HomeMy WebLinkAbout2005-P09431 - heating system � PERMIT
CFTY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: Po9431
Crystal Bay, Minnesota 55323 Permit Type:
Mechanical Permits
(952) 249-4600 Date Issued:
11/17/2005
SITE ADDRESS: 1480 Bohns Point Rd Unit#
WAYZATA,MN 55391
P��� 09-117-23-33-0004
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type:
Mechanical Permits Permit Sub-type(s): Heating Systems
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 53.13 Valuation: $ 4,250.00
State Surcharge Fee: $ 2.13
Misc. Fee: $ 1.50
TOTAL FEE: $ 56.76
APPLICANT: Kleve Heating&Air OWNER: CHLOE HELD MORAN
6365 Carlson Drive Suite G 1480 BOHNS POINT RD
Eden Priaire,MN 55346 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 S►GNATURE UED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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CITY OF ORONO APPLICATION FOR PLUMBiNG PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GEIYERAL 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 maii after a review is completed. PERM(TS ARE NOT VALID UNT[L YOU
RECE(VE 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 invdved, a separate buiiding permit must be obtained.
5. All work must be done in accordance 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 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 Replace
� Residential Commercial
JOB SITE: `��-`7 I c.��k� ��,���.. tZr°c�C� Zip:
Owner's Name: SrA,t��-� �`h�crulf� -��°��r� )(11c���L�Telephone Number: 1!,� '_, �,�_;`� — iZ`;��
Mailing Address: City: Zip:
Contractor's Name: `_; ,n; - + !- � ��r - c. Telephone Number: ic►�-��Z:�-I���
Mailing Address: i 2� �._, � .r� ,, .� ` < , _;Y �. . City: �'��;<.E�,. ZiP: �»��"1�
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1 ST 2ND OTHER FIXTURE BSM 1 S 2ND OTHER
TYPE FL FL TYPE T T FL
FL.
Water Closet �--- = � Floor Drains �
Lavato -=-- �1' a�` Sewer E'ector
Bathtub i Laund Tra � �
Shower �- ( 7 Washer I (
Kitchen Sink � Water Heater
Dis osal � � Water Softener �
Dishwasher � Wet Bar '
Sillcocks � Misc ist
PERMIT FEE CALCULATION(S)
2002 State Statute ❑ Yes, This Section Appiies
The replacement of a gesidential 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 appiiance: and
3) ts improved, installed or replaced by the homeowner or licenced contractor.
Skip next section; Cost of Permit $ 15.00
State Surcharge $ .50
Mail In Fee $ 1 .50
If above does not apply, follow guidelines below:
1 . Contract Price* is .Ol 25 96 of job with a Minimum Fee of ($35.00Z
�`'L �;;i�) r �`j✓ x .O l 25 $ ��� ; �- �
r
(contract price) (minimum $35.00)
2. State SurcharQe. ** Add the State Building Code Division a (Minimum Fee of$ .50)
;� , . „ � $ 1`-1 � �'
— , a ���� � v� �`�� x .0005 %� ��
.�.
(contract price) (minimum $ .50)
3. Postage and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ �� �� �'��(���
* COIVi'RACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work
including materials, labor, profit, and other fixed costs. lt is the amount to be charged to the customer for the work
done. If any material, equipment, labor, or installation are turnished 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 submissia�
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 ail work
in strict accordance with the ordinances of the City and the regulations of the State of Minnesota, and
certifies that al) statements made on this application are complete, true and correct.
Applicant's Signature: � �����'���'��� ����, '��I�� �"�->;� �'�'��t � Date: 11 ' 1�'�� �
, -
Reset Form
�� � DATE TIME �
CITY OF ORONO CALLED IN ����O
INSPECTION NOTICE SCHEDULED /a o2-D.� /D .'00
PERMIT NO.��DQ�3I COMPLETED I���L�CU,.� ii�:[i�J
ADDRESS I��0 �o�rn� �
OWNER ��� r�� CONTR. I���
TELEPHONE N0. ?�7 2" �?� ��7�
� DESCRIPTION ���-'� �''�-
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FR,4MING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 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:
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GW ❑WORKSATISFACTORY:PROCEED PROJECTCOMPLETE
� ❑CORRECT WORK&PROCEED r
W I UE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-4600
OwnerlContractor o�n,site/- �
Inspector_ L%TL� "j •�-S
White Copyllnspector's File Canary Copy/Site Notice