HomeMy WebLinkAbout2005-P09447 - water heater PERMIT
CITY OF ORONO
2750 Kel,��y �ara�way- PO Box 66 Permit Number: P09447
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued:
ll/23/2005
SITE ADDRESS: 1225 Lakeview Ave Unit#
Wayzata,MN 55391
PID: 10-117-23-24-0023
DESCRIPTION:
Proposed Use: Residential
Permit Class: Plumbing
Permit Type:
Fixtures Permit Sub-type(s): Water Heater
DETAI LS:
Approved perresolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 15.00 valuation: $ 0.00
State Surcharge Fee: $ 0.50
Misc.Fee: $ 1.50
TOTAL FEE: $ 17.00
APPLICANT: Norblom Plumbing Co. OWNER: Wayne Johnson
2905 Garfield Avenue S. 1225 Lakeview Ave
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.
�;� ,�,�\ ,�L �.�� ������Y�E��_� .
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APPLICANT ERMITEE I NATURE ISSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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 offices. ` "
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 1VOT 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.
fj, A11 Wqrk n!'-'�r hP '-�'-gin,=�^-;��i ;..^.4 ,'.1: �VJ�I.0 u2f�ic ii iS COVZIcu. Liiii (y�2) 249-4oGt�. 24-nour 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 Keplace
- � JOHNSON,WAYNE
J�B�I��.:. 1225 LAKEVIEW AVENUE
ORONO,MN 55391 �Zlp. `
Owmers Name., . (952)404-0421 ." ..
� ' fumber:':
Mailing Ac�dressi �- '
' Zip:,
Contractor'sName: " � c TelephoneNumber_:., ���2)�z�-y�3,�
Mailing Address: 2qOS e/✓ .So: City: /V1.�/S Zip: SS�aP -
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 15T 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water �loset Fioor Drains
Lavato Sewer E'ector
Bathtub Laund Tra
Shower Washer
Kitchen Sink Water Heater
Dis osal �
Water Softener
. __...
..
, _ _. _ .
T>ishwasher Wet Baz
Sillcocks Misc (list
`
PERMIT FEE CALCULATI S�
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 modification 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; i:ost ot�ermit $ i5.�G
State Surcharge $ .SQ
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$35.00)
2. State SurcharEe. ** Add the State Building Code Division a (Minimum Fee of$ .50)
x .0005 $
(contract price) (minimum$ .50)
3. Posta�e 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 fized 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 amount of the job cost, the Ciry 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 Pernut, 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 1 state nts ade on this application are complete; true and
correct.
Applicant's Signature: Date: f� � � *� '� �
�� ✓
,��os TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED J/� � ' •�
PERMITNO. ��9��� COMPLETED
ADDRESS � �--� � �Gy�-�-� �"�`�
OWNER � ��'- �t,r�CONTR. ���..i�aL.•�l" ��e�..a.c. _
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TELEPHONE NO. 9-sa — f� � �o� ��
� DESCRIPTION wQ� ��
� 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 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SE� 35 HARD COVER REMOVAL
J 0 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� NERICONTRACTOR TO MEET OU: YES NO
� COMMENTS:
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W WORK SATISFACTORY:PROCEED PROJECT COMPLETE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CO�/ERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail tor the n t i spection 24 hours in advance. (952) 249-4600
OwnerlContr n t
Inspector.
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