HomeMy WebLinkAbout1999-011544 - water heater PERMIT
�''�'�' OF ORONO
�1►. iey Parkway- PO. Box 66 PERMIT TYPE: ; ._
. t :Tiii..Y j��.
ay, Minnesota 55323 Permit Number: _ _ �:;
Date Issued: `�' ` `���
__���; -+;3-7357 [_1��;`j.`. _. M
I SITE ADDRE�S:
;.�:��: . .��=`� �":����� __:=�
- _ _ _-_ -�,,-;�.
DESCRI�TIC���:
... L i ._, � t i R.%'.
_ :?'�t'31= s` ; _ 'i,i 4;_�;+`w-°'
_.;�i:=:�i 1'?'� u%�=�:.. f ' .-: .__'."`s_f��{;t-, r;;` 3 `.W� 3 i�'vtz
� � _ _ _._ ____ _ _
____ _ ----- _ --_..__ ----___.___.__. ..____--------
RE(VIAi�F;�: - ----
_ _ - --- .____ __�._.�--- --------------
FEE ��JN1��:�Y;
;.r'�;;��i;iv �-t%t_:i
�_'�_' ;':�-?i f 1�v �i �(1
_. si;_'.i''- _ �____._� _�•� i F-� _•_�.€ i'" _._ �..._._.._.....�� —_--'=�t=�
__ ���:�,T . _ _
CONTRACTOR: - .-���;::� i ; F rit-,=. -� OWNER:
-.,_: ,..�l.; -:� �;..��,.-�� �y - - ' - - _ --�,-;;; -
,v�E;;-�;_._. . �..._:. .._ t'�._ _ ._ __.._. _ : � .__ . ,��__ . 'r::�_.�;�:-T I
' _ ' _ S't F'7!—:S� ��'—_�'� F"�Y_. :f i« [� + j 7:i_:" � '
. . .�.�`._ .
`;i;`•1''���-;�::-`:,f�_._�, _, ta�+i _ _ —.'_�•'_� t�ls-''• +;V'�! _ _. :%=3 i
I I — _ — — — —
__. ,_ ,� ._._
� ,.Az�.. � . t � ,:_,_�__ _
. - � . ;;�;t';—.'—;�'`' t. i�.:•_;{`�;
..__ �_. . .. __. ._ _ ..... .s._tL' . .._. .._._ � ...__•✓•_.» • -..� . ..,.F"�.i'i Y _ _ _ _} J i ;'.:}i:�i �-�;:ai i�'v: :3,;,:�"�� $ f �:t��i _
. .. _ i i.._. . ..__. .... .. ._ .__. ._. : _
' . 1 F : 7 S t�y��i:'�k:1 '-...i1.t.�..��.�:. f i ;7i~� r-�[1 ; ,.v.'lYi3;'Y.� —_ .` : _ s.,E�i'fj..' F F��i`w:. ' ' _ _
.., . �. . ,Y_ . ., .t _ _
�_. . _. ..,L.� . t'o:W.. _.......•.' _� ` � . .
S.Y� :�y 1 '�:�iY:,}:'.`;l��..�.',�, /'•;.';- :_�;':1 i` _ — — _ — ,. _ _ _ _ _ . _
._E .1_. �_+ ....: .lr�,—�i..��.�_� ;i��? � �._� a:� ai�. �_E�V ?`1.�;`•�,`J;- ._ _ iji•'.M1— _ _ _.— _i — — s_+ I
i _ _. _ _.._ . .._ ... . _f .
L— � _ J
�
� � � �
APPLICANT PERMITEE SIGNATURE ISSUED BY:SIGNATURE
� �,���
.
. �
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 o�ces.
2. Permit 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 pemuts 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 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 249-4600.
Please check one: New Addition Repair � Replace
_�� Residential Commercial
RETZLER, KURT
JOB SITE: 1100 HERITAGE LANE ZlP:
Owner's Name: ORONO, MN 55391 elephone Number:
Mailing Address: �612)473-7880 ;ity: Zip:
Contractor's Nar. NORBLOM PLUMBING CO. Telephone Number:
( '�j ��7-4u33 City: Zip:
Mailing Address: u ��
.
MINN SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water CIoset Floor Drains
Lavatory Sewer Ejector
Bathtub Laundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Misc (list)
.�''
PERMIT I'EE CALCULATION '
1. 1.25% of Contract Price* or Minimum Fee 35.00
x .0125 $
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $
(contract price)
or $.50, whichever is greater
3. Posta�e and Handling (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE � (Add lines 1-3 above) $ ��c'��%' _
* CONTRACT PRICE or JOB COST means the actual or estimated dollaz 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,
tenanl or any other part�� the reasonable market value of sach items must be added :o 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 Jnspectional 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: _���
� !�1�! �2t1C��V�+i►1�h�