HomeMy WebLinkAbout2001-P04667 - water heater C���' OF ORONO PERMIT
2750 Kelley Parkway - PO Box 66 Permit Number: Po4�6�
Crystal Bay, Minnesota 55323 Permit Type: F�Xtures
(952) 249-4600 Date Issued: �v2�i2oo�
SITE ADDRESS: 28ot Fox st
Long Lalce,MN 55356
PID: 04-117-23-34-0004
DESCRIPTION:
Proposed Use: Kesiclent�a�
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: $ 35.00 Valuation: $ 200.00
State Surcharge Fee: $ 0.50
Misc. Fee: $ 1.50
TOTAL FEE: $ 37.00
APPLICANT: McGuire& Sons OWNER: Dan& Maggie Kluth
605 12th Avenue S 2801 Fox St
Hopkins, MN 55343 Long Lake MN 55356
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEIV�NTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLtANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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A PLICAN"I�PERMITEE SIGNnTURE UED[3Y SIGNATURG
Cooies: 1-File�Si�nitures Reauired), 1-Apolicant, 1-Monthlv Reports. 1-Assessine, 1-Finance Page 1
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CITY OF ORONO APPLICATION�R PLUMBING PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, NIlv 55323
GENERAL INFORMATION
1. You may apply for plumbing pemuts by mail or in person at the City offices.
2. Pemut cards will be sent by retum 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 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.
ti. Hii work must be inspecteu ffi1(� 13I ICSfC(� UCivte it IS�o�er�li. �diL �73 i�.�i7. ��-�"i��iii F��ii�� iC(j�;I'�:�.
Instructions 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 473-7357.
Please check one: New Addition Repair �_ Replace
Residential Commercial
JOB SITE: ��- Zip:
Owner'sName: TelephoneNumber: qS�a_�.1��- p,��
Mailing Address: City: Zip:
Contractor'sName: � ' TelephoneNumber: qS-a_���-�b�l�,�,
MailingAddress: ltnnlr�nc �rtN 553q� City: Zip:
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND 01'HER
TYPE FL FL TYPE FL FL
Water Closet Sewer Ejector
Lavatory Laundry Tray
Bathtub Washer
Shower Water Heater X,
Kitchen Sink Water Softener
Disposal Wet Bar
Dishwasher Floor Drains
Sillcocks Misc (list)
. i
. . .
PERMIT FEE CALCULATION
1. ' 1.25% of Contract Price* or Minimum Fee ($35.00) o� F
���..� x 1.2s � 3`� }
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $ � ��
(contract price)
3. Posta�e and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ `�"l. O�
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount chazged 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 installation are furnished by the owner,
��nr;� �r�„�, nthg����. ?hP re���na_hle m�rket value of such items must be added to the estimated cost
or contract price for pernut fee purposes. In the event ttiat 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 Department of Inspectional 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 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:
,
, LL _ t
✓ �
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION N IC SCHEDULED !-IO �l" Q A'+'�°1
PERMIT N0. � COMPLETED
ADDRESS�25�� /C�� c� �°
OWNER CONTR. ,L���ti'� � S�1�d
TELEPHONE N0. S^� ���C��l.S^�
� DESCRIPTION 'V��L/- �ice�t ��r��1'
� 01 FOOTING 11 MECHANICAL RI 18 EXCA�//GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAI. 35 HARD COVER REMOVAL
J 0 PLUMBING FI 36 FOUNDATION/REMOVAL
� O NTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
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� �WORKSATISFACTORY:PROCEED �PROJECTCOMPLEfE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
� INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� 249-46��
OwnerlContractor on site;,
Inspector. � �-�--� '���� --
White Copyllnspector's File Canary Copy/Site NoHce