HomeMy WebLinkAbout2003 - P06058 - water heater PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 P06058
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 . Date Issued: 2/25/2003
SITE ADDRESS: 2185 Webber Hills Rd
Wayzata,MN 55391
PID: 03-117-23-34-0002
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: Norblom Plumbing Co. OWNER: Margaret A Germundsen
2905 Garfield Avenue S. 2185 Webber Hills Rd
Minneapolis,MN 55408 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.
MO-0 ; /11Le e,/ a/-
APPLICANT PERMITEE SIGNATURE ISSUEVBY SIGNATURE
Conies: 1-File(Siinitures Required), 1-Annlicant. 1-Monthly Reports, 1-Assessine. 1-Finance Page 1
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 (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: New Addition Repair place
v--Residential Commercial
GERMUNDSEN,MARGARET
JOB SITE:.
2185 WEBER HILLS ROAD Zip: "
Owner's Name:` ORONO,MN 55391 Telephone Number:
Mailing Address:^(952)476-7474 Cit ;: •pr1 —
,
Contractor's Name: Varblcrrn i�/ari`bc q TelephoneNuniber:, (02)))72?-y.ard
Mailing Address: 29'05- 62,4-r e%/rye -60City: /Op/6 Zip: SS��`� r.
'
PLUMBING FIXTURE SCHEDULE
FIXTURE I BSMT 1ST 2ND OTHER I FIXTURE I BSMT 1ST I 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)
PERMIT FEE CALCULATION(S)
•
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.
Skip next section; Cost of Permit $ 15.00
State Surcharge $ .50
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 $
(contract price) (minimum$35.00)
2. State Surcharge. ** Add the State Building Code Division a (Minimum Fee of$ .50)
x .0005 $
(contract price) (minimum $ .50)
3. Postage and Handling (Only 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 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 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 application are complete, true and
correct. /
Applicant's Signature: 4111111, Date: 2/,y/ cri
/4
DATE TIME
CITY OF ORONO CALLED IN 3-hi--O_7
INSPECTION NOTLCE SCHEDULED _g-! 7-O. C/30444
PERMIT NO. ` OD�'�y COMPLETED /
ADDRESS - /6'�3 c-" 6 b-er �k/ 11s
OWNER Mctr�Q.r-.i- ' ",CCONTR. Aio—h f 6 NI
TELEPHONE NO. L'/. 6' & C/' cc/3 y
2
DESCRIPTION / fT � ,.
c..—'c
W 01 FOOTING 11 MECHANICAL R " 18 EXCAV/GRADING/FILLING
;gra �1, FI 19 LAKESHORE/WETLANDS
h 02 FRAMING �c�=� �
Q 03 INSULATION T' 5 Wile e :1'NER/FIREPLACE 34 TREE REMOVAL
• 04 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
✓ 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
LU09 PLUMBING - 23 SEPTIC FINAL 35 HARD COVER REMOVAL
n 36 FOUNDATION/REMOVAL
' O ERIC'NTRACTOR TO MEET YOU: YES_NO
(I• 1' ENTS:
cc
W
0.
oirr0 / , _�
a
cc
0
W • �`i I
f •
Q J i __ ,�. _ ��
W
Z
W
Cc
J
LU0 WORK SATISFACTORY:PROCEED dirr P<OJECT COMPLETE
W ❑CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY
0 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
✓ BEFORE COVERING PERMANENT
0 CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspe,%n 24 hours in • :vance. (95/'249-4600
Owner/Contra`,•r on sit-. 1 J
Inspector. _ � _
• _ spector's File ' Canary Copy/Site Notice