HomeMy WebLinkAbout2007-P10882 - water heater PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: p10882
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued: 4/11/2007
SITE ADDRESS: 725 Dickey Lake Dr Un;t#
Long Lake,MN 55356
P��� 34-118-23-22-0006
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: Pernut Fee: $ 15.00 valuation: $ 0.00
State Surcharge Fee: $ 0.50
Misc. Fee: $ 1.50
TOTAL FEE: $ 17.00
APPLICANT: Norblom Plumbing Co. OWNER: Patrick&Karen Hagelee
2905 Garfield Avenue S. 725 Dickey Lake Dr
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 REQUfREMENTS.
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APPUCANT PERMITEE SIGNATURE SSUED BY SIGVATURE
Copies: l-File(Signatures Required), 1-Applicant, 1-Monthly Reports, ]-Assessing,(If Septic, l-Septic) Page 1
FOR CITY USE ONLY
04��0 City of Orono —
P.O Boa 66 Date Received: Pennit#
27�0 Kellev Parkwav
.a � � Crystal Bay,�i�t 55323 Approved I3y: Amount$:
�� � ' ��c' (952)249-4600
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CITY OF ORONO— PLUMBING PERMIT
(All Cummercial pennits must be approved by the Building Official or Inspector)
GENERAL INFORMATION
1. You may apply for plumbing permits by mail ur in person at the City offices. Applications will be
reviewed and a permit will be issued within two working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT
VALID UNT[L YOU RECEIVE A PERMIT. WORK VIUST NOT BEGIN liNTIL 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 involved, a separate building permit must be
obtained.
5. All work must be done in accordance with State Code requirements.
6. All work must be inspected and air tested before it is covered. Call (952)249-4600.
(24-�8 hour notice required)
TYPE OF PERMIT
i (Check All That Apply)
�esidential ❑ Commereial (Approval Required)
❑ New ❑ Additional ❑Repairs �Replace
❑ ]n Accessory Structure?
*You will need prior approval and may need CUP.(Per Orono City Code,Chapter 78,Article IV)
Job Site / Owner Information:
Site Address: Paul Pugh
725 DICKY LAKE DRIVE
Owner: Orono, MN 55356 ress:
9524496053
City:
Home Phone: Alternate Phone:
i Contractor Information:
Contracto�Q G C�ntact Person:
Address: 290� 827-4'033 . SOState Bond #: S�CoS
City: MINNEAPOLIS, �61�I 5540�xpiration �ate: o
Phone: Alternate Phone:
❑ Insurance—Current:
1
PLUMBING FIXTURES BE1NG INSTALLED
FIXTURE i BSMT IST 2�D � OTHER FIXTURE BSMT ls 2�D OTI-�R
i TYPE I FL FL TYPE FL FL
i
Water Closet Floor Drains
i Lavatory Sewer Ejector
Bathroom i Laundry Tray
Shower Washer '
Kitchen Sink Water Heater I
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Miscellaneous
PERMIT FEE CALCULATION(S)
BASED OFF - 2002 STATE STATUE
� Yes,this section appiies
The replacement of a Residential fixture or ap�liance that meets all three of the following requirements:
1. Does not require modification to electrieal or gas service.
2. Has a total cost of$500.00 or less;excludin�the cost of the fixture or appliance:and
�. .s imp:aved, ir,stalled cr rep;sc�d"y the ho::lec�vner or licensed;;ontracto:.
Skip next section, if this applies; Cost of Permit $ 15.00
State Surcharge $ .50
Vlail-In Fee(If Applicable) $ 1.50
Total Permit Fee $ l 9.DO
(Permit Fees Continued On Next Page)
2
PERMIT FEE CALCULATION(S)-JOBS OVER$500.00
If above does not apply; foflow guidelines below:
1. CONTRr1CT PRICE * is 125%of contract price with a(Minimum Fee of$35.00)
x .0125 $
(contract price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(vGnimum Fee of�.50)
x .0005 $
(contract price) (minimum$ SO)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
�. TOTAL PERMIT FEE(Add Lines 1-3 Above) $
■ * CONTRr�CT 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 material, eyuipment, labor or installations 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. [n 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 Building Department at(952)249-4600 for the price.
PLUMBING PERMIT APPLICATION AGREEMENT
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 t all statements made on this application are complete, true and
correct.
Applicant's Signature• Date:
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