HomeMy WebLinkAbout2004-P08082 - water heater CITY �F ORONO PERMIT
2750 .�elley Parkway - PO Box 66 Permit Number: Posos2
Crystal Bay, Minnesota 55323 Permit Type: FiX�ures
(952) 249-4600 Date Issued: loiisi2ooa
SITE ADDRESS: 800 Forest Arms La
Mound,MN 55364
P I D: 07-117-23-12-0004
DESCRIPTION:
Proposed Use: Kesidential
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: H.P. Pipeworks OWNER: Robert&Janice Bonnema
3670 Dodd Road Suite 100 800 Forest Arms La
Eagan, MN 55123 Mound MN 55364
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.
t
l/!/l �--
APPL[CANT PERMITFE SIGNATURE UED BY SIGNATURE
Copies: 1-File(Sienitures Required), 1-Aonlicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
�� . .Yi-u�-�uu[ 1Z:50pm Fram-CITY QF �RONO �9522494616 T-58Q P.DO1/OQ2 F-T30
.
C�Y OF (J120N0 AT�P'L��AT'YO�i�'UR 1'L�T.�iB�TG �1t11�TYT
Bbx 6f (2750 Kell�y �'�rkwaY)
Cry�ta� �ay, 11�N 553�3
G��AL INFt�R1biAT'I01'�
1. You may lpply for pl�nbi�pezmics by mail ar in person �t txza Clry of�iCes.
2. Permit cards will be sent b�return maii after a review is cpmpleted. PERMITS AI2E�vTQT V'AL�A TJNTIIG
'Yd�U'T�CEIVE A F�,'RMI'T'. 'I�URI��TST NO'Z'B�SGZI�J t3'�T7'IL.THE PHT2MT'��ART]]fi'FpSTE�']ON
TNE TOB SI'f`E_
3. Flumbing permlts may be issued 4NL'4'' to lic�r+sed plumbing ca�t�actors and c4 properry owners residin�
in the dw�llin,g,
4. When any new eC�nstcuCtian oc remadeling ia iavolved, �.s�parate build�g pertnit must be obt&in�d.
5. A,1�work must be done 9n accordance with rhs St�te�ade requ'uern,eAu.
b. ,All work mus� be insp�ctad as�d air t�sted before it is cov�rad. Call (4S2) 24�-46(�0. 24-houz� npti�e
x�quir�d,
Ynsi.ruc�',aons Co�iplete �.11 items o�tkii,s�p�Iication, Gam�aute th�permit fee. �ign�n.d dA�� xk�,e
c�rtifi�ati4n. IN��11�'�'�,ETE A�`k'LI�,A.TI(]1V� WILL NUT BE P'RC�CFSS��. Tf y�u have
questions, call (9S2) 244-�fi00.
Please ch�ck one; --�--��1�"�w Addixi4n Repai.r ✓�.e�►lac�
✓ tceside11G�211 �~� Coll3xri�TCI�,1 �
.TO���'I'�; 0 f b� �' .GT p: .��r����
Owner's Name: -�c� �elephone�Tura��er:�i,.�._y7,,�,-',��?Z�
1Vlailing Addr�Ss: �� i��� C�ty:�c�. . ' 24�;���3��
C�ntra��tar's Narne;�.1 � :��,��OR-� �'elephune�u�ber:������s - /��D
iViailin�Address: ��, �I D �n-.c��� �c� CitJ'���'_��P! .�„��
P�.C.)iViB11�TG Fi�'r'� �.,,C�DUi.,I�
��'fCTR� � �S�T iST 2ND 0'I'��Fc I FI7��'UR� BS;v�7C 1S�' 21+1J� f c�TH�R
'I`�'�E �L �I. T'1TFE PL �Y.. �
Watec�loset Floax brrs�.ir�s
Lavato Sewer B'ectoz
�arhzub La�.z� Trn
Sho�wer Wasl�er
Kitchen�ink 1�Jatcr#�eater
Dis as�i Watez�of��ner
Diahv►�astte� VJet�ar
Sillcocks Misc �ist)
�/�, D-�
. �u1-03�2002 1E.50p� Fro�-CITY OP ORONO +9622�94616 T-59Q P.002/QQ2 F-73Q
h
PEl�MI'C' �E,C�I.,�tiILATYC�N,�S)
�402,St�� �tatute �,Y�s, This S��t�on A.pF#ies
T�e replace;�t�n.t of a Re:�idential fixtc�re c�r a ' ce tb,at m�ets a11 th,�ee o�` tb.e �'ollawzng
r�c�uireme�ts:
7,) Does nat r�quire rnotlifi�atiar� to �lear��Ga1 or gas serv�c�.
2) Has a o al ast o��SO�.QQ �r less; ex,��the co�Y Qf tM:� fxtux� or applianc�:
and
3) Is irnproved, install�ed oz�repla�ed lay th� hom�avc�ner a.� lzcenc�d coz��a�tor.
Skig nexx section; Cost af 1'ermzt $ _ l,� QO
�t�t� Surck��rge � —�--�-r��
Ivlail I�Fee $ 1,5Q ,.
If above dQ�s z�ot ap�Iy, �pllow guxdeli.zies �aelow:
�. C�ntract Fr�+�e* is ,pX25 �Io oP job with � �ini�nunn T+�ee oP , �� 0
......_.�.
�. .Al2� $
(C4ntr:uti pri��) (rnanimtu�,�35.Q0)
2. State Surchar�e. '�� Adr� th� State �,uiIdin� Gc�de l]ivisic�n a (ri�infm� �'ee o�$ .54}
x AQf�S �
(contract price) (mir�imunt$ .SQ)�
3. Pr�sta�e anct Hand.��ns (Qnly zz�ai.l-� applicat�ons) � _ �,.SQ
4. '�(�TA�L PERM.��'�','�E (Add Ii�es 1�3 �.bov�) �
* �aN7'I�ACT�ItIG�oz JQB CQST means tk��ae�ual ar estimated dallar amauzu charg�d fox the��rzzutted
work i�eiudin�m�acarials,labar,pra�'ic,a.nd atkaer#ixe�costs. �t is the a�nount ca be c�ar�ed eo t�e custom.er
fQr th.e work do;qe. �P az�.y materi�l, aquipmez��> labar, oz ir�atallation aca furnishe�by�t?ae nwner, tez�ank 4x
auy other pa�y the reaso���Ie markee v�.lue of such it�ms mus;be added�o the estimatad casz ar contract
price for permit fee purposes. In rh�event tf�at�here is a dispt�t�on the$z�dunt of rhe job aos�,che Ciry may
requesL the sut�mission of a sign�d capy of the acma�contract.
*�" Tha STATE SLTRCI�IARGB is .QODS af ttle conuaGc price�.uzder$k,(N?0,400 or $.S�J-whiChever is �reater.
�or valuations over�1,OOO,QQO call the Dep�.rtment of Inspectzon Se�vices for she priee.
The und�rsig�ecl hereby a�plies tQ the City for issuanc� of a FIumbing Pexrnit, agree� ta do a]I
wark in strict ��cordanGe with th� ordinances Qf the Cit�r ��d the x�gulatioa�� �►f the �tat+� Q�
Minnesota, ��i. Gerti�es that all 5tac�ria.ents made 4n this applicaciQ�a are ct►mpl.ex�, t�ru.e a�.d
corr�ct.
( � ��-
Applicant's Si,�na�uxe: �C�'���ifG�% -- - Date•/� /��d �,