HomeMy WebLinkAbout2003-P06040 - water heater PERMIT
CI�"Y �F ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 P06040
Crystal Bay, Minnesota 55323 Permit Type: FiX�ures
(952) 249-4600 Date Issued: 2ii4i2oo3
SITE ADDRESS: 3099 Farview La
L,ong Lake,MN 55356
PID: 04-117-23-33-0003
DESCRIPTION:
Proposed Use: Kesidential
Permit Class: Plumbing
Pernut Sub-type(s): Water Heater
Permit Type: Fixtures
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
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. QWNER: M Rotenberg&D Strehlow
2905 Garfield Avenue S. 3099 Farview La
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 PERMITEE SIGNATURE I� UED BY SIGNATURE
Cooies: 1-File(Si�nitures Required), 1-Apolicant, 1-Monthlv Reoorts. 1-Assessine, 1-Finance Page 1
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CITY OF ORONO APPLICATION FOR PLUMBING pERMIT
Box 66 (2750 Kelley Park�vay)
Crystal Bay, MN 55323
� GENERAL INFORNIATION
l. You may apply for plumbing permits by mail or in person at the Ciry of�ces. ' �
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 PER1�iIT 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 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 Re air
�/'fZesidential Commercial p �ePlace
J(JB SI'TE; ROTENBERG, MITCHELL/DE
- :�..,. . 3099 FARVIEW LANE ` Zlp:
Otvner's Name:` ORONO, MN 55356
'elephone Number:
Mailing Address: (952)475-8294 .,.
�it�: , ' Zipt�;
Contractor's Name: c TelephoneNumber: , (��2 �z�-y�
Mailing Address: zqOS �
�c✓ .�S'o�. City;_/��/_ 5 Zip:' �-���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
La�nd Tra
Shower
Washer
Kitchen Sink Water Heater I
Dis osal -
Water Softener
Dishwasher
Wet Bar
Sillcocks
Misc (list)
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PERMIT I�'EE CALCULATI N S
2002 State Statute Yes, This Section Applies
The replacement of a Residential fixture or a�pliance 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
State Surcharge $ .SQ
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 ($35.001
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� X .olzs � � 15 .�.
(contract price) (minimum $35:�9)
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2. State Surcharge. ** Add the State Building Code Division a (I�iinimum Fee of $ .50)
x .0005 $ • 5�
(contract price) (minimum $ .50)
3. Posta�e and Handlin� (Only mail-in applications) $ 1.50
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4. TOTAL PERMIT FEE (Add lines 1-3 above) $ � ! � �G
* 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 instaIlation are furnished by the owner, tenant or
any other party the reasonable market value of such items must be added ro 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 City and the regulations of the State of
Minnesota, and certifies that all statements made on this application are complete, true and
correct.
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Applicant's Signature: Date: �
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CITY OF ORONO � CALLED IN �-�J _�-�
INSPECTION NOTICE'� SCHEDULED �-�lo-u 3 �
PERMIT NO. , COMPLETED
ADDRESS � � '' ��'e'.�-t.l �'-z-T �
OWNER cr� CONTR. (���t'b�U� f��ri��.
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TELEPHONE N0. f.'S� �I �S ��� � �
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� DESCRIPTION G
lL 01 FOOTING 11 M��Ha�� 18 EXCAV/GRADING/FILLING �
y02 FRAMING � 'I I 19 LAKESHORE/WETLANDS �
O 03 INSULATION � 24 WO BU ER/FIREPLACE 34 TREE REMOVAL �
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT �
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP -�
W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL C
v �F 36 FOUNDATION/REMOVAL �
ORTOMEETYOU:✓YES_NO
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� �ORKSATISFACTORY:PROCEED PROJECTCOMPLEiE
W ❑CORRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cal1 tor the next inspection 2a hours in advance. (952� 249-46��
OwnedContrac n si
Inspector. � � `
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