HomeMy WebLinkAbout2002-P05158 - water heater PERMIT
C I TY �F O RO N O Permit Number:
2750 Kelley Parkway - PO Box 66 Posiss
Crystal Bay, Minnesota 55323 Permit Type: FiXcures
(952) 249-4600 Date Issued: sis�2oo2
SITE ADDRESS: 2941 Casco Point Rd
Wayzata,MN 55391
P I D: 20-117-23-31-0047
DESCRI PTION:
Proposed Use: Kesidentiai
Pernut Class: Plumbing
Permit Type: Fixtures Permit Sub-rype(s): Water Heater
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: PermitFee: $ 15.00 Valuation: $ 0.00
State Surcharge Fee: $ 0.50
Misc.Fee: $ 1.50
TOTAL FEE: $ 17.00
APPLICANT: McGuire&Sons OWNER: Curtis&Kathleen Midthun
605 12th Avenue S 2941 Casco Point Rd
Hopkins,MN 55343 Wayzata,MN 55391
THE UNDERSIGNED HEREBY REQUESI'S 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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APP�ICANT PI:ItM1TEE SIGNATURE �D BY S[GNATURE �
Copies: 1-File(SiQnitures Repuired), 1-Anplicant, 1-Monthlv Reports. 1-Assessine, 1-Finance Page 1
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CIT'� OF ORQNO APPLICATION FOR PLUIVIBING PERIVIIT
B,ox 6C (2750 Kelley Parkway)
Crystal Bay, MN 55323 . � ' )�..� ��
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GENERAL INFORMATION
1. You may apply for plumbing permits by mail or in person at the City o�ces.
2. Pernut 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 acc�rdance 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.
Instructions Complete all items on this application. Compute the pernut 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 � Replace
�Residential Commercial
JOB SITE:� I ` �-��i ���l��' � ip: ��� �
Owner's Name: � ` �v� Telephone Number. r�'�
�' Mailing Address:b�.��E (`�€S L� ��1� '�-g�-�� City:j��/'1 C� Zip: �, � �
�` Contractor's Name: ������_ �- �'��� Telephone Number:�j�-���-�j'�'7(�
�' Mailing Address:�U� ��f� �/� �- City: � � Zip• 3�-%
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�<; PL�Jli�IBING FIX1'URE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
Lavato Sewer E'ector
Bathtub Laund Tra
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Shower Washer , ��
Kitchen Sink Water Heater ���, eJ��`�z�.
Dis osal Water Softener
Dishwasher Wet Bar
Sillcocks Misc (list) �
PEI�MIT FEE CALCULATION(S)
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
State Surcharge $ .5�
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$35.00)
2. State Surcharge. ** Add the State Building Code Division a (Minimum Fee of$ .50)
x .0005 $
(contract price) (muumum$ .50)
3. Postage and Handlin� (Only 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 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 dinances of the City and the regulations of the State of
Minnesota, and certifies that a state ents ade on this application are complete, true and
correct.
Applicant's Signature: Date: ����