejector
Bathtub Laundry Tray
Shower Wash —
Kitchen Sink Water Heater
Disposal Water
Dishwasher Wet Bar
Sillcocks Misc (list)
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PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00) z ..
���`� x .0125 $ J� � ��')
(contract price)
2. State Surchar�e. ** Add the State Building Code Division
Surcharge to each permit. �'>�� x .0005 $ ��.��
(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) $ �3�. ��t,�
* 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 charged 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 market value of such items must be added to the estimated cost
or contract price for pernut 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 Inspectional 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 t t all tatements made on this application are complete, true and
correct.
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Applicant's Signature: Date: l� �J�
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