HomeMy WebLinkAbout2005-P09471 - water heater PERMIT
CIT1rOF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P09471
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued:
12/8/2005
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: $ 35.00 Valuation: $ 1,000.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 35.50
APPLICANT: Days Plumbing Service Co. OWNER: Penny Saiki
2095 E. Center Circle 2874 Casco Point Rd
Plymouth, MN 55441 Wayzata MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE W1TH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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� A L[CANT PERMITEE GNA"�URE 1 SUED BY S[GNATURE
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Copies: 1-File(SignaturesRequired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septiq 1-Septic) Page 1
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� � FOR CITY USE OnLY
- ' � City of Orono
4 '� P.O.Box 66 Date Received: Permit#
�3;;,.,,, � 2750 Kelley Parkway
a p{ n�'; �. Crystal Bay,MN»323 Approved By: Amount�:
���,�H��o~ (952)249-4600
CITY OF ORONO —PLUMBING PERMIT
(All Commercial pem�its must be approved by the Building Ofticial or[nspector)
GENERAL INFORMATION
1. You may apply for plumbing pernzits by mail or in person at the City offices. Applications will be
reviewed and a perniit will be issued within two working days.
2. Pemlit 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 CARD IS POST�D ON THE JOB SITE.
3. Plumbing pernuts may be issued ONLY to licensed plumbing conh-actors and to property owners
residing in the dwelling.
4. When any new consriuction or remodeling is involved, a separate building perniit must be
obtained.
5. All work must be done 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 ly)
❑ Residential ❑ Commercial(Approval Required)
❑ Iv'ew ❑ Additional ❑Repairs �eplace
❑ In Accessory Structure?
*You���ill need prior approval and inay need CUP. (Per Orono City Code, Chapter 78,Article IV)
Job Site/ Owner Infornzation:
Site Address: r���--� C�f�� C.Ci' ���-� �_
Owner: �����/�/��- Mailing Address:
c�ty: �2r��ur� z�p: �"� 3 G� /
Home Phone: -/S�' �� / l+� �1G � L' Alteinate Phone:
Contractor Infornzation:
Contractar: � � _ Contact Person: �i`�i�Qi�/l� �� �
Address: ,�,�j� � �LNTR� �.4c1� State Bond #: �'��:� J ��
City: �� � 7� Zip:.J��'d��Expiration Date: �c� 3� '' �
Phone: ,�, ,�—5 S� "07�- �-� ,6 Alternate Phone: �� � �-,Z�� `�� "�
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Insurance— Ctu-rent: >
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PLUMBING FIXTURES BEING INSTALLED
FIXTURE BSMT 1 2' OTHER FIXTURE BSMT 1 2 OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
Lavatory Sewer Ejector
Bathtub Laundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Miscellaneous
PERMIT FEE CALCULATION(S)
BASED OFF - 2002 STATE STATUE
❑ Yes,this section applies
The replacement of a Residential fixture or appliance that meets all tluee of the followiiig requirements:
1. Does not require modification to elech•ical or gas seivice.
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 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 F'ee �
(Permit Fees Continued On Next Page)
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PERMIT FEE CALCULATION(S)—JOBS 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$35.00)
---L'�—
�0/�(� x .0125$ _� �
�ct price) (minitnum�35.00)
2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50�
l��r��;a X .000s � �-��
(conh-act price) (minimum S .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $_ 1.50
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4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ �
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
peniutted 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 pernut fee puiposes. In the event that there is a dispute on the
amount of the job cost, the City may request the subnussion of a signed copy of the actual connact.
■ ** 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 PERI��IIT APPLICATION AGREEMENT
The undersigned hereby applies to the City for issuance of a Plumbing Pern�it, 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.
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Applicant s Signature: Date: � � �
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CITY OF ORONgI�� CALLED IN �;-��-� �•�,c"�'/
INSPECTION NOziCE SCHEDULED 3 G�/
PERMIT NO. �'C��'� COMPLETED
ADDRESS � l2 S i� �� /�c�' .
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OWNER • Ci�l✓7�-1 _�C�.i IC� CONTR. �11"J S' ��.� '_T
TELEPHONENO. C�lv� Pl' `�S v� �I�7 / �07�
t.c/�.s�; �:�,,
� DESCRIPTION f�Jf�.1� �'11�Y�c�C_.� �-- /� ��
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 1 ECHANICAL FIN 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 W 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-FINAL 15 SEPTIC INSTALL. 22 FOILOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J ING FINAL � 36 FOUNDATION/REMOVAL
� WN NTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
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W WORKSATISFACTORY:PROCEED Ll PROJECTCOMPLETE
� ❑CORRECT WORK&PROCEED '., ISSUE CERTIFICATE OF OCCUPANCY
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
G INSPECTION REQUiRED.CALLTO ARRANGE ACCESS.
Call for the next'nspection 24 hours in advance. �952� Z49-4600
OwnerlCont sit :
Inspector.
White Copyllnspector's File Canary CopylSite Notice