HomeMy WebLinkAbout2006-P10500 - water heater PERMIT
CITY OF ORONO
2750 Kell�`y Parkway - PO Box 66 Permit Number: P1o500
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued: l0/25/2006
SITE ADDRESS: 15 Brown Rd S Unit#
Long Lake,MN 55356
PID: 34-118-23-34-0010
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: Pernut Fee: $ 15.00 valuation: $ 0.00
State Surcharge Fee: $ 0.50
Misc. Fee: $ 1.50
TOTAL FEE: $ 17.00
APPLICANT: Norblom Plumbing Co. OWNER: John&Bonnie Eiss
2905 Garfield Avenue S. I S Brown Rd S
Minneapolis,MN 55408 Long Lake MN 55356
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFfED
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 PERMITEI;SIGNATURE ISSUED BY SIGNATURE
Copies: l-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
CITY OF ORONO, APPLICATION FOR PLUMBING PERMIT
Box 66 (2750 Kelley Parkway) . =
Crystal Bay, MN 55323 ' � . �
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GENERAL INFORMATION , ,�, ;..;,.
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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 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
re�uired.
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 Keplace
J/�esidential Commercial
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Qt�mer's Name:. � . . �..� ...
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�J��� �s s 4 T�lephone Number: .
1�uiling�Ai�c�ressc�° � City..` ;�Zip;�.,, - _
Contractor's Name: � � Telephone Nwnber.:� (��z��jZ�-y�33
Mailing Address: ZqOS e/ So: City:_,+��p/S Zip: _ Ss��`�'
PLUMBING FIXTLJRE SCI�EDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST ZND OTHER
TYPE FL FL TYPE FL FL
a Water Closet Floor L:air.s
Lavato Sewer E'ector
Bathtub Laund Tra
Shower Washer
Kitchen Sink Water Heater
_ Dis osal - -
Water Softener �
__.. _ _ ._
Dishwasher . . . .., ... ... .
_ Wet Bar ,
Sillcocks Misc list
�FRMIT FEE CALCULATION(Sl
2002 State Statute � Yes, This Section Applies
The replacement of a Residential fixture or a�pliance 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; excludin� 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
�tate 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$35.00)
2, State Surcharge. ** Add the State Building Code Uivision a (Minimum Fee of $ .50)
x .0005 $
(contract price) (minimum $ .50)
3. Postage and Handlin� (Only mail-in applications) $ 1,50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ �7;o0
* 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 aze 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 t at all statements made on this application are complete, true and
correct.
Applicant's Signature: Date: 0
� � � ����
DATE TIME
CITY OF ORONO CALLED IN �L�
INSPECTION NO ���� SCHEDULED O�o �`�O
PERMIT NO. COMPLETED
ADDRESS f r �ro c�rn �.� S-
OWNER ��oh� �i���S CONTR.
TELEPHONE NO. lS� �/7��'J/��= �
� DESCRIPTION �'U�'r ��
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLWG
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-F�NAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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GW �ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE ✓
� ❑CORRECT WORK 8�PROCEED 1- ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
G INSPECTION REQUiRED.CALLTO ARRANGE ACCESS.
Call for the ne t inspection 24 hours in advance. (952� 249-460�
OwnerlContracterp s e:
Inspector. ' ,
White Copyllnspector's Fil Canary CopylSite Notice