HomeMy WebLinkAbout2005-P09083 - water heater PERMIT
CITY �7F ORONO
2750�Kelley Parkway- PO Box 66 Permit Number: po9o83
Crystal Bay, Minnesota 55323 Permit Type:
Fixtures
(952) 249-4600 Date Issued: 8/19/2005
SITE ADDRESS: 120 Chevy Chase Dr Unit#
WAYZATA,MN 55391
P��� 36-118-23-41-0037
DESCRIPTION:
Proposed Use: Residential
Permit Class: Plumbing
Permit Type:
Fixtures Permit Sub-type(s): Water Heater
DETAI LS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Perniit Fee: $ 15.00 valuation: $ 0.00
State Surcharge Fee: $ 0.50
Misc.Fee: $ 1.50
TOTAL FEE: $ 17.00
APPLICANT: Norblom Plumbing Co. OWNER: THOMAS B CASWELL JR&WIFE
2905 Garfield Avenue S. 120 CHEVY CHASE DR
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 UED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
Box 66 (2750 Kelley Parkway) .
Crystal Bay, MN 55323 ,
.. , .
GENERAL INFORMATION _ '
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 -ARD 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. Atl work must be i.�;p2cted and ai: tested before it is cavered. C�l; (9;2} 24g-4G�p. 24-c►our notii;e
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 Renair Keplace
��esident CASWELL,THOMAS
_ _
120 CHEVY CHASE DRIVE
J��►,SI�:.. ORONO,MN 55391 �lp� �
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O'�mer's Name:. (952)473-3711 "' ..- ..-
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Mailing Ac�dress c � _. Zip; ;, -.. _
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Contractor'slyame: � ` � � TelephoneNumber. , ���z �2�-�03� _
Mailing Address: 290,5 �,��/ .so: Citys /VI,p/S Zip: SS��`�'
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�' PL�JMBIl�IG FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND I OTHER II FIXTURE I BSMT 1ST 2ND OTHER
TYPE FL FL TY PE Fi. I �i,
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
�'ERMIT 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.
Skip next section; Cost of Permit $ 15.00
State Surc�arge $ .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$35.00)
2. State Surcharee. ** Add the State Building Code Division a (Minimum Fee of$ .50)
x .0005 $
� (contract price) (minimum $ .50)
� 3. Posta e and Handlin (Only 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 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 maferial, 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 che amount of the job cost, the Ciry may
request the submission of a signed copy of the actuai contract.
** The STATE SURCHARGE is .0005 of the contrac[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 Pernut, 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 ade on 's application are complete, true and
correct.
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Applicant's Signature: Date:'-J ��
,
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DATE TIME
CITY OF ORONO CALLED IN 'J
INSPECTION NQ�C SCHEDULED � ���
PERMIT NO. F J� � COMPLETED �� � ����y��
ADDRESS �
OW N ER�DYYI CLZ�[.l,'2.�.> ONTR.
TELEPHONE NO. � a -L 7 3`� �J�
� DESCRIPTION ��� Q'�/1 •
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMUVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:�YES_NO
� COMMENTS: `�1C��'����� �.C)r�l/1�.L�
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� ❑WORKSATISFACTORY:PROCEED � ROJECTCOMPLETE �
W ❑CORRECT WORK&PROCEED � I UE CERTIFICATE OF OCCUPANCY
0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN
INSPECTOR WILL RETI}FN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-4600
OwnerlContractor on 'te:
�
Inspector_
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