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HomeMy WebLinkAbout1999-012024 - water heater PERMIT CITY OF ORONO PERMIT TYPE: 2750 Kelley Parkway - P.O. Box 66 , .>0 2 Crystal Bay, Minnesota 55323 Permit Number: (612) 249-4600 Date Issued: / SITE ADDRESS: 4199 NORTH SHORE DR P N DESCRIPTION: P 1 bing Permit Ty-p e FIXT S P ing Work Typ EP L.A C-E. ISTIN i WATER HEANER REMARKS: FEE SUMMARY: T-CiN $400 Sase Fee FEE Surcharge . CONTRACTOR: OWNER: NORSLOM PLOMSIN3 CO 2B274033 BUD 290 S GARFIELD AVE SI ORTH SHORE DR MINNEAPOLI MN .iF., 1108 MN B536A THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED ANO AGREES f0 DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ; 4t7, f44 )f •7. 7.• • •::••••••, • r,—• t • t • • ,•••: - i • •• • • 1 s • •Ir , • • ",,ft. Ut'CUNIJ Ji- -; H •_, f " "7rne:e-/r2.2' r Ar APPLICANT PERMITEE SIGNATURE ISSUED BY:SIGNATURE CITY OF ORONO APPLICATION FOR PLUMBING PERMIT Box 66 (2750 Kelley Parkway) Crystal Bay, MN 55323 GENERAL INFORMATIONt 41 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 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 249-4600. Please check one: New Addition Repair X Replace Residential Commercial JOB SITE: KLEIN BUD ��✓' c1 '* 5Ol K, Zip: Owner's Name: 4195 NORTHSHORE DRIVE Telephone Number: N© P ' ,vE Mailing Address_ ORONO,MN 55364 City: Zip: Contractor's Name: �e, Telephone Number: Mailing Address: City: Zip: PLUMBING FIXTURE SCHEDULE FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 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) rNORBLOM PLUMBING CO: (612) 827-4033 2905 GARFIELD AVE. SO. 6L°3NNFAPous MN 5540 PERMIT FEE CALCULATION 1. 1.25% of Contract Price* or Minimum Fee ($35.00) 1400 x .0125 $ J, (contract price) 2. State Surcharge. ** Add the State Building Code Division _ Surcharge to each permit. 4i x `.0005 `. $ u 5 0 (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) $ 3700 * 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: .b� ,/L G'���1°'—•� Date: % -12— 9'