HomeMy WebLinkAbout2002-P05445 - water heater PERMIT
C�TY�OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 P05445
Crystal Bay, Minnesota 55323 Permit Type: FiX�ures
(952) 249-4600 Date Issued: �i24�2o02
SITE ADDRESS: 3580 Frederick St
Wayzata,MN 55391
PID: 20-117-23-12-0019
DESCRIPTION:
Proposed Use: Kesident�al
Pernut 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: $ 400.00
State Surcharge Fee: $ 0.50
Misc.Fee: $ 1.50
TOTAL FEE: $ 37.00
APPLICANT: NorblomPlumbingCo. OWNER: LavayNewton
2905 Garfield Avenue S. 3580 Frederick St
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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APPLICANT PERMITEE SIGNATURE 1S ED BY S[GNATURE
Conies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
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 return 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.
6. All work must be inspected and air tested before it is co��ered. Call (952) 249-46QQ. 24-hour norice
:equi:��'.
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 (952) 249-4600.
Please check one: New Addition Repair }( Replace
� Residential Commercial
NEWTON, LAVAY
JOB SITE: 3580 FREDERICK STREET Zlp:
Owner's Name: �RONO, MN 55391 Telephone Number:
Mailing Addres< <952�4�i_�$$� City: � Zi
P� ��
Contractor's Na. ��� l��j�:�y-� � -�; � , -�� Tele hone Number: (p12) ��-�/��3
al�a`.1,��/;���';c� — P � $��
Mailing Address: �{�� ��/��/� ,qy. �, City: Zip: ��-f�0�
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
Lavato Sewer E'ector
Bathtub Laund Tra
Shower Washer
Kitchen Sink Water Heater
Dis osal Water Softener
Dishwasher Wet Bar
Sillcocks Misc (list)
PERMIT FEE CALCULATION(S)
2002 State Statute � Yes, This Section Applies
The replacement of a Residential fixture 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; excludin� the cost of the fixture or appliance:
and
3) Is improved, installed or replaced by the homeowner or licenced contractor.
Skip next section; Cost of Permit $ 15.00
State Surchar�Ve � .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 ($35.00)
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`1 Qo .°C x .oi25 $ �J. .._
(contract price) (minimum$35.00)
2. State Surcharge. ** Add the State Building Code Division a (Minimum Fee of$ .50)
�•t���Q.� x .0005 $ � �
(contract price) (minimum $ .50)
3. Postage and Handling (Only mail-in applications) $ 1.50 �, �
4. 1�'OT�I. PFRI�TT�F. (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 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, 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.
For 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 Pernut, 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: 7lS C� (��