HomeMy WebLinkAbout2003-P06482 - water heater PERMIT
CItY C�F ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 P06482
Crystal Bay, Minnesota 55323 Permit Type: Fix�es
(952) 249-4600 Date Issued: 6/30/2003
SITE ADDRESS: 3215 Lafayette Ridge Ct
Wayzata,MN 55391
P I D: 17-117-23-44-008 8
DESCRIPTION:
Proposed Use: xesicienriai
Pernut Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Water Heater
DETAILS:
Approved per resolurion#:
Separate perxnits 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: Terri dones
2905 Garfield Avenue S. 3215 Lafayette Ridge Ct
Minneapolis,MN 55408 Wayzata,MN 55391
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.
APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Conies: 1-File(SiQnitures Required),1-At�plicant 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1
. INSPECTION RECORD
CITY OF ORONO Permit Number: P06482
2750 Kel ley Parkway- P.O. Box 66 �Reouired when setting un insnec�ionsl
Crystal Bay, Minnesota 55323
(952) 249-4600 Date Issued: 6/30/2003
SITE ADDRESS: 3215 Lafayette Ridge Ct APPLICANT: Norblom Plumbing Co.
2905 Garfield Avenue S.
Wayzata,MN 55391 Minneapolis,MN 55408
Permit Sub-Type:
Proposed Use: Residential
Permit Class: Plumbing
Permit Type: Fixtures
Seuarate Insnections Required:
Plumbing Rou -In
Plumbing Final
ALL INSPECTIONS MUST BE CALLED 24 HOURS IN ADVANCE. THIS CARD MUST BE POSTED INA CONSPICUOUS
PLACE ON THE PREMISES ON WHICH THE WORK IS'PO BE DONE.
Covies: 1-Avnlicant(Print On Omnee Card). 1-Buildine Insn.(Anv BIdQ or VisibleProiects). 1-Sentic Insn.(Artv Sentic or SDrinkler)
CITY OF ORONO APPLICATION FOR PLUMBING PERIVIIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323 � � � �
GENERAL 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 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 dwclling.
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 �eplace
i/lZesidential Commercial
JONES,TERRI � `
.lOB SI�: 3215 LAFAYETTE RIDGE COURT Zlp:
� ORONO,MN 55391
O�cvne'r s Name: .
� � '''Telephone Number•
Mailing At�dressc (952�a�i-35�i -
Cit�`: ' , Zip;;
Contractor'sName: '` � � TelephoneNumber; (��2��Z�-y��
Mailing Address• ZqOS �/�/ .so. City:_/4'l�%S Zip:' SS��`�
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER II T pEURE I BSMT I 1ST 2ND I OTHER
TYPE FL FL 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 I�'EE CALCULATION(S)
2002 State Statute {�xJ Yes, This Section Applies
,�,_.r
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.
S�lr ::P;� S�'Ct.0:1; r.GSi �f F�iiiiii .�p I�.1/U
State Surcharge $ .SO
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 ($35.001
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 I'EE (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 amolmt of the job cost, the City may
request the submission of a signed copy of the acnial 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,
Applicant's Signature: Date: �/23/63