HomeMy WebLinkAbout2004-P07449 - water heater PERMIT
C I��1�'O F O RO N O Permit Number:
2750 Kelley Parkway - PO Box 66 P07449
Crystal Bay, Minnesota 55323 Permit Type: FiXr�res
(952) 249-4600 Date Issued: si3i2oo4
,
SITE ADDRESS: 2250 French Creek Cir
Wayzata,MN 55391
PID: 10-117-23-32-0003
DESCRIPTION:
Proposed Use: Kesiciential
Permit Class: Plumbing
Permit Sub-rype(s): �
Permit Type: Fixtures � ��
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: Norblom Plumbing Co. OWNER: Harlan&Marcia Hanson
2905 Garfield Avenue S. 2250 French Creek Cir
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.
YYI GL�-� l�r� �'►�-�._
APPLICANT PGRMITEE SIGNA"I'URE ISSCED I3Y SIGNATLRE
Copies: 1-File(SiQnitur�es Rec�uirecl), 1-Applicant, 1-Monthlv Reoorts, 1-Assessine, 1-Finance Page 1
CITY OF OR(�NO APPLICATION FOR PLUMBING PERMIT
Box 66 (2750 Kelley Park-way)
Crystal Bay, NIN 55323
GENEKAL INFORNIATION
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 PERIv1IT. 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 covered. Call (952) 249-4600. 24-hour notice
required.
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 I�eplace
, �/�esidential Commercial
HANSON, MARCIA
.T�B SITE: 2250 FRENCH CREEK CIRCLE
Owner's Name: . ORONO,MN 55391 : Zlp:
•
M2uling Ar�dress: �612)747-1284
�lephone Number:
c;it�: . Zip*,
Contractor'sName: ` � c TelephoneNumber: � (��z)�Z�-yc3_
Mailing Address: ZqOS �/✓ - -so• City:_�4'J,�/S Zip: �'sz/c��' -
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND I OTHER I FIXTURE BSMT I 1ST I 2ND OTHER
TYPE FL FL TYPE
FL FL
Water Closet Floor Drains
Lavato Sewer E'ector
Bathtub Laund Tra
Shower Washer
Kitchen Sink Water Hcater �
Dis osal Water Softener
Dishwasher Wet Bar
� Sillcocks Misc (list) �
.
PERMIT �EE CALCULATION(SZ
2002 State Statute � Yes, This Section Applies
The replacement of a Residential fixture or appliance that meets all three of the following
requirements:
1) Does not require modi�cation 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 Surcharge $ .5�
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)
x .0125 $
(contract price) (minimum $35.00)
2. State Surchar�e. ** Add the State Building Code Division a (Minimum Fee of $ .50)
x .0005 $
(contract price) (minimum $ .50)
3. Postage and Handling (Only mail-in applications) $ 1.50
4, TOTAL PERMIT F'EE (Add lines 1-3 above) $ L,Cj . �
* 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 evenc 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 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,
- i� �-, ��2�1 v�
Applicant's Signature: ` �-`r— Date,
� DA E TIME "
CITY OF ORONO CALLED IN ..3�
INSPECTION N TICE SCHEDULED S'/b '0� �—D
PERMIT N0. 7y� COMPLETED
ADDRESS Z�sO ��c�� ��C �'�-.
OWNER 1"���� � ONTR.
TELEPHONENO.__ ��2' 7T7 ��y
� DESCRIPTION ��������
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/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 PLUMBIN 23 SEPTIC FINAL 35 HARD COVER REMOVAL
0 PLUMBING FIN 36 FOUNDATION/REMOVAL
� NER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� ORK SATISFACTORY:PROCEED ❑_. OJECT COMPLETE ✓
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING ,
PERMANENT
�CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS.
Call for ihe next in pection 24 hours in advance. �95Z� Z49-4600
Owner/Contra si :
Inspector.
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