HomeMy WebLinkAbout2006-P10479 - water heater PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P1o479
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued:
10/23/2006
SITE ADDRESS: 800 Brown Rd S Unit#
Wayzata,MN 55391
PI D: 03-117-23-43-0005
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: $ 15.00 valuation: $ 0.00
State Sarcharge Fee: $ 0.50
Misc.Fee: $ 1.50
TOTAL FEE: $ 17.00
APPLICANT: Norblom Plumbing Co. OWNER: Lisle&Sheila Miller
2905 Garfield Avenue S. 800 Brown Rd S
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 MI EE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,([f Septic, 1-Septic) Page 1
�ERMIT FEE CALCULATION(,�,Z
/ �
2002 State Statute �C 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; excludinQ 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 S�:rcha.ge $ .SC?
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 ($35.001
x .0125 $
(contract price) (minimum$35.00)
2. S�:ate 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. TOTAL PERMIT FEE (Add lines 1-3 above) $ /�O�
* 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 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 Ciry and the regulations of the State of
Minnesota, and certifies tha all state ents made on this application are complete, true and
correct.
Applicant's Signatur Date: p � ��
��ITY 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 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 PO� ED ON
THE JOB SITE.
3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to properry 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
required.
�nstructions Complete all items on this application. Compute the permit fee. Sign and date the
certification. INCOIVIPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call (952) 249-4600.
Please check one: New Addition Repair Keplace
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- . e` Sheila Miller
800 Brown Road South
J�JB SITE: . • , ;
Uwner's Name:. Wayzata, MN 55391 'Z1Pr � y,.,,
iber:
M�ilingAi�c�ressr � '`�ip:.; -
Contractor'sName: c TelephoneNumber. � (��2��2�-y�.�_
Mailing Addresss ZqOS �e,�✓ .so: City:_,+Vl" ��S Zip: SS���'.
PLUMBINC FIXTURE SCHFDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 15T 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor L�rains
Lavafo Sewer E'ector
Ba��b Laund Tra
Shower Washer
Kitchen Sink Water Heater /
Dis osal - _ ..
__ _.. ,
Water Softener .
Dishwasher_: . ` wec Bat .
_. . ._ .
Sillcocks Misc list "