HomeMy WebLinkAbout2004-P07698 - water heater PERMIT
CIT�' OF ORONO
2�i.�i0 Kelley Parkway - PO Box 66 Permit Number: Po�69g
Crystal Bay, Minnesota 55323 Permit Type: FiX�ures
(952) 249-4600 Date Issued: �ii2i2ooa
SITE ADDRESS: ls8o Fox st
Wayzata,MN 55391
PID: 02-117-23-23-0007
DESCRIPTION:
Proposed Use: Kesidential
Permit Class: Plumbing
Permit Sub-type(s): Water Heater
Permit Type: Fixtures
DETAILS:
Approved per resolution#:
Separate pernuts 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: �'�'himeyMacMillan
3670 Dodd Road Suite 100 1580 Fox St
Eagan,MN 55123 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 PGRMITEE SIGNATURE SUED BY SIGNATURE (
Copies: 1-File(Sienitures Required), 1-Applicant, 1-Monthlv Reports. 1-Assessine, 1-Finance Page 1
du�-u�-'Luu[ 1Z�50pm From-CITY OF ORONO +9522484618 T-580 P.ao voa2 F-T30
C�TY 4F O�.LOIVQ APPI.X�AT'T4V �+'UR�L�,.T.M]3�"i�tG �+�.t`tiiTT
Bax 66 (2750 K.elley �'arlcwaY)
Cry�ta� �ay', MN 55�23
��rr�xat.,rx��a�rA�o�r
I. You may apply for pIv�nbiaag permits by mail or in person at the City o�Cas,
2. P�ermit cards will be s�t by return mai�after a review is ca�pletad. PERMIT�Al�NQT V'AL.IA LTNxt�.
'Y'dU'1:�CEIVE A F�RMI�". 't�URiC.�'1�,T��'N'Q'Z'B�GIIV LJ�1'C�THE P&RTVITT�ARI]Ifi p(� '�'�j�
TNE Jf�B S,�TE.
3. Flumbi.rag�e�mits►nay he zssued QNL"k'' to 1ic�:rised plumb�ing conK�actors ar�d.t4�aroperry awners resiflixi�
in the dw�ellin,g.
4. When any new cpnstruction or remadeling is invcrlved, �.separate buiIditrg permit anust b�obx&i��d.
�. A.11 worl�ruust be dane in ac�ordance w9.rh rkt�St�te Code requ'uemems.
6. All work mns� be in��Gted �� aIl (�:SIC� �lF'fOlf_' it is �^Ov0*ed. G'al? (�.�`2) 24�-�#6�(1. 24-hour r.uti�e
xequir�d.
Tns�ruc�ions Go�nplete all items o�Yk�s appI.ica�fon, Gomgute the perrnix fee. �ign�ad d.��� t�e
c�rt�fication. IN�UMM�'�.ETE A�'�'ZI�ATTt]1vS WI�,L N�T BE P�.C�GESS��. Tf you have
r�uestions, call (9a2) 249-�6QQ.
Please check one; N'�w ,��,Addition RepAir �},2,e�lace
�T��t.esiden.Cx�.l �ommerci�,l
.TOB S�'I`E; �s�C' �G--� :�— ��T��_5`��..s`���/
O��vner's Name: �-��7 ���`�',�..�r ���1..��L.� E�' '�elephone��ur�pGber.__4•�� -7 J 9 -�'i��/
11�Cailsng AddreSs: � ►�� v�� City:��`. Zip. �5_�9'!
C��tractar'�Narn�• `�( ifi� �� � c�c ?��� +� '�ei�pho��b�r: ��'S��-i���'
iVtaitin�Address:�l_.°1C ,�'�n �'nC ��nC �i't3'� - 'v� �ip��-�� ��. 3
rr��rna�nvc �mxrn� �..,cxr�aur��
�rXTC�R� �SMT 1ST 2N1� 0'F�I�k FIXTUR� BSY1T 1S'� 2ND (�TI��R
TYPE FL �� T'YFE PL. ��.
Wat�r Closec Floar�raax�s
Lavato Sewer B'ector
Sarhzub L�uz� TrA
Shower Washer
Kltchen Siak Waccr H�ater �
Dis os�i Water 5of�ener
DishWas�er VJat�ar
Sillcocks Misc �isc)
��'7,00
Ju1-03-Y002 12:5�p� Fra�-CITY OF ORQNO +9522�94616 T-5BQ P.002/Q02 F-790
�'ERMI'C' �E CA�.C;YTLATXI�N,�)
�U�02 State �tatute �Yes, This Sect�an A�plies
T�e reglac�rz��rtt pf a Ftea�den#,ial fixteare nr„a���ance tb�t meets all t�ee o�` t�h.e follOwir�;
r�quireme�ts:
1) Does nat require mo�Ii�catiaz� tA eleGr�x�al or gas servic�.
2) Ha,s a o al ost o��SOQ.QQ �r less; e� • ��the cost Qf th� �xtuX� or apptianc�:
and
3) Is improved, �r�s#alled oz�repla��ed lay ch� hom�avvner a.� licenced co,nt�a�tor.
Ski� next section; Cost of 1'ermiY $ _ �,5 QO
St�t� Surc��rg� $ - •.�0 .,,,�-�„_..
Mail Izx Fe� $ 1,5Q ,
If abov� dQes not apply, fotlow �uidelines 1�elow:
�.. Contract Fr��e* is ,QX25 � of job wi[h. a ini�nurra Y�`+ee n,�„f . 3S 00
, � .Q125 $
(conu,uti pria�} (minimum�35.OQ)
2. �at� Surc�a�es �� Adcl th� �tate ,�uiIding Ct�de T7ivision a (11�in�mtu� �ee o�'� .50)
x .OQUS �
(contr�dt prf ce) (mi�ifnuni$ .SQ�
3, Pas „e and�iand.l�n$ ((�r�ly mar.l-� agplicatipns) � �SQ
4. �OTA1.�FERM�'x'�`EE (Add Iine� 1�� abov�) �
� �(3Nx1�.A.CT�'RZC�or JQH ��►ST means tk��accual ar estirnated dallar amoi.�t charg�d Por the��rziutted
work it�e�ud�,ng materials,labar,praf�c,xs�d otk�er f;tx,et�costs. �t i��he asnount ta be���r�ed eo the customer
fQr the work do;qe. IP any maceri�.l, equipmez��, labar, ar i�atallation ar�furnisheci by ti�e awner, cer�ant�r
any other pax�y the reasona�Ie markee value of auc1�it�ms ar�usi be added to che esti�ma�ed casz Qr contract
priCe for parcnit fee puzpo�ses, In th�event t�at ch�re�S a dispt�te on the azr�dunt of nc�aob cos�,the City m�y
requesti t.�e submission of a signed capy of the actua�comuact.
�� 'Y'he STATE�T.TRCHA�2.GB is .OQQS of t]ze cor�uaot prxce u.x�der�1,OOO,C►00 ar $.SQ-w$iChever is �r�ater.
�ar valuations over�1,OOO,QQO call the D�pt�ment ot Inspectio� Se�ces for the price.
The und�rsigx�ecl hereby a�plies t4 the City for issuane� of a Flumbi�g Permi�, agree� t� do alI
work in strict �c�ordance with the �ardin�ances o� the Cit�r ��d the �^�gutatio�zs af Fhe �tat� Q�
Minnesot�., ��1 rerti�es �Zat all 5ta[�aen#s made c�n ti�is �pplicati4r� are compl.e��, true a.t�d
correct.
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Applicant's�igz�a�uz'e: i � Date;�'L�o�,
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