HomeMy WebLinkAbout2005-P08416 - water heater � �- PERMIT
ClTY OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 P08416
Crystal C3ay, Minnesota 55323 Permit Type: FiXcu�eS
(952) 249-4600 Date Issued: 2i�i2oos
SITE ADDRESS: 160 Smith Ave
Wayzata,MN 55391
PID: 02-117-23-21-0029
DESCRI PTION:
Proposed Use: Kesidenriai
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Water Heater
DETAILS:
Approved per resolurion#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 15.00 Valuation• $ 0.00
State Surcharge Fee: $ 0.50
Misc.Fee: $ 1.50
TOTAL FEE: $ 17.00
APPLICANT: Norblom Plumbing Co. OWNER: Matthew&Mary Nicoll
2905 Garfield Avenue S. 160 Smith Ave
Minneapolis,MN 55408 Wayzata MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMEN'TS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
`71�.� �-
APPLICANT PERMITEE SIGNATURE SSUED BY SIGNATURE
Conies: 1-File(SiQnitures Required), 1-Atrolicant, 1-Monthlv Revorts, 1-Assessing, 1-Finance Page 1
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CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323 '
GENERAL INFORi'�iATION
1. You may apply for plumbing permits by mail or in person at the Ciry 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 ai: tested before it is covered. Cail �952) 249-46U0. 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.
Please check one: New Addition Repair Keplace
_/�Zesidential Commercial
NICOLL, MATT/MARY
' .T�B SI'TE:.. 160 SMITH AVENUE -. ., '`
Zip: `
O'�vtter's Name: . ORONO, MN 55391 "``Telep�l0II8 NUII1bCT• � �
Mailing Ac�c�ress: ; c95��a�s-s2,s ,Cit�s_ . �ip;.;
Contractor's lyame:- � c Telephone Number:� (��2'�Z�-y�3_
Mailing Address: zqOS 'e/✓ .60. Citys_�J�/S Zip: Ss��`� -
PLUMBING FIXTURE SCHEDULE
,; FIXTURE BSMT 1ST 2ND I OTHER FIXTURE I BSMT 1ST 2ND OTHER
TYPE FL FL ( TYAF -
Fi, F�.
Water Closet Floor Drains '�
;
Lavato Sewer E'ector �
Bathtub Laund Tra �
Shower Washer
Kitchen Sink Water Heater �
< Dis osal Water Softener - .
_. __.
Dishwasher _ _ _ .
Wet Bar . ' .
Sillcocks Misc (list)
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PERMIT FEE CALCULATION�SZ
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 improved, installed or replaced by the homeowner or licenced contractor.
Skip next section; Cost of Permit $ 15.00
State Surcharge $ .SQ
Mail In Fee $ 1,50
If above does not apply, follow guidelines below:
l. Contract Price* is ,0125 % of job with a Minimum Fee of ($35.00)
x .0125 $
(contract price) (minimum $35.00)
2. State Surcharge. ** Add the State Building Code Division a (Minimum Fee of$ .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) $
* 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 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 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 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 statements made on this application are complete, true and
correct.
Applicant's Signature: �' Date: ' �J� ���
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