HomeMy WebLinkAbout1998-011025 - water heater PERMIT
J;IIY OF ORONO PERMIT TYPE:
750 Kelley Parkway- P.O. Box 66 F=�•UM-P'I€
Crystal Bay, Minnesota 55323 Permit Number: i_;1 {_;
(612) 473-7357 Date Issued:
SITE ADDRESS:
WA`7ERT0WN RL,
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DESCRIPTION:
1 I=ixiURE_ _
Pl �rnbzng Penrrnif.. T y'�_r- r IXTURE__
w=r �
P l urilt' i ri,� ?:iii f:: 1 y,pe RtE- »� C'
P E Gtr 57 -
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WATER HEATER
REMARKS:
FEE SUMMARY:
VALUAT T ON $4001
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t;:�e —:-
.E M ^,�, s�i_z I --------- y'=
Ti�if.a {•-ee $'--3 . '•1i_�
Subtcjtal
CONTRACTOR: — 1 c�Ei�t. — OWNER:
iii;e;_:i i_i'I `'�i_'i' I NG i,i_1 _-_'%4i?:_'� }..;.%I TERRY
'Vli?.6 Gi`-3Ri I E Ir.D AVE ». - -L.- W:^ i ERTOWN RD
11INNEA F-T-1!__I'_: [1N 55'-11-74 1
THE UNDERSIGNED HEREBY REQUESTS�.E T 'ERt'l l iii T�i MAK
ate;E THE �REAL, �
SPECIFIED AND AGREES TO Did ALL WORK IN STRICT 'COMPL I ANC E W TH X11 C'I TY -OF
ORONO ORDINANCES AND .s TA TE � F M I NNE:O EA BUILDING CODE REQ RE t�
APPLICANT/PERMITEE SIGNATURE ( ISSUED BY:SIGNATURE
CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
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 473-7357. 24-hour notice required.
Instructions Complete all items on this application. Compute the permit fee. Sign and date
the certification. INCUNIPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call 473-7357.
Please check one: New Addition Repair Replace
Residential Commercial
KUTZ,TERRY Z1
JOB SITE: 3955 WATERTOWN ROAD p•
Owner's Name: ORONO,MN 55391 Telephone Number:
Mailing Address (612)473-9261 City: Zip:
Contractor'sNai NORBLOM PLUMBING CO. _TelephoneNumber:
MailingA.ddress:L`-BA VENT/APPLIANCE INSTALLERS City: Zip:
2005 GARFIELD AVE. 80U 1�1I
MINNft"O d WPURE SCHEDULE
FIXTURE BSMT IST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
n
Water Closet Floor Drains
Lavatory Sewer Ejector
Bathtub Laundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener
O
Dishw.,sher Wet Bar
Sillcocks Misc (list)
1
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
x .0125 $
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $
(contract price)
or $.50, whichever is greater
3. Postage and Handling (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ Z 0 C�
* 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 Inspectional 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:
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE ` SCHEDULED y
PERMIT NO. 110,25 COMPLETED
ADDRESS ,VSs
OWNE CONTR.
TELEPHONE NO. S�� 3 • c1.ZCol
DESCRIPTION
1 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING MECHANICAL FII RNA- 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
Z
COMMENTS:
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W WORK SATISFACTORY:PROCEED �ROJECTCOMPLETE
cc ❑ CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next in pection 24 hours in advance.473-7357
Owner/Contractort
Inspector. 9?- OAA4
White Copy/Inspector's File Canary Copy/Site Notice