HomeMy WebLinkAbout2006-P09870 - water heater PERMIT
CITY OF ORONO Permit Number:
2750 Kelley P�rkway- PO Box 66 P0987o
Crystal i3ay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued:
5/16/2006
SITE ADDRESS: 2560 Dunwoody Ave Unit#
Wayzata,MN 55391
P��� 20-117-23-21-0023
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
TOTAL FEE: $ 15.50
APPLICANT: Practical Systems OWNER: Jill Estoclet
4342B Shady Oak Rd. 2560 Dunwoody Ave
Hopkins,MN 55343 Wayzata,MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPL[ANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMITEE SIGNATliRG ISSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,([f Septic, 1-Septic) Page 1
+'� FOR C17'Y USE O:VLY
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�; '0 City of Orono
i � !'� ����``� P.O.Box 66 Datc Rccciacd: __ Pcrniit# _
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27�0 Kelley Parkway
'a, � n� �*,' Crystal Bay,MN 55323 Anproved By: _ Amount$:
6r �°�!.� E`S/ (952)249-4600
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CITY OF ORONO— PLUMBING PERMIT
(All Commercial permits must bc approvcd by thc Building Ofricial or Inspcctor)
GENERAL INFORMATION
I. You inay apply for plumbing pennits by mail or 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 UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEG1N UNT[L 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.
(24-48 hour notice required)
TYPE OF PERMIT
(G�heck All That A 1 )
�Residential ❑Commercial(Approval Required)
❑New ❑ Additional ❑ Repairs �Replace
❑ In Accessory Structure°
*You will need prior approval and may need C_l'P.(Per Orono City Code,Chapter 78,Article IV)
Job Site/Owner Information:
Site Address: �-� `. � �(.
Owner:\�I I t ��II� �� Mailing Address: ���
City: � � � Zip: `J�� �
Ho�ne Phone: �.��" ��� ��7,,� Alternate Phone:
Contractor Inforinarion:
Kline Corp.
Contractor: DBA: Practical Systems �rson:
4342B Shady Oak Road
Address: Hopkins, MN 55343 l#:
952-933-1868
City: __r. _._r_____�.. Date:
Phone: Alternate Phone:
❑ Insurance—Current:
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PLUMBING FIXTURES BEING INSTALLED
FIXTURG [3SMT I�� 2�D OTI{ER FIXTURE BSMT I�� 2�" O�CIfER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
Lavatory Sewer Ejector
Bathroom Laundry Tray
Shower Washer
Kitchen Sink Water Heater -�
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Miscellaneous
PERMIT FEE CALCULATION(S)
BASED OFF - 2002 STATE STATUE
� 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 licensed contractor.
Skip next section,if this applies; Cost of Permit S 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) � 1.50
Total Permit Fee $ I��5"�
(Permit Fees Continued On Next Page)
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PERMIT FEE CALCULATION S -JOBS OVER�500.00
If above does not apply;follow guidelines below:
1. CONTRACT PRICE * is I.25°/o of contract price with a(Minimum Fee of$35.00)
x .0125$
(contract price) (minimum$35.00)
2. STATE SURCHARGE ** Add the State B1dg Code Div. Surcharge(Minimum Fee of$.50)
__x .0005 $
(contract pricc) (minimum$ .SO)
3. POSTACE&HANDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL PERIVIIT FEE(Add Lines 1-3 Above) $
■ * CONTRACT 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, equipment, 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
esti�nated 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
<�reater. For valuations over 51,000,000 call the Buildin�Depariment 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 that all statements made on this application are complete, true and
correct.
Applicant's Signature: Date: ���� �� "�
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