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HomeMy WebLinkAbout2005-P09269 - water heater PERMIT CITY t�F ORONO 275� Kelley Parkway- PO Box 66 Permit Number: P09269 Crystal Bay, Minnesota 55323 Permit Type: Fixtures (952) 249-4600 Date Issued: 10/6/2005 SITE ADDRESS: 1840 Lakeview Ter Unit# Long Lake,MN 55356 PID: 27-118-23-42-0010 DESCRIPTION: Proposed Use: Residenrial Permit Class: Plumbing Pernut Type: Fixtures Permit Sub-type(s): Water Heater DETAILS: Approved per resolution#: Separate permits 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: Custom Plumbing OWNER: William&Lisa Mernik 815 Niagra Lane 1840 Lakeview Ter Plymouth,MN 55447 Long Lake MN 55356 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. ���"`- �- v /��i't- APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(SignaturesRequired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 ,� �r e, wt- Y� �f, .,�e„r.. . �•.�.- . t'+'x;� ;y 4 S: � n,- _ w .` * a'� d� � � u � ':�, � � a � 1 .}t� r�,; �Y�� � ' + K /�. �y� �' � �, . G �+, ���n�Z . � �' �5 4 � y � �i f..E a i� .� . n . � � � . , f ,� rs i „. . . . _ � �� 4' . �'�� .., R.�.. f ; . S � �Y""^�" �� . _ i .. . . . � . �. a�.P '�,{- t r . .�``% -r�y.., � .�� ., . �.a ;t,. „c . _i: a . . " F �j*� er�'` { .. �t., a� a � � , � . � rt* i � 2. .� . . . � � r��.f,�� � '�,,,7g"',;� 3 ,�.,"r� w . � ,ttwi 7 `a, -� ns ti � x R�'- s /�s a . . :- � ? r ,•t�..c ��� y �� ' . �� {r � �',...� .r i € k 4,x�• S�. . � w �.� �j;,:.. . `•. � :;+�'c1�^� `��`�'�`� CTl'Y OF ORONO p �:u �� �; 7� . �. � ��..��. . � �'�,:��.�.. i�_ ' `� � APPLICATION FOR PLUMB � t x� � y�� � �Bo�c 66 (2750 Kelley Parkway) ��t,-,-��, > � �"a ! �:� .i , <- � a��.s x �...'�a`� � ' �,- �� Crystal Bay, MN 55323 � ��i �: ' _ ���';� ���' r -u'� , . , . ,�r;�:4��� ��i'rr�t 1�A��, ' ;i� f i F� j � - _iY�� . >�.�� :e �;����l.i�'�.���".. �« S�IIVF,�RM'�1TIU,�T '� ° " . . ��� ,. .Y ` :' ` � ��: � , .'1. -You may apply for plumbuig perAuts by mail or m person at the City offices. .• ::, '�� k '" � �`. 2. � ��� �Permitcazdswillb��ent�� r � � � �� `� ��� ,b�: � �'�� Y-,��'$.ma}l.after a rev�e�;�.,completed. PERMIT3 ARE�TpT�V � ,��� YOU RECEIXE t��ERMIT. T IN I TH P �U�� ': � r e�` f'. e �,�i. �' " '� ;x�.� ��� ��JOB SITE�I�s��,► �J �.► f � , :-�a,R,.. - !,x � ; �` Y � . . :- .� , '' ` -- '� .. i. :� � y.., `r -� :" f 3. Plumbit�g p�rnuts'may be`lssued ONLY W hcensed plumbuig contractors and to property p r � . : .y�y� :. J � � +Y''l^T ' ��y�f��d • . Y�.. A, y. ,� � , ;� ����.m the:d�vellmg.�..���...�� �'�' . ��c:3� "�- �;3 ;;: ��-:� ;:- '� ���'" -� �' �' :� �, '` �,� 4. .When any new c�nstreiction or'remqd�.ing:s in�olved,a separate bui;di�g p�rmit r�ust be obt�uued._. � '" ' ��w S ,.. t Al��yvoxk;must,�:.d�ne u��qr e with,the Sjat�Code requirements . c� -,i, ..+��.�„;�,� ti:•_ 'I... • .�%'..� . . . . .. ^r�*_��7..:-'13+�-.i*='�4" sti "t +' N✓.'t,�.�4�'� '6 �� �All�work must.be uis�ect�ed�,an�azr tested before it is covered. Call (952) 249-4600 2�- our notice ,. . _. ._.. . requu�ed.....,.t ��_ ,�:�a .�.�e�f��,+�s: � ,: CO "� �r k z:� �. =� .� ;.��.'. . .,.. „ . '�.r.?'� ;� A:��"e: z,� _ ^. � �� .�c�4 �i .tf- c � ,�nstructions Complete all'iXem,s.on,�his.applicataon:�:.Compute the permit fee.�-S�$n��d,� } } 2� � d' � 4 ��': M . �' �certification. INCOMPLETE�APPLICATIONS Wi�,L NOT BE PROCESSED. I� � _ � you ye �, : : ," questions, call (952) 249-4600. - ,:: �d' --: _::. � �:< . . j:-, . :��.,�� "�1� . vr , . _ �. . - - �= v.� Please check one .S�c., �::�x.� �,NewJ.i��..:':�-� Addition �' Repau_._�:} t:;�;�� i� , m � � . . —.. p ,,' -Residential Gommercial = -a � -, ,:.�,.p.,�„-.� �rt;�.J`. # ': . �:�:.....�. ; :� � ,::��� JOB'SITEt�Y��=f;�'/ d �::�o,�-V}e�,,� ��'���''=': 7a cJ�''`���' � � . �"' ' Owner's Name: ' � _ " �- . �..:)4;oti ��� . �.. � . � ,.,5;. r'r,:... . ,..-;^..a�...:�._. _ .. __.. rt.<-�e .e�. .e r. Telephone Numbe �5 a �ao � Mail�ng AddrF p -' ,�''r'- Ci` _ ` ` �� �,� _,. ,__Zip. , t .� , ,�- _ r . i � C��� r1Ym��� �• .. ..;c._ • �� r : ,. 'i Y.COIItc�Ctor'S r . ., , , . 815 Niagara Lane Telephone Number: � a t '�'`� � , .. �-M 'r�aili.pg Addr� Plymouth, MN ;= City: Zl � ��- �.i� �` � _ ,�.,��r. . :x=�;�.�;� rJ5�447 -""_-- p' � � ��°. '� ' . •, r,., ,,. , . x � � , - - • .�, { - �. PLUMBING FIXTURE SCHEDULE `: � ;.�u ; � ��� ��> � , ... ; �.- ::. . .�..: � .� � �,*,��� �t� �+�• tz _ _ ��: .; �� . . . _ . __,- , . . , .. . ._ , . . _: x .=�.,'� *_ . .. � �` FIkTURE BSMT .:- 1ST 2ND OTHER .:' FIXTURE BSMT 1ST . 2I�JIa Q17�ER .. ���'r.�.,.TYPE � FL FL a., «� $ :�TYPE • FL: `FL�'� - �,' ' 3 � ,� � � . ; �. : . • �'y:�Water Closet � �` � Floor Drains ,t?:,�-" �� K - . .,*..�- � . ) -. � .:.J..7iV$t0 �� . '� ,..�F.. .r1 r.�+l 1 f•?X��t' .ii �?- ; '{ . .. , -. �.4 �t �3 . ,. '" �Se'vver .E"ector `ti�� ��� . _;� ��,.�,. , � . :,��, .� , ,. .�, . � . .-':?�� � . sa.. :;;-•:. � ,:.. • - - ,� _ . ; � : _'-:;r=Bathtub- : s. r t,. ,;M � ;y a°,s�. _ - . . ;.; .. . ;• _ Laun Tra . �-�� �r.� � �� �� �"� �.��' � . I �� ���Y ., . ;,:1 :e�t:�. �F ,. ;`,i .�.,.,.. . . �. . Shower � Washer � `'�`��' ` �> ' f.�. :sz r � , ,: �;. ,�?�'� �n, f K1tCilCII$I�C . �' , % :� � sy,-� „ �' F� � Water Heater '` . ;. > >.::�,, i���..� ,m ��.4. F✓:: s y. �xs a'-r���.k�>. . :4+ �:F.. .:f.�. . � . � • . . . . . . �� (�t Dis sal � >�'' .�.r�+: � �s. '+ �WaterSoftener � : .,Y:� +; Jw 5".:' . . . ... , . �. - - ' ' � '�^i ", �a Dishwasher Wet Bar : ... . . . . . , . . :.. ._. ,, . ,. � . „ � � ���r���'.�iAs�-.;� s . .. +3.::1 t.. �� ��� �� .. T : r ... . , . . . . . . . . , �_ .� . ' n _ ' . '` ` , Misc(list) :�. ,�,� �'�I<. .�7�,� `„ `'�?.�t�E '-�v � % :sr.a: �j.n, rt�.`�'� c �:`� '�i<:t'fa •� ay� t Yhe �t-: . ' i � .. ;. ��. . ��+;. .Y' .\t��.. i.. � . .. , �!� � . , .'r�F��Y�`Y�t� fy,� .s! C � ��. .•. , ' . . . Iti�. - . . . , . . � . ~ �f.."�i5.w � 4 . . + ' ti � . . . . ' � `M. . � . .. . . �t �;� . . � �... ... . .. . � .. . -":t.: t. - . . .e �'. � . . . ,. .... - .. . . �... . . . . ... -._ ., ' � n �• .�'.. . . . . � � ., _�'?�. . ' ' � . . .. . �. . . . . . , � . _ " � ..i.Y'w 5.fi ------- --- — �r_ . � ' ' , ♦ ' PERMIT FEE CALCULATIONfSI ` 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 no require modification to electrical or gas service. 2) Has a total cost of$500.00 or less; xcludin the cost of the fixture or appliance: and 3) Is improved, installed or replaced by the homeowner or licenced contractor. Skip next section; ' .; ; Cost of Permit ��.,: $ 1 .00 � State Surcharge $ Mail In Fee $ 1.S If above does not apply, follow guidelines below: � � 1. Contract Price* is .0125 % of job with a Minimum Fee of ($35 001 x .0125 $ � _�0 (contract price) (minimum$35.00) 2. State Surcharge ** Add the State Building Code Division a (Minimum Fee of$ .50) x .0005 $ ��D ; (contract price) (minimum$ .50) 3. P�stage and Handlin� (Only mail-in applications) $ 1.50 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ °6 , _ � _ ,_ , • * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount chazged 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 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 valiia�iQns over$1,000,000 call the Department of Inspection Services for the price. The under�signed hereby applies to the City for issuance of a Plumbing Permit, agrees to do all � vyork in strict accordance with the ordinances of the City and the regulations of the State of Minnesota, �and cer"tifies that all statements made on this application are complete, true and correct. � � --� � =( • � _ . Applicant's Signature: Date: /f� 7 / �-5 ,