HomeMy WebLinkAbout2007-P11361 - water heater PERMIT
�ITY' OF ORONO
Permit Number:
2750 Kelley Parkway- PO Box 66 P11361
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued: 8/20/2007
SITE ADDRESS: 3424 Eastlake St Unit#
Long Lake,MN 55356
PID: OS-117-23-13-0044
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: Thomas&Margaret Radke
2905 Garfield Avenue S. 3424 Eastlake St
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 PERM[TEE SIGNATURE SSUED BY SIGNATURF
Copies: 1-File(SignaturesReguired), 1-Applicant, 1-MonthlyReports, 1-Assessing,(IfSeptic, 1-Septic) Page 1
FOR CI'CY USE ONLY
O¢��O City of Orono
P.O.Box 66 Date Received: Permit#
2750 Kelley Park�vay
.+ ' � Crvstal Bay,MN 5�323 Approved By: _ Amount�:_
��e� �' �� ;��c` (9�2)249-4600
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CITY OF ORONO—PLUMBING PERMIT - -
(All Commercial pennits must be approved by the Building Officia]or Inspector)
GENERAL INFORMATION
1. You may apply for plumbing permits by mail or in person at the City ot�ices. Applications will be
reviewed and a permit will be issued within two working days.
2. Permit cards will be sent by retum mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOli RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARll 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
(Check All That Apply)
(�Residential ❑ Commercial(Approval Required)
❑ �iew ❑Additional ❑ Repairs �Replace
❑ In Accessory Structure? �
*You will need prior aaproval and may need CUP.(Per Orono City Code,Chapter 78,Article IV)
Job Site/ U�vner Information: �
Thomas Radke
Site Address: 3424 East Lake Street
Orono, MN 55356
Owner: 9524762243 ddress:
City: — -r• — —
Home Phone: Alternate Phone:
Contractor Information:
Contracto�Q G COontact Person:
Address: 290� 827-4033 . SOState Bond #: S�CoS
city: MINNEAPOLIS� �61J 5540�xpiration nate: _ D
Phone: Alternate Phone:
❑ Insurance—Current:
1
PLUMBiNG FIXTURES BEING 1NSTALLED
FIXTURE BSMT I 2� OTHER FIXTURE BSMT l� 2�D OTHER
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
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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.
?. Has a total cost of$500.00 or less;excludin�the cost of the fixture or appliance: and
.i. ]s improved, installed or repiaced by tne homeowner ur iicensed contractor.
Skip next section,if this applies; Cost of Permit � 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.�0
Total Permit Fee $ l T.DO
(Permit Eees Continued On Next Page)
2
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rERMIT FEE CALCULATION(S)-JOBS OVER �500.00
If above does not apply;follow guidelines below:
1. CONTRr1CT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00) - - -
x.0125 $
(contract price) (minimum�35.00)
3. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(�linimum Fee of$.50)
x .0005 $
(contract price) (minimum$ .�0)
3. POSTAGE&HAI�DLING(Only on Maii-In Applications) $ 1.50
a. TOTAL PER�'VIIT FEE(Add Lines 1-3 Above) $
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
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 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. 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
�reatec 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 certities that all statements made on this application are complete, true and
correct.
Applicant's Signature: Date: $ /.S d 7
Reset Form
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AT� TIME �
i CITY OF ORONO CALLED IN t�'L�' �,��
INSPECTIONNOT SCHEDULED �� �� ` 3�1''✓�
PERMIT NO. � _ COMPLETED �
ADDRESS L � �
OWNER �' � � t� I�'� TR.
TELEPHONE N0. r � CI ,Z�7`�� ����
� DESCRIPTION �"�� �;��j' ��jl,-��l'
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSUTATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J �0 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU: ES_NO
� COMMENTS:
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W WORK SATISFACTORY:PROCEED � PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED �1- ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CAL�FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WlLL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
C INSPECTION REQUIRED.CALI TO ARRANGE ACCESS.
Call for the ne inspection 24 hours in advance. (952� 249-460�
OwnerlContrac ite:
Inspector.
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