HomeMy WebLinkAbout2004-P07234 - water heater PERMIT
CI� F ORONO Permit Number:
2750 Kelle y Parkwa y - PO Box 66 P07234
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued: 2ii3i2ooa
SITE ADDRESS: 110 Smith Ave
Wayzata,MN 55391
PID: 02-117-23-21-0026
DESCRIPTION:
Proposed Use: xesidentiai
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: $ 800.00
State Surcharge Fee: $ 0.50
Misc.Fee: $ 1.50
TOTAL FEE: $ 37.00
APPLICANT' Vogt Heating&Air Conditioning(See Cor, OWNER' James&Jennifer Fisk
� 3260 Gorham Ave � 110 Smith Ave
St.Louis Park,MN 55426 Wayzata MN 55391
THE UNDIItSIGNED HIItEBY REQLTESTS 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 BUII.DING CODE REQUIItIMENTS.
`�'v�-Q-c-e ���
APPLICANT PERMITEE SIGNATURE IS SUED B Y S IGIVATURE
Conies: 1-File(Sisnitures Requiredl, 1-Annlicant� 1-Monthlv Renorts. 1-Assessine, 1-Finance Page 1
CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMATION
1. You may apply for plumbing pemuts by mail or in person at the City 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 UNTII_ 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 buildin� permit must be obtained.
5. All work must be dcne in acco:d�ce 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
JOB SITE: �IO S VYl i�1 /�J�- ZiP�_S����
Owner's Name: ,��� � ��� Telephone Number: ��a_ C� ��(� —(�(� 3
Mailing Address: c�.Q. c,t w,Q City: Zip:
Contractor's Name: V L LLL Telephone Number:
Mailing Address: City:c��. LC Zip:�
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Wa:er Closet Floor Drains
- Lavatory Sewer Ejector
Bathtub Laundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Misc (list)
P��viIT` ��� t�`t���iii.Fi'I'l��i -
1. 1.25% of Contract Price* or Minimum Fee ($35.00) �s�
��� � x .0125 $
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $ ' SD
(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) $ ��, ��C�
* CONTRACT PRICE or JOF3 COST means the actual or estimated dollar amount charged for the permitted
work including materials, labor, profit, and other fi�ed co�s. It is the amour.t to re 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 permit fee purposes. In the event that there is a dispute on the amount of the job cost,
the Ciiy 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 Tnspectional 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 statements made on this application are complete, true and
correct.
Applicant's Signature: 1 ���� Date: —���C��