HomeMy WebLinkAbout2004-P07857 - water heater '
CITY O F O RO N O PERMIT
Permit Number:
2750,Kelley Parkway- PO Box 66 P07857
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued: 8/18/2004
SITE ADDRESS: 1355 Vine PI
MOUND,MN 55364
PID: 07-117-23-31-0035
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: $ 15.00 Valuation: $ 0.00
State Surcharge Fee: $ 0.50
Misc.Fee: $ 1.50
TOTAL FEE: $ 17.00
APPLICANT: H.P.Pipeworks OWNER: DANIEL B VENTRES JR
3670 Dodd Road Suite 100 1355 VINE PL
Eagan,MN 55123 MOUND MN 55364
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.
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APPLICANT PERMITEE SIGNATURE IS D BY SIGNATURE
Copies: 1-File(Sienitures Required). 1-Applicant, 1-Monthlv Reports. 1-Assessing, 1-Finance Page 1
f - 'ritl-ud-zuuz 12:50PM From-CITY OF ORONO +9522494819 T-580 P.001/002 F-780
f 3
1
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CITY OF ORONO APPLICATION FOR PLUMMMO PERMIT
Box 66 (2750 Kelley parkway)
Crystal Bay, MN 55323
Q2921ALDMORM&M
I. You may apply for plumbing permits by mall or in person at the City offices.
2. Permit cards will be sent by return waif after a review is completed. PERMITS APX NOT VALID UNTIL
YOU RECENE A PERMIT. W=MUST NOT BWTM1'UNS TIL WE P RM2:gApD IS p=p ON
Im 19,1 am-
3. Plumbiag permits may be issued ONLY to licensed plumbing coatractors and to property owners residing
in the dwelling.
4. When any new coustruction or renkodeling is involved, a separate building permit must be obtsimd.
5. All work must be done in accordance wirh the State Code requirements.
6. All work must be inspected and air tested before it is covered. Call (952) 249-4600. 24-hour notice
mgaired.
X=aucd 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: Now Addition Repair Replace
,---�si4ential Cona,Atercial
JOB SITE: /,3-5,5�' - zip..
Owner's Name: n ' � �____..,Telephone Number: 75,i�7a X053
Mailing Address: '5'r+V'A City: 6�ke-np. zip:"s'-6 V
coutractoesName: 90e-0 d: Telephone Number:(K
Mailing Address:s lQ26 Ca" City: zip: sg- 3
FIXTURE BSMT IST 2ND OTM FIXTURE BSMT IST 2ND (OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor nmius
Lavatory Sewer gLectgr
Bathtub Lapdry
Shower waslter
Kitchen Sink Water Heater 1
Water Softener
Disposal
Dishwasher Wet Bar
Sillcocks Mist t
4 - Jul-O3-2002 12:5Ops From-CITY OF ORONO +9522494616 T-560 P.O02/002 F-780
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2002 &ate st� Yes, TWs Secdon Applies
The replacement of a &Aidogal fixtu tor ARglince that meets all tht:ee of the following
requirements:
1) ,Roes not require modification to electrical or gas service.
2) Has a JgW toy of$500.00 or less; ,Mrd the cost of the fixture or Appliance.-
and
ppliance:and
3) Is improved, installed or replaced by the homeowner or ficenced contractor.
Skip next section; Cost of permit $ _ 15.00
State Surcharge $ _,,50
Mail In Fee $
If above does not apply, follow guidelines below:
1. Con, , * is ,0125 1 of job with.a Ml mum Fee .001
. x: .0125 $
(contrmut pricks) (minimum$35.00)
2. &W Surcharge. ** Add the State Building Code Division a (Minimum Fee of$ .50)
_ x .0005 $
(contract price) (mimraum$ .50)
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3. Po.Qtaee and Lbolin$ (Only mail-in applications) $ 1,50
4. TOTAL PERMIT FEE (Add limes 1-3 above) $
*
CONTRACT PRICE or 708 COST means the actual or estimated dollar amount charged fbr the,permitted
wort iaciuding materials,labor,profit,and other fixed costs. It is the amount to be charged to the customer
for the work done. If any material, equipMME, labor,or installation are furnished by the owner, tenant*1
any other party the reasonable market value of such items must be added To die estimated cost or contract
price for permit fee purposes. In rile 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 coutract.
** The STATE SURCmARGE is.0005 of the contract price under$1,O00,000 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 applications are complete, true and
correct.
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Applicant's Signature: Date: P//Z e