HomeMy WebLinkAbout2004-P08278 - water heater PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 P08278
Crystal. Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued: 12/9/2004
SITE ADDRESS: 666 Tonkawa Rd
Long Lake,MN 55356
PID: 05-117-23-33-0016
DESCRIPTION:
Proposed Use: Kesidential
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Water Heater
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
r
FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 866.00
State Surcharge Fee: $ 0.50
Misc.Fee: $ 1.50
TOTAL FEE: $ 37.00
APPLICANT: Tim's Quality Plumbing OWNER: Donald Lindall
P.O.Box 292 666 Tonkawa Rd
Osseo,MN 55369 Long Lake MN 55356
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO bO ALL'WORD IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTABUILDING'CODE REQUIREMENTS.
APPLICANT PERMITEE SIGNATURE._ ISSUED BY SIGNATURE
Conies: 1-File(Siznitures Required). 1-Applicant. I-Monthly Reports. 1-Assessin¢. 1-Finance Page 1
CITY OF ORONO APPLICATION FOR PLUMBING PERNIIT
Box 66 (2750 Kelley Parkway)
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 (952) 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 (952) 249-4600.
Please check one: _X New Addition Repair Replace
Residential Commercial
JOB SITE: 4 o- Lon� L a-K� M 0 3 S�,
Owner'sName: Q,�h L,-y��Q,( `Telephone Number:
Mailing Address: &&t,`:Ujjk-awA )COCA City: LIa i- Zip: Sr 3
Contractor's Name: Jlle_� �c-)-�� Telep one Number:• qSa?-y 134-
Mailing Address: SZ-? �,ze. 4y-e, City:6'S� A tj Zip: 5-5-,3&9
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT IST 2ND OTHER FIXTURE BSMT IST 2ND OTHER'
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
Lavatory Sewer Ejector
Bathtub Laundry Tray .
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Misc(list)
i
PERMIT FEE CALCULATIONS)
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; excluding the cost of the fixture or appliance:
and
3) Is improved, installed or replaced by the homeowner or licenced contractor.
}t��section; Cost of Pe 't $ 15.00_
$luP„ ,d tae' rc
Mail In Fee $ 1.50
If above does not apply, follow guidelines below:
1. Contract Price* is .0125 % of job with a Minimum Fee of($35.00)
x .0125 $ 3� v
(contract price) (minimum$35:00)
2. State Surcharge. ** Add the State Building Code Division a (Minimum Fee of$,.50)
x .0005 $ 6b
(contract price) (minimum$ .50)
3. Postage and Handling (Only mail-in applications) $ 1.50
66
4. TOTAL PERNIIT FEE (Add lines 0 above)
04
* 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 partythe reasonable market value of such items must be added--to the esdmoted cost or r,000act
price for permit fee purposes. In the event that there is a dispute on theamountof the job cost,the Cityy
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 Seivices for the price..
The undersigned hereby applies to the City for issuance of a P1n b 4 Pert,`agi ees'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. ,
Applicants Signature:
y Date: l UY6 y