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HomeMy WebLinkAbout2004-P08266 - water heater , ` PERMIT VITY OF ORONO 2750 Kelley Parkway - PO Box 66 Permit Number: Pog266 Crystal Bay, Minnesota 55323 Permit Type: FiXtures (952) 249-4600 Date Issued: i2i6i2oo4 SITE ADDRESS: 2580 Dunwoody Ave WAYZATA,MN 55391 PID: 20-11�-23-2i-oo2a DESCRI PTION: Proposed Use: Kesidential Permit Class: Plumbing Permit Type: Fixtures Permit Sub-type(s): Water Heater DETAILS: Approved per resolution#: Separate pernuts required: NOTICES/REMARKS: FEE SUMMARY: Perniit Fee: $ 15.00 Valuation: � 0.00 State Surcharge Fee: $ 0.50 Misc. Fee: $ 1.50 TOTAL FEE: $ 17.00 APPLICANT: Norblom Plumbing Co. OWNER: J&G NAFUS 2905 Garfield Avenue S. 2580 DiJNWOODY AVE Minneapolis,MN 55408 WAYZATA MN 55391 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. APPLICANT PERMITEE SIGNA'1'URE SUED BY SIGNATURE Cooies: 1-File(SiQnitures Repuired). 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 .. I - E CITY OF ORONO APPLICATION FOR PLUMBING PERMIT Box 66 (2750 Kelley Parkway) Crystal Bay, MN 55323 ' - , GENERAL INFORIIIATION .: 1, You may apply for plumbing permits by mail or in person at the Ciry 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 CARD IS POSTED ON THE JOB SITE. 3. Plumbing permits may be issued ONLY [o 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 Code requirements. 6. All 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 _�/Residential Commercial _ .T�B SITE:. NAFUS,JOHN -., 2580 DUNWOODYAVENUE�- ZIP: ` Owner's Name: . ORONO, MN 55391 '`'Te�Cp�lOIIe NUIl1bCI'. � � IVlailing Ai�dresst (6i2)382-o�as - _ Cit�: ' .Zip;; Contractor's Name: c TelephoneNumber;� «�Z��z�-y�3 _ Mailing Address: ZqOS e/✓ .So. . City:_�+6��%S Zip: SS��`a' 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'ector Bathtub Laund Tra Shower Washer Kitchen Sink Water Heater Dis osal Water Softener _ _ ._ Dishwasher_. .. . Wet Bar Sillcocks Misc (list) . � PERMIT 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 Statc aiirC�Yaige $ .�Q 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. Postage and Handling (Only mail-in applications) $ 1.50 4. i�i'i'tii. rEi�'����' ��i (Add l:;.cs 1-3 ab�-�:.) $ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for che permitted work inciuding 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 parry 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[he 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: 'J/`�O/ay ✓ DAT TIME CITY OF ORONO ALLED IN �'a INSPECTION NQTICE// SCHEDULED .�.3d PERMIT NO. f�OB�(OfO COMPLETED ADDRESS a D OWNER r1C!-c..� �Cl;�i�CONT . ����e�s� TELEPHONE N0. l�/� �C�a1 �7�.3 � DESCRIPTION �,L�G'�� l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADWGlFILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � w a � � O � � O � W � Q � Z W � W � � d W WORKSATISFACTORY:PROCEED C-� PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN INSPECTOR WlLL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALI.TO ARRANGE ACCESS. \ Call for the ne inspection 24 hours in advance. �95Z� Z49-460� OwnerlContrac on i e: Inspector. White Copyllnspector's File Canary CopylSite Notice