HomeMy WebLinkAbout2006-P10395 - water heater PERMIT
CITY OF ORONO Permit ►vumber:
2750 Kelley Parkway- PO Box 66 P10395
Crystal Bay, Minnesota 55323 Permit Type:
Fixtures
(952) 249-4600 Date Issued:
�� 10/3/2006
SITE ADDRESS: 2080 Spates Ave Unit#
Wayzata,MN 55391
PID: 10-117-23-31-0104
DESCRIPTION:
Proposed Use: Residential
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
TOTAL FEE: $ 35.50
APPLICANT: City View Plumbing&Heating OWNER: Terry&Christine Morse
1880 B Wayzata Blvd W. 2080 Spates Ave
P.O.Box 150 Wayzata,MN 55391
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.
�Z s %
( i j�' I ' ``�-�,�_ � � i, �:�'��L� f J ��
APPLICANT PERMI E SI ATUR ISSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page l
�t'1 ���f�156(�1VLY
O�p�O City of Orono
P.O.Box 66 Data Recei�ed: Pamit#
2750 Kelley Parkway
' Crystal Bay,MN 55323 APP��B!': ' ApwtmYS:
. � (952)249-4600
CITY OF ORONO—PLUMBING PERMIT
(AII Commorcial pemtits must be apExoved by the Building Official or InvpecWr)
GENERAL INFORMA'TION
1. You may apply for plumbin�pecmits 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 UNTII.YOU RECEIVE A PERMIT. WQRK MUST NOT BE�IN�,J�I'�IL T'�
PERMIT CARI�YS POSTED ON THE JOB S1TE.
3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property ovmers
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.
(2448 hour notice reqnired)
TXPE f�F PERMIT
Check All Tttat �
❑Residential ❑Commercial(Approval Required)
❑New ❑Addirional ❑Repairs �Replace
❑ In Accessory Structure?
*You will need nrior auoroval and may need�JF.(P�Orono City Code,Chapter 78,Article IV)
Job Site/Owner Information: '
Site Address: oZ 0 � � �U Q''�
Owner:���('�)/ M�t�� Mailing Address: SG Y�J
c�ri: .r�i�. z�p: SS 3q )
Home Phone: �5 aL{�� F��C) Alternate Phone: 9 So2��?i ����
�
Contractor Information: .
Contractor: �,` U ' Y�"`C�I� Contact Person: ��,+✓�v�O� �<���(0�
Address: 1��� g• We� �,� ��V�1 State Bond#:
City: �.cri� ��Q- Zip:s5356 Expiration Date:
Phone: �J���7 3���� Alternate Phone: �/��gs����
❑ Insurance—Current:
1
FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
Lavatory Sewer Ejector
Bathroom Laundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Miscellaneous
❑ 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;excludine 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 Surchazge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
(Permit Fees Continued On Next Page)
2
t�3s� },3. ��.{���iv��.a���.s u . ._5�, k�.���:��''.��'�i�l��`- �.�a/_���t��K��a?����ri����r� �@.�f�y.•i.4r;; �t�:
If above does not apply;follow guidelines below:
.Y
- 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00)
o�
,�C)(.�� X.oi2s$
(contract pnce) (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 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 installarions are fumished 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 valuarions over$1,000,000 call the Building Department at(952)249-4600 for the price.
:� , � �, rrc � i �
`� a �, u
�. � - �. ����� wm���� ��,f���
The undersigned hereby applies to the City for issuance of a Plumbing Pernut, 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: C/ � � �
3