HomeMy WebLinkAbout2003-P07001 - water heater CfTY �OF ORONO PERMIT
2750 Kelley Parkway - PO Box 66 Permit Number: Po�ooi
Crystal Bay, Minnesota 55323 Permit Type: FiXcures
(952) 249-4600 Date Issued: 1 t�t3i2oo3
SITE ADDRESS: 3325 Crystal Bay Rd
Wayzata,MN 55391
PID: 17-117-23-41-0018
DESCRI PTION:
Proposed Use: Kesidential
Pernut Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Water Heater
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ I5.00
Valuation: $ 0.00
State Surcharge Fee: $ 0.50
Misc.Fee: $ 1.50
TOTAL FEE: $ 17.00
APPLICANT: Norblom Plumbing Co. OWNER: Dennis&Becky Stanton
2905 Garfield Avenue S. 3325 Crystal Bay Rd
Minneapolis, MN 55408 Wayzata MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEIVIENTS SPECIFIED
AND AGREES TO DO ALL WORK IN SI'RICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
`_I ►�-LL-t�( .�►'� ��_
APPLICANT PERMITEE SIGNATURE SUED BY SIGNATURE
Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reoorts. 1-Assessin�, 1-Finance Page 1
y `
CITY OF ORnNO APPLICATION FOR PLLTi�iBING PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFOR.NIATION
l. 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 CA.RD 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 Cade requirements.
6. A.11 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 Keplace
__�___/�esidential Commercial
JDB SITIE: STANTON, DENNIS
� 3325 CRYSTAL BAY ROAD � 'Z�P'
O�vne'r's Name: .
oRorvo, MN 55391 'elephone Number.:
Mailing At�dress� (952)471-7324 �it�:_, Zip; ;
Contractor's Name: ` � c Telephone Number: (�i 2,�Iz�-y�3 _
Mailing A►ddress• ZqOS �,�✓ .so• City:_/VJ�/5 Zip: �s�c�F -
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
Lavato Sewer E'ecror
Bathtub Laund Tra
Shower Washer
Kitchen Sink Water Heater �
Disposal Water Softener
_
Dishwasher _ Wet Bar
Sillcocks Misc (list)
. . �
PERMIT FEE CALCULATION(Sl
2002 State Statiite Q Yes, This Section Applies
The replacement of a Residential fixttire 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$500.00 or less; excludin� the cost of the fixture or appliance:
and
� 3) Is improved, installed or replaced by the homeowner or licenced contractor.
�$�lr P,P.X_t SeC�lOri; ('nct nf Parmit � j�,(J(1
State Surcharge $ .50
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 Surchar�e. �`* 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
�-7 Q
4. �vTAi, PEt'2i'��f�T I'�r, (Ac�d iir�es 1-3 a�ove} � � ( � �
* CONTRACT PRICE or JOB COST means the actu�l 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 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 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
correct.
Applicant's Signature: Date: � � � ( �;�