HomeMy WebLinkAbout2007-P10678 - water heater r
'� PERMIT
CITY OF ORONO Permit ►vumber:
2750 Kelley Parkway- PO Box 66 P10678
Crystal Bay, Minnesota 55323 Permit Type:
Fixtures
(952) 249-4600 Date issued: 1/10/2007
SITE ADDRESS: 95 Ferndale Green Unit#
Wayzata,MN 55391
PID: 36-118-23-44-0010
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: John&Irene Harnett
2905 Garfield Avenue S. 95 Ferndale Green
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.
/
C
�_�/�/�t� �l/l
APPLICANT PERMITEE SIGNATURE UED BY SIGNATURE
Copies: 1-File(Signatures Reguired), l-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
�Jan � � � 2001 2 ; D3PM NORBLOM PLUMBING No �4055 P , 2
FOR CiTY USE ONLY
, ':``p�:. \ Clty o�Orono
/+ 4' �� P.O.B�x 66 Data Receivad: Permit#!
�'O �`,� 2750 Kell¢y Parkway
i. -
,,,� ;y'>P�• ' �J�'' Crystal Bay,MN 55323 Approved By Amount$;
�� ''�;�' i / (952)249-A600
�,��.,�•,,� ,
�1110i"
CITY OF ORON'O—PLUMBING PERMTT
(All Commerciel permits must be epproved by the Building Of�loial or Inspector)
GENERAL INFORMATION
I. 'You may apply for plumbing permits by mail or in person at the City offices. Applications will be
reviewed and a permit will be issued within two working days.
2, Pcrmit cards will be sent by return mail after a raview is completed. PERMITS ARE NOT
VAL1D UNTIL YOU REC�IVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE,108�ITE.
3, Plumb►ns 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.
S. All work must be done�n accordance with State Code re9uirements.
6. All work must be inspected end air tested beforc it is covered. Call(952)249-4600,
(24-48 hour notice required)
TYPE OF PERMIT
Check All That A 1
Residential ❑ Commercial(Approval Required)
❑ New ❑ Additional [] Repairs �Replace
❑ (n Accessory Structure?
'"You will need nrivr aaarov�l and ma�need�.(Per Orono City Code,Chaptar 78,Articic IV)
Job Site / Owner Information;
Site Address; _ �ohn Harnett
95 Ferndale Green
Owner: Of OnO� MN 55391 dress:
City: ���.
Home Phone: Alternate Phone:
Contractor lnformation:
Contractor: N /��/ Contact�erson: J�f S _
/
Address: State Bond#: s-si9�9ay
City: Zip:,s� Expiration Date:
Phone: � '��33 Alternate Phone:
❑ Insurance—Current;
1
,Jan . � � 2001 2 � 03PM NORBLOM PLUMBING No � 4055 P , 3
PLUMBTNG �'iXTCJRES SEI1vG INSTALLED
F.IX'CURE BSMT I 2 OT.��R FIXTURE BSMT 1 2 OTHER
TYPB FL FL TYAE FL FL
Water Closet Floor Drains
Lavatory Sewcr Ejector
Bathroom C.aundry Tray
Showec Washer
Kitchen Sink Water Heater /
Disposal Water Softener
Dishwasher �Vet 9ar
Silicocks Miscellaneous
PERMIT FEE CALCULATION(S)
HASED OFF - 2002 STATE STATUE
� Yes,this section applies
The replacement of a Residential fixture or appliance that meets all three of the following requiroments:
1. Does not require madification to eloctrical or gas service.
2. Has a total cast of$500,OD or less;excludin2 the cost of the fixture or appliance:and
3. �s improved, installed or replaced by the homeowner or licensed conttactor.
Skip next section,if this applies; Cost of Permit $ 1�.44
State Surcharga $ .50
Mail-fn Fec(If Applica6le) $
'�'otal Permit Fee $�
(Permit Fees Continued On Next Page)
2
�Jan � -8 � 2007 2 � 03PM NORBLOM PLUMBING No �4055 P • 4
PERMIT FEE CALCULATION S --JOBS OVER $500,00
lf above does not apply;follow guidelines below:
]. CONTRACT PRICE '� is 1.25%of contract price with a(Minimum Fee of$35.00)
x.0125 $
(contract price) (minimum$35.00j
2. STATE SURCHARGE "* Add the State Bldg Code Div.Surcharge(Minimum Fee ofS.50)
x.0005 $
(cantract price) (minimum$ ,SO)
3. POSTAGE&HANDLING (Only on Mail-In Applications.) $ 1,50
4. TOTAL PERMIT FEE(Add.Lines 1-3 Above) S
■ '� C�NTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for thc
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
estimated cost or contract prico for permi� fee purposes. In the event that there is a dispute on the
amount of the job cost, the City may roquest the submission of a signed eopy of the actual contract,
� ■ '"* The STATE SURCHARGE is .0005 of the contract price undor$],000,000 ot$.50—whiehever is
greater. For valuations over 51,000>000 call the Building Department at(9S2)249-4600 for the price.
PLUMBING PERMIT APpLICATION AGREEMENT
The undersigned hereby applies to the Clty for issuance of a .Plumbing Permit, agrees to do al]
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:
Reset Form
3
�� wi��� �
DATE TIME
CITY OF ORONO CALLED IN ���
INSPECTION N�T, I,�C SCHEDULED a 7
PERMIT NO. � 1��7� COMPLETED �7 ' Y
ADDRESS �� Li��LG��P, ,
OWNER ��,f��� CONTR. ,1�Q7�r.t�����y
TELEPHONE N0.
q5 Z, �f 7� ��33( `l�
� DESCRIPTION ��
lL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WA�L BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS 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 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
�
�
�
O
�.
�
O
�
W
�
Q
�
Z
W
�
w
�
�
d
� ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE
W ❑CORRECT WORK�PROCEED `=I ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL AETURN
❑STOP ORDER POSTED.CALL INSPECTOR �� CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cal1 for the next inspection 24 hours in advance. (952� 249-4GOO �
OwnerlContractor on site:
Inspector. � r�� �
White Copyllnspector's File Canary CopylSite Notice