HomeMy WebLinkAbout2005-P09403 - water heater CITY QF ORONO PERMIT
2750 Kelley Parkway- PO Box 66 Permit Number: P09403
Cryst'al 8ay, Minnesota 55323 Permit Type:
Fixtures
(952) 249-4600 Date Issued: 11/8/2005
SITE ADDRESS: 2874 Casco Point Rd Unit#
Wayzata,MN 55391
PID: 20-117-23-31-0020
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: Penny Saiki
2905 Garfield Avenue S. 2874 Casco Point Rd
Minneapolis,MN 55408 Wayzata MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSTON 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 IS D BY SIGNATURE
Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Paee 1
CITY OF ORONO, APPLICATIQN FOR PLUMBING PERMIT
Box 66 (2750 Kelley Parkway) .
Crystal Bay, MN 55323 , ,
,, .... , .
GENERAL INFORMATION . : � ` `
i. You may apply for plumbing permits by mail or in person at the Ciry 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. AI1 wo:k m�ust �e :nspectcd a:.d ai: t�sted befare it is ccvered. C�11 (952) 249-460�. 24-hour r.otice
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: New Addition Repair � Keplace
�e SAIKI, PENNY
2874 CASCO POINT ROAD
J�$►�I�'.- ORONO, MN 55391 ZIP� "
Owner ,_
's�Name: , (952)471-9072 nber . . .� ..
M�iling Ac�dress c�� ; Zl�,.; �..__
Contractor'si�ame: � c TelephoneNurriber_., (��2��1Z�-y�3 _ _
Mailing�ddress: ZqOS e�C .So�• City:_/V1��S Zip: SS���'.
�LUMBING FIXTU�tE SCHEI?ULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Wa[er Closet Floor Drains
Lavato Sewer E'ector
Bathtub Laund Tra
Shower Washer
Kitchen Sink - - Water Heater
D�s osal . . . `
. ....
Water Softener �
, __... _. .
Dishwasher . . _. _. _.. _. ....
. . . . _
. __ Wet Bai ., _
Sillcocks Misc (list
PER�IT FEE CALCULATION(Sl
2002 State 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; excludin� the cost of the fixture or appliance:
and
3) Is improved, installed or replaced by the homeowner or licenced contractor,
�kip next section; Cost of Permit $ 15.00
State Surcharge $ .SQ
Mail In Fee $ 1.50
If above does not apply, follow guidelines below:
1, � Contract Price* is .0125 % of job with a Minimum Fee of ($35.00�
x .0125 $
(contract price) (minimum$35.00)
2. State Surchar�e. ** Add the State Building Code Division a (Minimum Fee of$ .50)
x .0005 $
(contract price) (minimum $ .50)
3. Postage and Handling (Only mail-in applications) $ 1.50
4, TOTAL PERMIT FEE (Add lines 1-3 abovel $ !���______�.
* 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 che 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 Ciry 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 that all statements made on this application are complete, true and
correct. s
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Applicant s Signature:
� Date: � vj� �'� �