HomeMy WebLinkAbout2000-P02714 - water heater � PERMIT
*C,'�lTY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Po2�ia
Crystal Bay, Minnesota 55323 Permit Type: F�Xtures
(612) 249-4600 Date Issued: ��20�200
SITE ADDRESS: 4132 Highwood Rd
MOLTND,MN 55364
P��: 07-117-23-44-0031
DESCRIPTION:
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Permit Class: Plumbing
Permit Sub-type(s): Water Heater
Permit Type: Fixtures
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: Norblom Plumbing Co OWNER: SCOTT G&CATHERINE ANDERSON
2905 Garfield Ave South 4132 HIGHWOOD RD
Minneapolis,MN 55408 MOUND MN 55364
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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AP LICANT PERMITEE IGNATURE ; UED BY SIGNATURG
Copies: City,Applicant,Assessor,Finance Page 1
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CITY OF ORONO APPLICATION��"� � f� G 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 off'ices.
2. Permit cazds will be sent by return mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECENE 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 contracwrs and to property owners residing
in the dwelling.
4. When any new construction or remodeling is involved, a sepazate building permit must be obtained.
5. All work must be done in aecordance 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
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ANDERSON,SCOTT
J0B Sj'rE,i'' 4132 HIGHWOOD ROAD� ,'j,lP;
Owner's Name2 ORONO,MN 55364 i T@IepllOIIe NUIIlber: �
�SilllIIg' a�I�(lI'CSS' �952)472-6089 �- �.�.,. . Zip'
a.a��•
Contractor's Names Telephone Number: Z 2 7- 33
Mailing Address: ,t90 5 ���•� �S'u- City: o1s. Zip: ��08
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT . 1ST 2ND OTHER FIXTURE BSMT 1ST . 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains _
Lavatory Sewer Ejector -
Bathtub Laundry Tray _
. Shower . , Washer .
Kitchen Sink Water Heater �
Disposal. Water Softener
Dishwasher Wet Baz
Sillcocks Misc(list)
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
��6 % 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. Postage and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (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 chazged 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 mazket 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 Ciry may request the submission of a signed copy of the actuat 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 certi�es that all statements made on this applicadon are complete, true and
correct. _
Applicant's Signature: Date: