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HomeMy WebLinkAbout2003 - P06142 - water heater PERMIT CITY OF ORONO Permit Number: 2750 '4:eIIFry Parkway- PO Box 66 P06142 Crystal Bay, Minnesota 55323 Permit Type: Fixtures (952) 249-4600 Date Issued: 4/2/2003 SITE ADDRESS: 2095 Webber Hills Rd Wayzata,MN 55391 PID: 03-117-23-34-0023 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: McGuire&Sons OWNER: James&Amy Lloyd 605 12th Avenue S 2095 Webber Hills Road Hopkins,MN 55343 Wayzata MN 55391 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. '4'2 -e MC1I APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(Si&nitures Recruired), 1-Applicant, 1-Monthly Reports, 1-AssessinE, 1-Finance Page 1 Dec-04-2002 11:!6am From-CITY OF ORONO *9522494616 T-562 P 002/006 F-412 7 411 r . ;a t • . 1 :to. CIT CIT OF ORONO APPLICATION FOR PLUMBING PERMIT .1 Box • (2750 Kelley Parkway) • 1 Cry ;- Bay, MN 55323 310 IO S.; kJ : I • 1. You may apply for plumbing permits by mail or in person at the City offices. •I 2. ', Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL ,i YOU RECEIVE A PERMIT• WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON ; 4 ,. THE JOB SITE, 3. , Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners residing in the dwelling. I; 4. When any new construction or remodeling is involve ate building permit must be obtained. ' 11 `5. All work must be done in accordance with the State C!.;._ , ements, I 6. 4 All work must be inspected and air tested before i is cove •. Call (952) 2494600. 24-hour notice required. • ' ` Complete all items on this application. Compute the permit fee. Sign and date the 11'ice cation. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have P:1,4 questions, call (952) 249-4600. li -. Pleage check one: New Addition Repair Replace sr, , X Residential Commercial ii 1 ;1i JO : .ITE: m,5 >0,Q - / L// kr( Zip: • 's Name: �/ ;`/d Telephone Number::- ,F> -4175--/231. • M.' •ng Address: City: Zip: I Co . actor's Name: Telephone Number:60.9 .93/-g(� 7c ' . M. '.ng Address: McGuire & Sons City: Zip: '1 605 - 12th Ave So. r nitOSelliatAP1 ' SCHEDULE li ("1 FI TURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER ,i , -E FL FL TYPE FL FL ' " Water Closet Floor Drains !'' Lavatory Sewer Ejector Bathtub Laundry Tray %� Shower • Washer 1 • •''' Kilichen Sink Water Heater I gyri Di posal Water Softener •;l''' washer Wet Bar S. ocks , Misc (list) I r• .. ; i 1' 1 0.c-04-2002 I2:I6pm From-C I'? OF ORONO +65224946'6 7-562 P 003/006 F-412 • 1 't 1 d, I 1.1 . "1_a( • 7 Yes, This Section Applies 1 . ii r The, eplacement of a Residential fixture or appliance that meets all three of the following 1e. . : ...its: 'iDoes norequire modification to electrical or gas service. Q ., '' 1) t re 2) Has a tonal cost of$500.00 or less; excluding the cost of the fixture or appliance: ,, and ',j ,t 3) Is improved, installed o placed by the homeowner or licenced contractor. Skip next section; Cost of Permit $ 15.00 I � State Surcharge $ .50 r Mail In Fee $ 1.50 d 6 • . .y If a ve does not apply, follow guidelines below: i;; , 1. ' Contract Price* is .0125 % of job with a Minimum Fee of ($35.00) x .0125 $ • �j (contract price) (minimum$35.00) ' 2. `,= State Surcharge. ** Add the State Building Code Division a (Minimum Fee of$ .50) :i x .0005 $ r. fir (contract price) (minimum$ .50) . • 1 L 3. Postage and Handling (Only mail-in applications) $ 1.50 • 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ j t CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted t. work including materials,labor,profit, and other fixed costs. It is the auiuuu-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 _r: i 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. "1. For valuations over$1,000,000 call the Department of Inspection Services for the price. :,,,� Thi undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all woik in strict accordance with the ordinances of the City and the regulations of the State of r,r M esota, and certifies that all statements made on this application are complete, true and cotTect. "'• A lscant's Si SignaC--(- t,-/ 0 ture: Date: / l V/6.6 .