HomeMy WebLinkAbout2007-P11376 (Water Heater) PERMIT
CITY OF� ORONO
Permit Number:
2750 Kelley Parkway- PO Box 66 P11376
Crystai Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued:
8/28/2007
SITE ADDRESS: 1412 Baldur Park Rd Unit#
Wayzata,MN 55391
PID: 08-117-23-34-0016
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: $ 35.00 valuation: $ 800.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 35.50
APPLICANT: Practical Systems OWNER: William Arons
4342B Shady Oak Rd. 1412 Baldur Park Rd
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.
..._ � Y� 1
APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
FOR CIT]'USE ONLY
� =�:
� . City of Orono
;-�' �'
� P.O.Box 66 Date Rcccivcd Pormit#
� � ,', —------ —-----__
2750 Kcllcy Parkway
x• Crystal Bay,MN 55323 Approvcd By: Amount$:
�e�� r� ; u�' (952)249-4600 ---- -----
aaYtoa�''
CITY OF ORONO—PLUMBING PERMIT
(AII Commcrcial permits must bc approvcd by thc Building Official or Inspcctor)
GENERAL INFORMATION
1. You may apply for plumbing permits by mail or in person at the City offices. Applications will be
reviewed and a permit will be issued within two working days.
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 BECIN 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 State Code requirements.
6. All work must be inspected and air tested before it is covered. Call(952)249-4600.
(24-48 hour notice required)
TYPE OF PERMIT
Check All That A 1 �
esidential ❑Commercial(Approval Required)
❑ New ❑Additional ❑ Repairs ❑ Replace
❑ [n Accessory Structure?
*You will need prior approval and may need C'L;P. (Per Orono City Code,Chapter 78,Article IV)
Job Site/Owner Information:
Site Address: "I �� �.) � �
Owner: ��J1 � � l� l��,S Mailing Address: Jlt �
c�ty: ��1'l� z�p: 5�3?` �
Home Phone: �J�' ���" ��� Alternate Phone:
Contractor Infonnation:
Contractor: Kline Corp. Person:
DBA: Practical Systems
Address: 4342B Shady Oak Road �nd#: � � �� ,� (,P
Hopkins, MN 55343
City: 952-933-1868 �n Date:
Phone: Alternate Phone:
❑ Insurance—Current:
1
PLUMBING FIXTURES BEINC'�INSTALLED
FIXTURE BSMT I� � 2ND OTHER FIXTURE E3SMT l�� 2"D OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
Lavatory Sewer Ejector
Bathroom Laundry Tray
Shower Washer
Kitchen Sink Water Heater �
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Miscellaneous
PERMIT FEE CALCULATION(S)
BASED OFF- 2002 STATE STATUE
❑ Yes,this section applies
The replacement of a Residential fixture or ap�liance that meets all three of the following requirements:
1. Does not require modification to electrical ar gas service.
2. Has a to1a1 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 licensed contractor.
Skip next section, if this applies; Cost of Permit S 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
(Permit Fees Continued On NexY Page)
2
. ^
PERMIT FEE C�LCULATIC�N(5)-TOBS OV�R $SOO.Ot� ��
� [f abo��e does not appl_y;folloev guide.lines belo�,�,�:
I. CONTRACT PRIC'E �" is 1.2�'S4,ol�cantract price with a(h'linimum Fec of$35.p0} _
� U
�
/ r .012�'6 � U
_---- —-----
(contract priccl (mmiu�uni���Of))
2. STATE SLJRCHs'�EEGE `�* ��dd the State BId�Code Div.Siirc�h�rce(�1inimum Fec ol'$.5(1)
VV / x .000� $ , � (o
--------- — ---- --...._.— ------------
(cun aotpriccj (minimum$ .5{))
3. POSTAGE&I-��'�NDLING(Only on Mail-In Applications} S ].Sl}
�j�� � ��
4. TOTAL PERD-1I1'�E�E(Add Lines I-3 Above�) $____�/•J ---
■ * CON'TRACT PR1CC or JI�B �C'OST mean� thz act�Ga] or estimated dollar amo�mt charged for the
pem�itied ���ork including materials, labor,profil, and other tised costs. It is the amount to be charged
to the custo�zie�r for the wnrk t6uole. ]f any materiaL equipment, labor or installations are furnished bv
the o�vner, ten,mt or any otl��er �aarty, the re�isoi�iable market value of such items roust be ddded lo the.
estimated cost or contract price �for permit �f�ee purposes. In the evei�t that there is a dispule c>n tl7e.
amount of the job cost, the City may rec�ue;t the submission of a signed copy o1 the actuaJ contract.
■ '�* The STATF SI.JRC��ARGIi is .00Oi of the contract price under$I,000,000 or 5.50 whichever is
greatcr. For�aluatii�ris ov.�r`61_�Chl"G,01'}0 e�11 the'[3uilclin�Dep�trtm�nt at(952)Z49-4600 for the griee.
I'f. L���1�[i���� T'f ���a41T �1'�'i,�C'<<1TIUNAGREEMINT" _'
�— _ ---_ _._.---- ---- -- -- ------ --'--�
The undersi�ned hereby applies to the City for issuance of a Plwnbing Pei�mit, agree5 to do all
tivork in striet accorda.nce �vitl� tht urdiiia�nces ot tlle City and the r�gulatiol7s of the� St�ite of
1�'Ii�7nesota, and certities that all state�ments �nade on this application are� complete, tcue arld
correct.
A L�-ant's Sianature: � Date�:
� PP � __�') U ' ��� —
Reset Forr�
�R � >
�