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HomeMy WebLinkAbout2006-P10349 - water heater PERMIT CITY �F ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: p10349 Crys`tal Bay, Minnesota 55323 Permit Type: Fixtures (952) 249-4600 Date Issued: 9/20/2006 SITE ADDRESS: 2715 Casco Pt Rd Unit# Wayzata,MN 55391 PID: 20-117-23-23-0005 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 Surcharge Fee: $ 0.50 Misc. Fee: $ 1.50 TOTAL FEE: $ 17.00 APPLICANT: McGuire& Sons Plumbing,Heating&Coc OWNER: Terry&Dorothy Erwin 605 12th Avenue S 2715 Casco Point 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. . � '� � � (�/ti'�L C h. �,� APPL A T P RMITEE SIGNATURE ISS D BY SIGNATURE Copies: 1-File(Signatz�res Required), 1-Applicant, I-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 ��� � ��ll Si �a� fl � ���� -�� ,� �� /�,���-, �r FOR CITY LISE ONLY �� `� City of Orono '¢�'�� P.O.Box 66 Date Received: Permit t1 ��` �•': � 2750 Kelley Parkway �:��� �� Crystal Bay,MN 55323 ,�,r' Approved By: Amount$: �+����;yt.�G��{ (952)249-4600 � �i!!ts�o¢i/ CITY OF ORONO—PLUMBING PERMIT (All Commercial permits must be approved by the Building Official or Inspector) 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. Pernlit cards will be sent by return mail after a review is completed. PERMITS ARE NOT ���E�VE� 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 own�'r� ''-� % 0 2�06 residing in the dwelling. 4. When any new construction or remodeling is involved,a separate building permit must be �.�� „ _ "��"'�P�,��'�'�, obtained. 5. All work musl be�tone 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 �` � Residential ❑Commercial(Approval Required) ,� � ❑ New ❑Additional ❑Repairs �[12eplace _ � ^ ❑ In Accessory Structure? *You will need nrior approval and may need CUP. (Per Orono City Code,Chapter 78,Article IV) � Job Site/Owner Information: � � � I ,� �� s � �� 6�'/,� f-- 0���' Site Address: � Owner: � e �'`�� ���'-��fl Mailing Address: �`Z/"�� �'_ � City: '�t�`��i v�.r��.� C� ;��n � Zip: � S ���� � Home Phone: ` ���-`K �l— `� 1 J Alternate Phone: Contractor Information: Contractor: � 11� �,���'t i�`-� ������� Contact Person: ��� �- C '� `t Address: �vCl� l�t`e ���_� State Bond #: �3 7'� '�� � / 553ti3 / � City: f�-'�/�'�"� Zip: ���'�xpiration Date: �� � c- __�- Phone: �j�---C��� " ��' ��� Alternate Phone: ❑ Insurance—Current: 1 � ���� � PLUMBING FIXTURES BE��1G INSTALL�D �� �� � FIXTURE BSMT l�r 2�D OTHER FIXTURE BSMT 1�T 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 /f ,_1_, Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous � � � � �� AERMIT FEE CALCULATION(S) ��� � � BASEU OFF - 2002 STATE SZ'ATUE � 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, installed or replaced by the homeowner or licensed contractor. Skip next section,if this applies; Cost of Permit $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 1.50 Total Permit Fee $ I 7 c-;�, (Permit Fees Continued On Next Page) 2 �� �,���.�. ������ � �� PERM�T FEE CALCULATION � �=JOB���� OVER$500.00 � � If above does not apply; follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00) x.0125 $ (contract price) (minimum$35.00) 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of�.50) x.0005 $ (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 4. TOTAL 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 fixed costs. It is the amount to be charged to the customer for the work done. If any material, equipment, labor or installations 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 Building Department at(952)249-4600 for the price. PLUMBING PERMIT APPLICATION AGREEMENT 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. A licant's Si nature: ��������� �' ���``��' Date: � — � �U�= rr � ; � ; � � � Reset Form �� � 3