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Home My WebLink About2007-P11430 - water heater PERMIT CIT.Y OF ORONO 2750 Kelley Parkway - PO Box 66 Permit Number: P1143o Crystal Bay, Minnesota 55323 Permit Type: Fixtures (952) 249-4600 Date Issued: 9/12/2007 SITE ADDRESS: 627 Ferndale Rd N Unit# Wayzata,MN 55391 PID: 36-118-23-11-0029 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: Permit Fee: $ 15.00 valuation: $ 0.00 State Surcharge Fee: $ 0.50 Misc. Fee: $ 1.50 TOTAL FEE: $ 17.00 APPLICANT: NorblomPlumbing Co. OWNER: Bonnie Johnson 2905 Garfield Avenue S. 627 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. `1�z a�-C �-tti B'yu�a�- APPLICANT PERMITI:E SIGNATURE SSUED E3Y SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, l-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 ' FOR CITY liSE ONLY 0,��0 City of Orono P.O.Box 66 Date Received: Permit# 2750 Kelley Parkway .+ a ' Crystal Bay,MN��323 Approved By: Amount�: �� ' � � c` (9�2)249-4600 � � �r�Ko¢�' CITY OF ORONO–PLUMBING PERMIT - (All Commercial pennits must be approved by the Building Official or Inspector) GENERAL INFORMATION l. You may apply for plumbing permits by maii or in person at the City offices. Applications wili be reviewed and a permit will be issued within two working days. 2. Petmit cards will be sent by return mail after a review is completed. PERMI"I'S ARE NOT VALID UNTIL YOU RECEIVE A PERNIIT. WORK MUST NOT BEGIN UNT[L THE PERMIT CARD IS POSTED Olv THE JOB SITE. 3. Plumbing permits may be is5ued 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 State Code requirements. 6. All work must be inspected and air tested before it is covered. Call (952)249-4600. (24-=t8 hour notice required) TYPE OF PERMIT _ (Check All That Appl�____ __ _� �J2esidential ❑ Commercial(Approval Required) ❑ ��ew ❑Additional ❑Repairs �Repiace ❑ In Accessory Structure? *You will need prior apnroval and may need CIJP.(Per Orono City Code,Chapter 78,Article IV) � Job Site / Owner Information: _� Timothy Johnson Site Address: — 627 Ferndale Road North Orono MN 55391 Owner: 9524732507 ress: City: Home Phone: Alternate Phone: Contractor Information: � Contracto�Q G (;�ntact Person: Address: ,�94� 827-4�33 . SOState Bond #: S�CoS c�ty: MINNEAP(JL1S, �15540�Xpiratiop Date: _ D _ Phone: Alternate Phone: ❑ Insurance–Current: 1 PLUMBING FIXTURES BE1NG INSTALLED FIXTliRE BSMT 1'T 2" OTHER i FIXTURE BSMT 1� 2u OTHER TYPE FL FL � TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector Bathroom Laundry Tray Shower � Washer I � Kitchen Sink Water Heater � � � �-- Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous �- PERMIT FEE CALCULATION(S) � 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;excluding the cost of the tixture or appliance: and �. Is improved, ir.stal}ed or replaced by the hc�meowner er l:censed contra�tor. Skip next section, if this applies; Cost of Permit $ 15.00 • State Surcharge $ .�0 Mail-In Fee(If Applicable) � 1.50 Total Permit Fee $ /7.DO (Permit Fees Continued On Vext Page) � � �- PERMIT FEE CALCULATION(S)-JOBS OVER $500.00 If above does not apply; follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00) - - � x.0125 $ (contract price) (minimum$35.00) 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee ofS.50) x .0005 $ (contract price) (minimum$ .�0) 3. POSTAGE&HAN"DLING(Only on Mail-[n Appl�ications) $ 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 tixed 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 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 �f the actual contract. ■ ** The STATE SURCHARGE. is .0005 of the contract price under$1,000,000 or$.50 - whichever is �reater. For valuations over$1 000,000 call the Building Department at(952)249-46Q0 for the price. PLUMBING PERMIT APPLICATION AGREEMENT -� The undersigned hereby applies to the City for issuance of a Plurrbing 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• Date: � Reset Form , � � D TIME � CITY OF ORONO CALLED W �J�� INSPECTION NO IC �J� SCHEDULED � � PERMIT NO. �" COMPLETED ADDRESS �o o�7 ��'v�4CG�� 'O� %1� OWNER�_�(.rt.c:�C�a�� CONTR.��Y�Id�Y✓�� TELEPHONE NO. ��Z T 7�3 `�5a� � DESCRIPTION �� 'L � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT J ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ � PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL � ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O � � O � W � Q � Z W � W � � j d W� ORK SATISFACTORY:PROCEED _�JECT COMPLETE W ❑CORRECT WORK 8 PROCEED �, I SUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 h urs in advance. (J52� 249-46�� OwnerlContractor on site: Inspector. White Copy/lnspector's File Canary CopylSite Notice