HomeMy WebLinkAbout2005-P08720 - water heater � PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: po872o
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued: 5/12/2005
SITE ADDRESS: 519 Ferndale Rd N
Wayzata,MN 5539]
PID: 36-118-23-14-0008
DESCRIPTION:
Proposed Use: Kesidential
Permit Class: Plumbing
Permit Sub-type(s): Water Heater
Permit Type: Fixhues
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 35.00 valuation: $ 1,800.00
State Surcharge Fee: $ 0.90
TOTAL FEE: $ 35.90
APPLICANT: Practical Systems OWNER: Tom Micheletti
4342B Shady Oak Rd. 519 Ferndale Rd N
Hopkins, MN 55343 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.
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APPLICANT PERMITEE SIGNATURE SliGD BY SIGNATURE
Copies: I-File(SiQ�iitures Required), I-Applicant, 1-Monthlv Reports, l-Assessin�, 1-Finance Page 1
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I . FOR CITY USE ONLY
� ,��� City of Orono
O'^ O P•O•Box 66 Date Received: Permit#
- �;,,;�„a 2750 Kelley Parkway
a ��i�'�;�-� Crystal Bay,MN 55323 Approved By: Amount�:
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,��:r��.�o (952)249-4600
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CITY OF ORONO —PLUMBING PERMIT
(All Commercial permits must be approved by the Building Official or Inspector)
GENERAL INFORMATION
1. You may apply for plumbing permits by mail or in person at the City offices. Applications will be
reviewed and a pernut will be issued within two working days.
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 pernuts may be issued ONLY to licensed plumbing contractors and to property owners
residing in the dwelling.
4. When any new consriuction or remodeling is involved, a separate building pennit 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)
❑ New ❑Additional ❑Repairs ,�Replace
❑ In Accessory Structure?
*You will need prior approval and may need CUP.(Per Orono City Code, Chapter 78,Article IV)
Job Site/ Owner Information:
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Site Address: �1�� �i�-ta,;,c9.ct�E
Owner:"s��� �5�=��� M�c_1�e�e(F� Mailing Address:
City: Zip:
;
Home Phone: 9�� '�aS�- 1(�Sc' Alternate Phone:
Contractor Information:
Contractor: ����c�.'�„� S;.�s,c�,,,i3 Contact Person: �, �c�v'
Address: 43���1.t�3 �►,�Q�i c�rz(� ;��(� State Bond#:
City: ,������� Zip:�� Expiration Date:
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Phone: �s�� 9.3�' ��� Alternate Phone: � �
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❑ Insurance—Current: �
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PLUMBING FIXTURES BEING'INSTALLED
FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
Lavatory Sewer Ejector
Bathtub Laundry Tray
Shower W asher
Kitchen Sink Water Heater �
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Miscellaneous
' PERMIT FEE CALCULATION(S) i
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.
2. Has a total cost of$500.00 or less;excludinQ the cost of the fixture or appliance:and
3. Is improved,installed or replaced by the homeowner or licensed contractor.
Skip next section,if this applies; Cost of Pernut $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
(Permit Fees Continued On Next Page)
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. PERMIT FEE CALCULATION(S -JOBS 4VER$500.00
If above does not apply; follow guidelines bel�w:
1. CONTRACT PRICE *is 1.25%of connact price with a(Minimum Fee of$35.00)
��'0 L� X .oi2s $
(contractprice) (minimum$35.00)
2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of 5.50)
x.0005 $
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $
■ * CONTR.ACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
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 price for pernut fee putposes. 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 Building Department at(952)249-4600 for the price.
PLUMBING PERMIT APPLICATION AGREEMENT..,
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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: �i-�;� �� Date: �/ �� /OS--
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