HomeMy WebLinkAbout2003-P06079 (Water Heater) PERMIT
C�T��OF ORONO Permit Number:
27�0 Kelley Parkway- PO Box 66 P06079
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued: 3/4/2003
SITE ADDRESS: 1185 Arbor st
Wayzata,MIV 55391
P I D: 10-117-2 3-24-0031
DESCRIPTION:
Proposed Use: Kesicienrial
Pernut Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Water Heater
DETAILS:
Approved per resolution#: �
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: PermitFee: $ 15.00 Valuation: $ 0.00
State Surcharge Fee: $ 0.50
Misc.Fee: $ 1.50
TOTAL F'EE: $ 17.00
APPLICANT' NorblomPlumbing Co. OWNER: Steve&Randi Carlson
� 2905 Garfield Avenue S. 1185 Arbor St
Minneapolis,MN 55408 Wayzata MN 55391
TI�UNDERSIGNED HEREBY REQLTESTS PIItMISSION 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 REQUIREMIIVTS.
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APPLICANT PERMTTEE SIGNATURE IS D BY SIGNATURE
Conies: 1-File(Si�2nituYes Requixed),1-Atmlicant, 1-Monthlv Revorts, 1-Ass�ssin�, 1-Finance Page 1
. �,
CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
Box 66 (2750 Kelley Parkway) � � . .
Crystal Bay, MN 55323 � � � �
., , . .� ,
GENERAL IlVFORMATION . . . �
1. You may apply for plumbing permits by mail or in person at the City offices. ' �
2. Permit cards will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID UNTIL
YOU RECEIVE A PERMIT, WORK MUST NOT BEGIN UNTIL THE PERMIT CA,RD IS PO5TED 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 ihe 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
certi�cation. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call (952) 249-4600.
Please check one: New Addition Repair l�e lace
, �/�esidential Commercial p
CARLSON,RANDI/STEVE ' � � �
"T'�B'"'��, �''-' - 1185 ARBOR STREET i'j,ip� "
�,,.,,,�;o=�:�; ,> ;
Ot�vrier's:Name:. ORONO,MN 55391 '; ��'� ''Tetephone 1�Tucrnber,':, �" ""'
Ma�Lng Ai�c�re§s:'� 952)475-0107 ':.�i�,; , ���;•,:
Contractor's lyame:�� ; � �
� � TelephonelVumber:., (��2��n-yC3,�
Mailing Address: Z OS e .so�. � Citys �1 /S Zip:' SSzlc��'
, PLUMBIN FIXTURE SCHEDITI,E
FIXTURE BSMT 15T 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE
FL FL
Water Closet Floor Drains
Lavato Sewer E'ector
Bathtub Laund Tra
Shower
Washer
Kitchen Sink � Water Heater �
' Dis osal ' � '�" Water•Softener
�' Dishw�sher .: . ` .. . . . . . - •_ . . Wet Bar •��. ' . ' - • -
Sillcocks Misc list) "'
. .
PE ECAL NS
�402 State 5tatute Yes, This Section Applies
The replacement of a Resi n ial fi cture or a liance that meets all three of the following
requirements: .
1) Does not re uire modification to electrical or gas service.
2) Has a total st of$500.00 or less; excludin� the cost of the fixture or appliance:
and
3) Is improved, talled or replaced by the homeowner or licenced contractor.
Skip next section, Cost of Permit $ _ 15.00
State Surcharge $ .SQ
Mail In Fee $ 1.50
If above does not apply, follow guidelines elow:
1. � Contract Price* is .0125 % of job a Minimum ee of 35.00
�`{' V V .0125 $
. (c ntract price) (minimum$35.00)
2. State Surcharge. '"* Add the State B ' ding C e Division a (Minimum Fee of$ .50)
x .0005 $
(contract price) (minimum$ .5
3. Postag,e and Handlin� (Only mail-in applications) $ SO
4. TO�'AL PERMIT FEE (Add lines 1-3 above) � $ •�
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount cha ed 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: Date: �3( �� �