HomeMy WebLinkAbout2006-P09711 - water heater PERMIT
CITY OF C�RONO
2750 Kelley Parkway- PO Box 66 Permit Number: P09711
Crystal Bay, Minnesota 55323 Permit Type: FiXtures
(952) 249-4600 Date Issued: 3/31/2006
SITE ADDRESS: 107 Chevy Chase Dr Unit#
Wayzata, MN 55391
PID: 36-118-23-41-0009
DESCRIPTION:
Proposed Use: Residential
Permit Class: Plumbing
Pcrmit 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: Champion Water Services OWNER: Thomas&Lynne Dunn
12008 12th Avenue S 107 Chevy Chase Dr
Burnsville,MN 55337 Wayzata,NIN 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 PE MI E NATURE [SSUED BY SIGNATURE
Copies: l-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
Mar-28-2006 12:30pm From-CITY OF ORONO +9522494616 T-205 P.002/004 F-643
Cit�•of brono
- �'�'� P.U.Rox 66 Du�c Received: Permie#
� � ��^. Q 27�0 Kellcy Parkway '
� � ,r�, � Crysrml Bay,MI�55323 Approvcd By: Amoum$:��
���h�o� (952)249-4600 vE�
�"xreKo+�'
c�Ty o� o�.oNo�-��.u��zN�a��.�x�T �E � � 2006 ;
(All Commcrcial percn�u mus[Un approved by tlie Building OPtieial or Cnspec[or) Mp,R A\O
� ��O\v
GENERP.L INFORMATYON `(
I. You znay apply for plumbing pe�nuts by mail or iiz person at the Ciry off'ices, Applications will be
rzviewed And a peimit will be issued witllin two working days.
2. Pe�snit cards wiil bc scnt by return rr�+il afrer a revievv is complated. PFRMTTS ARE NOT
VALIb'U'N'rTL YOU R$CBN�A.PERMIT. WORK 1VI�JST NOT BEGIN UNTIL THE
PERMYT CA1tT�TS pOSTFD nN THE,TOB SITE.
3. Ptunzbing pernurs may be issued ONLY to licezised plumbin�conu•actors and to property own�rs
residing in rhe dwelliia�.
4. When any new consc�l�ction or remodelii2s is involved,a separate buildi�g permit nlust be
obtainzd.
5. All work inust be donc in accordancz witl�Statie Code requirenlents.
6_ All work must be inspecied aud air tested before it is cove��ed, Call(952)249-4600.
(2a-�8 hour notice required)
TYPE OF.�ERIt��'�' '
' {Checic A.11 That A ly)
�Residential ❑ Con�mcrcial(Approval Requiied)
❑New �]Additional � RepAirs �Replace
❑ �21�:CCOSSPF}T StEUC1li7C?
"`You w►11 need�r►or approval and may ne�d CUP. (P�r Q��ppo City Code,Gl�apt�r 78,Article 1V)
Job Site/ Owner Tnforrnatior�: ' ,
�
_�����U ,,�_�,L � � � ,
Site Address: /C 1%�.S ��;��/c /�i'fL �'� /t.�
�
Qvvner:��;,�,C�L4/i,'/'t�' Mailing.A.ddress: �f.' 'l��p�/9-5'e �!�
City: L��'.�'__ '� �'�`7,� zip: ,_,,,.5�.5,�'�l/
T�ame Phon.e: q'S;�- ���y_� c��/l`I Alternate Phone:
Contractor T�iforn�ai'ion;
Connactor: � ��� t� ��'� �r';�' Contact p�rson: ` =' . - �t�,�r/'�
.Address: %�?'�;:��" r,�z t �% �c� ��S�#: ��1.� ,%�,Y"��/�'1
City: �r;/ ��,. ` _ ��Z'ip: j'�s- -�'�Expiration Date: -�
Phane: �1.��-��'_ - 7`"�i(�- -- Alternate Fhone: �—
�
� Ynsurai�ee-Current:� � -' - � ���
1
Mar-28-2006 12:31pm From-CITY OF ORONO +9522494616 T-205 P.004/004 F-643
� � � f, ,� ������;� .,,,p�RM�'�;�k'��CAI;C �,Z�TI4N � ,.,_;Jd$S'�,�V��'�S�Q4Q0'� '` �,' ,�:r� � '
If above does not apply; follow guidelines be�ow;
1. CONTRACT 1'RTCE *is 1.?5%of caiat�act pxice with a(Nlinimum Fee of$35,00)
x.0125$
(conn�ac�price) (minimum$35.00)
2, STATE SURCHARGE **Add fl�e State Bld�Code Div. Surcliarge(Minimum Fee of$.50)
x_0005 $
(cann4ci pricc} (minimum� .50j
3. pOSTAGE&HANDLI�IG(Oz�ly oi�Mail-�n Appl�ca�aons) $..._.. __ _1„50
4. TOTAL P�.RMIT FEE(Add Lines 1-3 Above) $�`� �J�'
N * CONTRAC�' PRICE or JOB CpST mcans tlic actual or estin�azed dollar amouiu char�;ed far tl�c
pazmittcd work including ma�erials, lAbor,profiz, and other fixed cosis. Tc is cUe amount ta be charged
to the custiomer for tl�e work done. If any matex-ial, equipn-ient, labor or iustalIations are funlished by
tl�e ov.�ea�, tenanc or any otl�er pa�-ry, che reasonabie niarket valt�e af sacl�icrnzs niust be addcd to th�
estimatzd cost or con�ract price for pernut fee purposes, In the event that there is a dispute on the
amouilt af tl�e job cost, tlie City may requrst tha subnussion of a sigued copy of the actual cantract.
� �*The STATE SURCHARGE is .0005 of�e contzact price undcx$1,000,000 or$.SQ�whicl�ever is
sreater. �or valuations over$1,�00,000 cali the Buzlding De�at�nnent at(952)249-�+600 for�he price.
i ��. �' '`�'�°C`1�1�'�G,�-E�:1V1�T.T��A��?7:T,G°A�'�QN'';A�'i�'�+I�E�T�'� "� .��,� , ,
The undersigned hereby applies to the City for issuance of a Plumbing permit, agrees to do all
wark in strict accordance with the ordinances of thc City and the regu]ations of the State of
Minnesqta, and certifies that all statements made on this appiication are comglete, true and
cp17eCC.
�
Applicant's Signature: � Date: — i
3
Mar-28-2006 12;31pm From-CITY OF ORONO +9522494616 T-205 P.003/004 F-643
f,� ;, - , ,',� P�U��]r,fi��'�T�S:BETi�r�r'�ST�; �LED ' � ' ,
FIX'FURE BSI�T 1 � 2 OTHER FTXTURE BSM�' 1 2 QTH�.R
TYPE FL PL T'YPE �'T.. �'L
Water Closet Floor prains
Lavatozy Sew�r Ejrctor
Bathroom i Laundry Tray
i
Shower � Washer
ICitchen Sink ater I eater
�,
Disposal Water Softene-r
�ishwasher �� Wet Bax
Sillcocks Miscellaneous
i { � � a ��.� iv 1 I � �.i� �'}��{ �^ (�1,��/ `�7� �7'� ('� i 1= .r I•� ,i.,
�.I I 1 1 Ji��1,i �� I .,� e � I�J ^ ��1�Y� �'1'�� �w�"1�F��V���1 kJ�r� {'�!S � �' +'• � r. 1�i
� q �ilf 1�1�,:� y 9�1��1 I���Ii�IIF �1�9 '7 ,����.1�'"�� Q ��r}�^` i I r�i�a�^ .��l^�.,�..I. ` �i ,lk � � �� I ,1�.:,� i .,' 1' ��.
�� � ��;•r� � 1J G�I���ri��b�`�II�'r�' t .�,j,���1���,�Q+��l`.�.� �Q��L6r.7,�AT� I��J������', � �rii.�n�j� � ��'��1.i .:� 1.t�;�.
�] Yes,this section ap�lies
The rcplaccmCnt af a Residcntial fixture or a�pliance that meets all tlu'ee of�he following requirerrtznts:
1. Does not i•equire modification to elecn.•ical or gas servic�.
2. Has a total cost of$500.00 or less;excludin�the cost of the fixturc or applzance: and
3. �s z�nproved,installed or replaced by the homeowner or licensed connacror.
Skip next section,if this applies; Cost of Permir $ 15.00
State Surcllaz�ge $ .50
Mail-In Fee(Yf Applicable) $ 1.50 ,
Total Permit�'ee ��D
(permft Fees Conrinued Ott Next Page)
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