HomeMy WebLinkAbout2005-P08534 - water heater PERMIT
C•�T�� O F O RO N O Permit Number:
2750 Kelley Parkway - PO Box 66 P08534
Crystal Bay, Minnesota 55323 Permit Type: FiX�es
(952) 249-4600 Date Issued: 3i2ii2oos
SITE ADDRESS: 2701 Kelly Ave '
Excelsior,MN 55 331
PID: 21-117-23-23-0040
DESCRI PTION:
Proposed Use: Kesidenhal :
Pemut Class Plumbing '
Pernut Type: Fixtures Permit Sub-type(s): Water Heater
DETAILS:
Approved per resolution#:
Separate pernuts required: I
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NOTICES/REMARKS:
FEE SUMMARY: Pemrit Fee: $ 35.00 Valuation• $ 1,300.00
State Surcharge Fee: $ 0.65
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Misc.Fee: $ 1.50
TOTAL FEE: $ 37.15
APPLICANT: McGuire&Sons Plumbing,Heating&Coc �WNER: Ted&Wendy Storlie
605 12th Avenue S 2701 Kelly Ave ;
Hopkins,MN 55343 Excelsior MN 55331'
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THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENT'S 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 SUED BY IGNATURE
Conies: 1-File(SiQnitures Repuired), 1-Apnlicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
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�� � FOR CITY USE ONLY �--
j.���,.__ City of Orono
`� P.O.Box 66 Date Received: Pennit#
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���, ��� 2750 Kelley Parkway
�� t�'� ����- P�t� Crystal Bay,MN 55323 Approved Ay: Amount$:
����,o��' (952)249-4600
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CITY OF ORONO—PLUMBING PERMIT
(All Commercial pennits must be approved by the Building Official or Inspector)
GENERAL INFORMATION
1. You may apply for plumbing permits by mail or in person at the City offices. Applications will be
reviewed and a permit will be issued within two working days.
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 pennit must be
obtained.
5. All work must be done in accordance with State Code requirements.
6. All work must be inspected and air tested before it is covered. Call(952)249-4600.
(24-48 hour notice required)
TYPE OF PERMIT
Check All That A 1
�Q Residential ❑Commercial(Approval Required) �'""
❑ New ❑ Additional PUSTED
❑ Repairs ❑✓ Replace
❑ In Accessory Structure?
*You will need arior approval and may need CUP.(Per Orono City Code,Chapter 78,Article IV)
Job Site/Owner Information:
Site Address: 2�oi xel�y A�e
Ted Storlie 2701 Kelly Ave
Owner: Mailing Address:
Hopkins 55331
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
McGuire&Sons PHC Inc Beth
Contractor: Contact Person:
605 12th Ave S 4372PM
Address: State Bond #:
Hopkins 55343
City: Zip: Expiration Date:
Phone: (952)931-0645 931-9676
Alternate Phone:
❑ Insurance—Current:
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FIXTURE BSMT 1 2 OTI�R FIXTURE BSMT 1 2 OTI�R
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
Lavatory Sewer Ejector
Bathroom Laundry Tray
Shower Washer
Kitchen Sink Water Heater 1
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Miscellaneous
❑ Yes,this section applies
The replacement of a Residential fixture or appliance 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;excludine the cost of the fixture or appliance:and
3. Is improved,installed or replaced by the homeowner or licensed contractor.
Skip next section,if this applies; Cost of Permit $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
(Permit Fees Continued On Next Page)
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If above does not apply;follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00)
1,300.00 x.0125$ 35.00
(contract price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum Fee of$.50)
1,300.00 x.0005 $ 0.65
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 37.15
■ * 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 installations 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 Building Department at(952)249-4600 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:
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