HomeMy WebLinkAbout2006-P10130 (Water Heater) PERMIT
CITY�OF ORONO
Permit Number:
2750 Kelley Parkway- PO Box 66 P10130
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued:
7/21/2006
SITE ADDRESS: 1448 Baldur Park Rd Unit#
Wayzata,MN 55391
P��� 08-117-23-43-0003
DESCRIPTION:
Proposed Use: Residential
Permit Class: Plumbing
Permit Type:
Fixtures Permit Sub-type(s): Water Heater
DETAILS:
Approved perresolution#:
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: Jay&Marlis Lawrence
2905 Garfield Avenue S. 1448 Baldur Park 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.
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APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(SignaturesReguired), 1-Applicant, 1-MonthlyReports, 1-Assessing,(IfSeptic, 1-Septic) Page 1
CITY OF ORONO APPLICATION FOR PLUMBiNG PERMIT
Box 66 (2750 Kelley Parkway) .
Crystal Bay, MN 55323 '
,
GENERA,L 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 ARD 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�r remode;ing is invo,ved, a separate buiiding permit must be abtained.
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: NP"' A�r�itinn Repair Keplace
��� LAWRENCE, MARLIS/JAY
' " - 1448 6ALBUR PARK ROAD
J�$�I�:... ORONO, MN 55391 .
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(hvner's Name:. unber:
Ma.iling Ac�c�ress:�� }•Zip:'�, ._ _
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Contractor's Name: c Telephone Nurriber.:_� (�12)�JZ�-y�3_
Mailing Address: ZqOS �e,(/ .So�� City: ,�Vl,�/S Zip:` 55��8 -
PLUMBING FIXTURE SCHEDULE �
FIXTURE BSMT IST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
��'PC 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
_
_, . ._ ._.
Dishwasher . Wet Sar ' . _
Sillcocks Misc list
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PE�2.NIIT FEE CALCULATION(Sl
2002 Sta.te 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; excludinQ the cost of the fixture or appliance:
and
3) Is improved, instaileci or replaced by the homeowner or licenced contractor.
Skip next section; Cost of Permit $ 15.00
5tate Surcharge $ .SQ
Mail In Fee $ 1.50
�
If above does not apply, follow guidelines below:
1. - �ontract Price* is .0125 % of job with a Minimum Fee of ($35.00)
x .0125 $
(contract price) (minimum$35.Q0)
2. State Surcharge. ** Add the State Building Code Division a (Minimum Fee of$ .50)
x .0005 $
(contract price) (minimum $ .50)
3. Postage and Handlin� (Only mail-in applications) $ 1.50
4. T�TAL 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 fized 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 parry 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 Pernut, 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: