HomeMy WebLinkAbout2007-P11043 - water heater w
` � ' PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: p11o43
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952)249-4600 Date Issued:
5/23/2007
SITE ADDRESS: 2060 Sixth Ave N Unit#
Long Lake,MN 55356
P��� 27-118-23-31-0002
DESCRIPTION:
Proposed Use: Religious
Permit Class: Plutnbing
Pemut Type: Fixtures Pernut Sub-type(s): Water Heater
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
Contractor:763-559-3522
FEE SUMMARY: Permit Fee: $ 35.00 vatuation: $ 1,069.00
State Surchazge Fee: $ 0.53
TOTAL FEE: $ 35.53
APPLICANT: Roto Rooter Services Co. OWNER: Trinty Lutheran Church
14530 27th Ave.N. 2060 Sixth Ave N
Minneapolis,MN 55447 Long Lake MN 55356
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.
C�-�-� 11!` lJ�� . 1 I`— /"�- �'I e � I��I � /�'cJ
APPLICANT PERMITEE SIGNATURE ISSLTED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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� . FOR CITY USE ONLY
�0� City of Orono
P.O.Box 66 Date Received: Permit#
�'� � 2750 Kelley Parkway
� 3 '� � Crystal Bay,MN 55323 Approved By:, Am�unt$:
, ': �, a (952)249-4600
�"tb8o¢'
CITY OF ORONO-PLUMBING PERMIT
(All Commercial permits must be approved by the Building Official or Inspector)
GENERAL INFORMATION '
1. You may apply for plumbing pernuts by mail or in person at the City offices. Applications will be
reviewed and a pernut will be isst�ed within two working days.
2. Pemut cards will be sent by retuxn 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 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 �ommercial(Approval Required)
i
❑ New ❑Additional ❑Repairs l�Replace
❑ In Accessory Structure?
*You will need orior approval and may need CUP.(Per Orono City Code,Chapter 78,Article IV)
Job'Site/Owner Information: '
Site Address: ��O (c�*�-t�ve.. �p •
Owner: TNc u.��, 1.t,�Z`�, �4-� Mailing Address: �-
�I City: ��^v� Zip: 5's'�S�,
Home Phone: `��� r�23 ^d�?7 Alternate Phone:
Contractor Information:
Contractor: IaCBTc�- �m�'�Y �e.�. �oContactPerson: ��d��4�
Address: f�f��4 �'�z�v�e t�o State Bond#:
City: P-'` Zip:Gt�t� Expiration Date: �������
Phone: 76��5�'-35.��. ' Alternate Phone:
❑ Insurance-Current:
1
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<' :. P.LI3IVIBII�IG<FIX'TURES BEING`INSTALLED ` �: :,.
FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
Lavatory Sewer Ejector
Bathtub Laundry Tray
Shower Washer
Kitchen Sink Water Heater f
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Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Miscellaneous
5a �1. �.t�.�Ty'�L. ^ WES� c,scn L\ " (UDtCer �I(.c.. .
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�$` fi"'��Z���h S�'�°i ,�7�'�,r�� �'n.'�''���E���.�"'��.1��vJ'fi��"��"�4 ?r,�t_,,,H, , . .4 �.'�` .1 ta,'� ..�y, dz��:
❑ Yes,this section applies ,
The replacement of a Residential fixture or appliance that meets all three of the following requirements:
1. Does not require modificarion 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 improved,installed or replaced by the homeowner or licensed contractor.
� Skip next section,if this applies; Cost of Permit $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee S
(Permit Fees Continued On Next Page) �
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°" �� .. �' PERIVITT.F�E�CA,LCULATION S '=J0�3S�OVER$500 Q4. ;.
If above does�of apply; follow guidelines below:
1. CONTitACT PRICE *is 1.25%of contract price with a(�Vlinimum Fee of$35.00)
. � l����� x.0125$
(contract price) (minimum$35.00)
• 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
x.0005 $
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on 1�Iai1-In Applicarions) $ 1.50
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
pernutted 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 pernut fee putposes. 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 STATE SURCHARGE is .0005 of the contract price under$1,000,000 or$.50—whichever is
greater. For valuarions over$1,000,000 call the Building Department at(952)249-4600 for the price.
v���"� k��,Y3:���7��4 �afi.r�k� ��+���;4�IJ.t„" ����i^r��1/'����M��+1.c+ l ���=�"'�k�5. ���2
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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.
A licant's Si ature: �`�v, l�C� � Date: S'"`►�3`C�7
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