HomeMy WebLinkAbout2006-P10529 - water heater • PERMIT
CITY OF ORONO
2750�Kelley Parkway- PO Box 66 Permit Number: P1o529
Crystal Bay, Minnesota 55323 Permit Type:
Fixtures
(952) 249-4600 Date Issued: 11/7/2006
SITE ADDRESS: 185 Cygnet Pl Unit#
Long Lake,MN 55356
PID: 04-117-23-23-0011
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 Vatuation: $ 0.00
State Surcharge Fee: $ 0.50
Misc.Fee: $ 1.50
TOTAL FEE: $ 17.00
APPLICANT: Norblom Plumbing Co. OWNER: Roxanne&Roger Ezell
2905 Garfield Avenue S. 185 Cygnet Pl
Minneapolis,MN 55408 Long Lake MN 55356
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 I UED BY SIGNATURG
Copies: I-File(Signatures Required), 1-Applicant, 1-Monthly Reports, ]-Assessing,(If Septic, 1-Septic) Page 1
Nov � 3 , 2006 11 � 18RM NORBLOM PLUMBING No , 1901 P � 1
' �'�:FUR"CITY. SE:,ONLY.� _ .
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o'� d 2750 Keii Perkwa �� �'�
P.O.Box 66 �`1)8SA R�Ce{ve
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CITY OF ORONO--P'LUMBYNG PERNIIT
(All Commercial permite muat be epproved by the Building Of�iclal oi InBpeCw[)
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1. You may apply for plumbing permits by meil or in person at the City offices. Applicationa will be
raviawod and a permlt will bo issuad within two working days�
2, Permit eards will be sent by retuin mail aRor a reviow 3s completod. PERMITS ARE NOT
VALID UNTII.YOU RECEIVE A PSRMTT. �V-Q�K M�ST,N4T HEGIN UNTIL THE
P�RMYT CABD I�P4STF�b QN THE JOB SITE.
3, Plumbing permits may be issued ONLY to licensed plumbing oontractors and to property ownere
residing ln the dwelling,
4. When eny new constcuet{on or remodeling is Involvad,a separate building permit mnst ba
obtained.
S. All work must ba done in accordance with State Code requirements,
6. All work muat be inapected and alr cested bef�ro it is covared. Call(952)249-4600,
(24-48 hour notice required)
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❑ Residential ❑Commercial(Approval Required)
❑New ❑Additional ❑Repairs 0✓ Replace
❑ In Accessory Strvctura?
*'You}ylq_�ged pwior appro�al and may need�'1„f�,(Per Orono City Code,Chaptor 78,Article IV)
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Sito Address: �$s cy��ot P���
Owner;Roger&Roxenne Ezell Mailing Address: 185 Cygnct Placc
M�nneapolie 55356
C1Ty� Glp:
Home Phone: (952)4a9-0783 Alternate Phone:
,1na
�:�bnfi���t�r T�£Qr�atiota, �3`a��i1,��,..,��e, � ''�'.�:,�
Norbtom Plumbing ]es�
Contractor: Contact Person,
2905 Oerfield Ave.3. 55191804
Address: State Bond�:
Minncepolie 55408 12/06/06
City: Zip: Expiration Date:
(612)827-4033
Phone; Alternate Phone:
✓❑ Insurance—Current:
1
Nov � 3 � 2006 11 � 19AM NORBLOM PLUMBING No � 1901 P • 2
FTXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER
TYPE FL . FL TYPE FL FL
Wster Closet Floor Drains
Lavatory Scwer Ejector
Bathroom Laundry Tray
5hower Waeher
Kitehen Sink Water Heator �
D�sposal Water Softoner
Dishwasher Wet Bar
Sillcocks Miseellaneous
� '• � I��I h�l�I I II1�� l{� r � � � � I r!i I n I`I� I ���y��l Ih 2 ����G� � '� S�
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ti($}"�'9'�'�I��J�11�� �'���� 3 i �- � �'�� '� �� ,� �I� �� �'� ,�f gr��l � �' �I�r
�;� ,I��"r���`'��i��F�,�.11�"� '� i hl �� 'Y a�� 4.. ' F .1Hi�!fll�' �� ��' �,c �o �f� �`3���fllll!
[{.�] Yes,this section applies
The replacement of a Residential fixture ar�ppl�noe that meet9 ail[hrto of the following requirements:
1. �g�requ�re modificatJon to olectrical or gas sarvice,
2. Has a total coet of$500.00 or less;excludina the cost of the flxture or appliance;and
3, Is improved.installed or repleced by the homeowner or licensed contractor.
Skip next scction,ifthls applies; Cost o�Pernnit $ 15.00
State Surchazgc $ , .SO
Mail-In Fee(If Applicabla) $ 1,50
Total permlt Fee $ 1�•00
(Permlt Fees Contlnued O�Next Page)
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Nov � 3 , 2006 11 � 19AM NORBLOM PLUMBING No � 1901 P , 3
If abova does not apply;follow guidelines below:
1. CONTRACT PRCE W Is 1.25%of contract prtce with a(Minimum Fee of$35.00)
x.0125 S
(concraa prica) (minimum$35.00)
2, STATE SURCHARGE w*Add the State Bldg Code Div. Surchsrge(Minimum Fee of 5.50)
x.0005 $
(oontract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Ma11-In Applicatlons) $ 1.50
4, TOTAL�ERMIT FEE(Add Lines 1-3 Above) S
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount chsrged for the
permitted work including materiale,labor,profit,and other fixed costs, It is the amount to be cherged
to the custorate�r for the work done, If�ny material,equipment, labor or instatlations ara furnishad by
the owner,tenant or any othor pany,tho raasonable market value of such �toms must bc addcd to thc
estimated cost or contract price for permit fee purpoaes. !n the event that there is a diepute 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 undor$1,000,000 or$,50—whichever is
greatar. For valuatlons over$1,000,000 call the Sullding Dopartment at(952)249-4600 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: Date: ��/�r ��
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