HomeMy WebLinkAbout2003-P06390 - water heater � PERMIT
�:��fY OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 P06390
Crystal Bay, Minnesota 55323 Permit Type: FiX�ures
(952) 249-4600 Date Issued: 6�6�2003
SITE ADDRESS: 3025 Casco Point Rd
Wayzata,MN 55391
PID: 20-117-23-34-0002
DESCRIPTION:
Proposed Use: Kesidential
Pernut Class: Plumbing
Permit Type: Fixtures 1'ermit Sub-type(s): Water Heater
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 15.00 Valuation: $ 400.00
State Surcharge Fee: $ 0.50
Misa Fee: $ 1.50
TOTAL FEE: $ 17.00
APPLICANT: Norblom Plumbing Co. QWNER: Todd&Anita Messal
2905 Garfield Avenue S. 3025 Casco Point Rd
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 PERMITEE SIGNATURE ISSUED BY SIGNATURE �-
Conies: 1-File(Sienitures Required), 1-Anplicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
CITY OF OR�NO APPLICATION FOR PLUMBING PERMIT '
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORNIATION
1. You may apply for plumbing permits by mail or in person at the City offices.
2, Permit 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 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 wi[h the State Code requirements.
6. AII 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 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 I�eplace
_/�2esidential Commercial
JDB SITE: MESSAL,TODD . _
�' 3025 CASCO POINT ROAD ' ''" ' �ZIp: i
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' ame: . ORONO,MN 55391 � `TeIe�11011e Nilri]bCI': �
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ontrac oddress: � �s52�a��-o2a� �_
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's Name: `� c Telephone Number:_(�i 2��'Z�-y�3_
Mailing Address• 29oS �,�✓ .so, Clty;_�'1/�/S Zip: SS��`�'
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT I 1ST 2ND I OTHER II FIXTURE I BSMT 1ST I 2ND I OTHER
TYPE FL Fr TYFE rL FL
Water Closet Floor Drains
Lavato Sewer E'ector
Bathtub Laund Tra
Shower Washer
Kitchen Sink Water Heater �
Dis osal Water Softener
_ _.
� Dishwasher_: Wet Bar
Sillcocks Misc (list)
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PERA4�`i"�FEE�r1LCULATION(S,�
2002 State Statute ' �Yes, This Section Applies
, /
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- The replacemeht�of a Residential fixture or appliance that meets all three of the following
requirernerifs:
�.� _
` 1) Does not require modi�cation to electrical or gas service.
2) Has a total cost of$500.00 or less; excludin� the cost of the fixture or appliance;
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3) Is improved, installed or replaced by the homeowner or licenced contractor.
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Skip next section; Cost of Permit $ 15.00
State Surcharge $ .SQ
Mail In Fee $ 1,50
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If above does not apply, follo�v guidelines below:
1. Contract Price* is .0125 % of job with a Minimum Fee of ($35.00)
.��C� `ij x .0125 $
(contract price) (minimum$35.00)
. State Surcharge. *�` Add the State Building Code Division a (1�iinimum Fee of $ .50)
x .0005 $
(contract price) (minimum $ .50)
3. Posta�e and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ � ��• w
* 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 che 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.
F ** 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.
Applicant's Signature: Date: 5�`3� ���
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