HomeMy WebLinkAbout2006-P09557 - water heater PERMIT
CITY,�OF ORONO Permit ►vumber:
2750 Kelley Parkway- PO Box 66 Po9557
Crys:��l Bay, Minnesota 55323 Permit Type:
Fixtures
(952) 249-4600 Date Issued: 1/26/2006
SITE ADDRESS: 519 Ferndale Rd N Unit#
Wayzata, MN 55391
PID: 36-118-23-14-0008
DESCRIPTION:
Proposed Use: Residential
Permit Class: Plumbing
Permit Type:
Fixtures Permit Sub-typc(s): Water Heater
DETAILS:
Approved perresolution#:
Separate permits required:
NOTICES/REMARKS:
2 water heaters at this address(two separate permits)
FEE SUMMARY: Permit Fee: $ 15.00 valuation: $ 0.00
State Surcharge Fee: $ 0.50
Misc. Fee: $ L50
TOTAL FEE: $ 17.00
APPLICANT: Norblom Plumbing Co. OWNER: Tom Micheletti
2905 Garfield Avenue S. 519 Ferndale Rd N
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.
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APPLICAT�T PERMITEG SIGNATURE SSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, I-Assessing,(If Septic, 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 City offices. ` '
2, Permit cards will be sent by retum mall after a review is completed. PERMITS ARE NOT VALID UNTIL
YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POST$D ON
THE JOB SITE.
3, Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners residing
in the dwelling.
4. When any new construction or remodeling is involved, a separate building permit must be obtained.
5. All work must be done in accordance with the State Code requirements.
6. All work must be inspected and air tested before it is covered. Call (952) 249-4600. 24-hour notice
required.
�nstructions Complete all items on this application. Compute the permit fee. Sign and date the
certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call (952) 249-4600.
Please check one: New Addition Repair �eplace
_�/ftesidential Commercial
.
JA$�I�• MICHELFI�T1,THOMAS '
,.,, � ,, ., . 519 FERNDALE ROAD NORTH ..... , : Zlp: {
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Ow�er's�Name:. oRorvo, Mrv 553s� '`'''T�lephone Number:
MailingAc�c�ress: ` �g52)404-1680 Clt�f; : '`Zip:';
Contractor's Name: c Telephone Number:_� (6�z)�'Z�y y�3,�
Mailing Address: ZqDS 'e,� .so: Cityt /V1�/S Zip:` SS�/�`�. -
PLUMBING FIXTURE SCHEDULE
FIXT�URE I BSMT 15T 2ND OTHER II FIXTURE BSMT 1ST 2HD OTHER
TYP., FL FL 'i'Y PB FL FL
Water Closet Floor Drains
Lavato Sewer E'ector
Bathtub Laund Tra
Shower Washer
Kitchen Sink Water Heater � 2 e�2
Dis osal
Water Softener
_ ._
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Dishwasher wec$ar
Silicocks Misc list
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PERMIT FEE CALCULATION(S.�
2002 State Statute � Yes, This Section Applies
The replacement of a Residential �xture 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; excluding the cost of the fixture or appliance:
and
3) Is improved, installed or replaced by the homeowner or licenced contractor.
Skip next section; Lost of 1'ermit � I�.UO
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
x .0125 $
(contract price) (minimum$35.00)
2. State Surcharge. ** Add the State Building Code Division a (Minimum Fee of$ .50)
x .0005 $
(contract price) (minimum $ .50)
3. Postage and Handling (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, Iabor, or inscaYlat�orr arc fumished'iYy ttie awner, 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 greater.
Foc 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.
Applicant's Signature: Date: