HomeMy WebLinkAbout2006-P09605 - water heater • PERMIT
CI i Y OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Po9605
Crystal Bay, Minnesota 55323 Permit Type:
Fixtures
(952) 249-4600 Date Issued: 2/15/2006
SITE ADDRESS: 1855 Concordia St Unit#
Wayzata,MN 55391
PID: 17-117-23-22-0038
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:
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FEE SUMMARY: Permit Fee: $ 15.00 valuation: $ 0.00
State Surcharge Fee: $ 0.50
Misc. Fee: $ 1.50
-- TOTAL FEE: $ 17.00
APPLICANT: Norblom Plumbing Co. �- OWNER: Vincent&Virginia Anderson
2905 Garfield Avenue S. 1855 Concordia S.
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 COMPL[ANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMITEE SIGNATURE I S ED BY SIGNATURE
Copies: 1-File(SignaturesRequired), 1-Applicant, 1-MonthlyReports, 1-Assessing,(IfSeptic, 1-Septic) Page 1
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CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
Box 66 (2750 Kelley Parkway) .
Crystal Bay, MN 55323 '
,
GENERAL INFORMATION ` ,
1. You may apply for plumbing permits by mail or in person at the Ciry offices. ' '
2. Permit cards will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID UNTIL
YOU RECEIVE A PERMIT. WORK MUST IVOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON
THE JOB SITE.
3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to properry 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.
o. Ail wurk niust be inspected and air tested beiore it is covered. (;all (9�2) 24y-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
. ""� ANDERSON A, 'dINCENT
1855 CONCORDIA STREET
J�$r�I ��. ORONO, MN 55391 Zjp� '
f' , ^ , -Name:. (952)471-9295 ._
..... ....
O�vzter s unber:
Mailing Ac�c�ressc`� �-Zl�..:
Contractor's Name: c TelephoneNumber.:� (�I���'Z�-��3_
Mailin g Address: 2 q O S e,��/ -So'. City: /VI�p/S Zip:` SS�/c��
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 Ear _ .
Sillcocks Misc list
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PERMIT FEE AL I
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; C;ost oi Permit � i�.u0
State Surcharge $ .SQ
Mail In Fee $ 1.50
If above does not apply, follow guidelines below:
l. Contract Price* is .0125 % of job with a Minimum Fee of ($35.001
x .0125 $
(contract price) (minimum$35.00)
2. S1ate Surcharge. ** Add the State Building Code Division a (Minimum Fee of $ .50)
x .0005 $
(contract price) (minimum $ .50)
3. Postage and Handline (Only mail-in applications) $ 1,50
4. TOTAL PERMIT 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 fized 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 the 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 Ciry and the regulations of the State of
Minnesota, and certifies that all statements made on this application are complete, true and
correct.
' i nature: � �� Date: Q C. o O � U
Applicant s S g
,
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DATE TIME
CITY OF ORONO CALLED IN � -� �Ub
INSPECTION NO IC � SCHEDULED � �� C'L'" ����U��
PERMIT NO. � COMPLETED
ADDRESS r•�..�S ��>>-��;-;,�:�'� � - t-�"�. ,,
OWNER 1�',r1 t'� w� .��r�Y;�;��r� CONTR. �� ,� ,-.�1�l)l�r_ ,��7 I���%i�7?{�, /
TELEPHONE NO. �.�l L ��� ��Sv� � i�/-1�`"IS
/, 1 i
� DESCRIPTION _ I�CJ� �L�-u�r'
� 01 FOOTING 11 MECHANICA RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MEC L 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 RNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FO�LOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PL G FINAL 36 FOUNDATION/REMOVAL
� OWNER/CON CTOR TO MEET YOU:_YES_NO
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W ❑ CORRECT WORK&PROCEED !- ISSUE CERTIFICATE OF OCCUPANCY
Q ❑CORRECT VyORK,CALG FOR R�INSPECTION TEMPORARY
� BEFORECOVERING � ' ` _
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❑CORRECTUNSAFECONDITIONWITNIN HOURS. � pHOTOTAKEN
INSPEC70R WICL REfURN _ _ _ .. ___
❑STOP ORDER POSTED.CALL INSPECTOR
❑ CITATION ISSUED
C INSPECfiION REQOiRED:CALC TO ARRANGE ACCESS. - • - --
Ca11 for the ne inspection 24 huurs in advance. (952� 249-4600--
OwnedContr o s te:
Inspector. -
White Copyllnspector's File Canary Copy/Site Notice