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HomeMy WebLinkAbout2008-P12072 - water heater PERMIT . �ITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: p12o72 Crystal Bay, Minnesota 55323 Permit Type: Fixtures (952) 249-4600 Date Issued: 5/15/2008 SITE ADDRESS: 1675 Concordia St Unit# Wayzata, MN 55391 P��� 17-117-23-22-0043 DESCRIPTION: Proposed Use: Residential Permit Class: Plumbing Permit 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 Plumbing LLC OWNER: Helen Trainor 3670 Dodd Road-Suite 100 1675 Concordia St Eagan, MN 55123 Wayzata MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IIVIPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. t � `iZ�'t�e �� APPLICANT PI:R�11I F.li SIGNATURE UED BY SIGtiATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, I-Septic) Page 1 CITY OF ORONO APPLICATION FOR PLUMBLNG PERNIIT Bo:� 66 (27�0 Kelley Parkway) � Crystal Bay, NiN �5323 GENERAL L'YFORNIATION 1. You ma}� apply for plumbing permits by mail or in person at the Ciry ofhces. �. Permit cards will be sent by rerurn mail afrer 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. Plumbina permits may be issued ONLY to licensed plumbing contractors and to property owners residing in the dwelling. -�. When any new construction or remodeling is involved, a separate building permit must be obtained. �. :�ll work must be done in accordance with the State Code requirements. 6. All work must be inspected and air rested before it is covered. Call (952) 249-4600. 24-hour notice required. lnstructions 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. Pi�ase checl: one: New Addition Repair "� Replace ✓Residential Commercial JOB sITE: � 1�4���� C.���f OrC�I Ct �'���� z�P: �`���. O�ti�ner's Name: �., � r Telephone Number: 7�a;�-�/]/-�',( � 2 Nlailing Address: <�c�.�� City:(.,��'���� Zip; �;�a��� Contractor's Name: hampion Telephone Number: i�lailing Address:__ ���� �e���„ City: Zip: Eagan, MN 55123-1339 PLUNIBING FIXTLIRE SCHEDULE FI�TURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER TYPE FL FL TYPE FL FL �Va�cr Closet � Floor Drains Lavatory Sewer E'ector Bathrub Laundr Tra Shower Washer �i�chen Sinl: Water Heater Dis osal Water Softener Dishwasher Wet Bar Sillcocks Misc (list) 3 � ��> I c��' ,�, 1�.� PERI�iIT FEE CALCULATION(S) 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 Surcharge $ .50 Mail In Fee $ 1.50 If above does not apply, follow guidelines below: l. �ontract Price* is .Oi�2� % ot 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 (1�linimum Fee of $ .�0) 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) $ _�_�. Lr� M CONTRACT PRICE or JOB COST means che 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, tera,r.t or any other parry'the reasonable market value of such items must be added to the estimated cost or contract price for permi[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 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 conect. Applicant's Signature: ������"�f� Date: j"" � � �� �; �,.� � � � cC� TE TIME ✓ CITY OF ORONO CALLED w cJ� O INSPECTION TI E�j scHEou�E� ��� PERMIT NO.� �/ COMPLETED ADDRESS � G� � OWNER ` CONTR. D��CJ TELEPHONE NO. ��- �`7�- � DESCRIPTION � . �� �/(� � ❑ FOOTING ❑ MEC AL RI ❑ EXCAV/GRADING/FILLING � ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS Q ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ,� PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. � ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP ? ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � L C�D I� S �r 00 c� o - a � 0 � W � Q � Z W � W � � �.%L�WORKSATISFACTORY:PROCEED � � PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED i: ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WlIL RETURN ❑CITATION ISSUED 0 STOP ORDER POSTED.CALL INSPECTOR C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-46�� OwnerlContractor on site: Inspector. ( T'l��Sn�� White Copyllnspector's File Canary CopylSite Notice