HomeMy WebLinkAbout2005-P09173 - water heater PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: po9173
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952)249-4600 Date Issued:
9/14/2005
SITE ADDRESS: 55 Landmark Dr Unit#
Long Lake,MN 55356
P��� OS-117-23-22-0010
DESCRIPTION:
Proposed Use: Residential
Permit Class: Plumbing
Permit Type:
Fixtures Permit Sub-type(s): Water Heater
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 35.00 valuation: $ 985.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 35.50
APPLICANT: City View Plumbing&Heating OWNER: Daniel&Patrice Perkins
1880 B Wayzata Blvd W. 55 Landmark Dr
P.O.Box 150 Long Lake MN 55356
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.
"�`� �
APPLIC EE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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04�� CityofOrono
� P.O.Box 66 Daqe:�Coiv�¢: �,..,.,,.,_,,..��mi,t.#
2750 Kelley ParkwaY
Crystal Bay,MN 55323 �E���'= _„___._,._�'=�...,-'
' �. � (952)249-4600
C1TY OF ORONO-PLUMBING PERNIIT
(All Commercisl permits must be approved by the Buiiding Officiat or Inspcc�r)
;���+�L'�;�-�Q�..�Q�:
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 retum mail after a review is wmpleted. PEItMITS 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 dwetling.
4. When any new conshvction or r�modeling is involv�,a separate building permit must be
obtained.
5. Ail work must be done in accardance with State Code requiremonts. •
6. All work must be inspected and air tested before it is covered. Call(952)249-4600.
(24-48 hour notice reqnired)
TY��'�(�'�?E�tMI'I'
: �he��C:�t�'�htat.A: ;" .
��.Residential ❑Commercial(Approval Required)
❑New ❑Addirional ❑Repairs ❑Replace
❑ In Accessory Structure?
*You will need arior auoroval and may need CUP.(Per Orono City Code,Chapter 78,Article IV)
�0�!$It@/�11��'.�!Qt���l4�t:
Site Address: �� L-�J ��M a'r l'� `� �
Owner: PaTr►�Q.,� �qh le��eYU Mailing Address: s�t 1'"`�'
City: n�0✓1 � Zip: S ����
Home Phone: q sa+��5 ��g� Alternate Phone:
Contractor;information: `
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,
• �; U��Qv� v ✓' Contact Person: v� n �N`l.�l�/ �� `�
C�nkact�r. �
Address: /�4 g W �� 1✓� P•���o�t��State Bond#:
City: �1�1�L Z�p:,�S�Expiration Date:
Phone: ���'�l����i � Alternate Phone: ���-6�5 �73 6
❑ Insurance-Current:
1
FIXTURE BSMT 1 2 O'IT-IER FIXTURE BSMT 1 2 OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
Lavatory Sewer Ejector
Bathroom Laundry Tray
Shower Washer
Kitchen Sink Water Heater �
Disposal Water Softener
Dishwasher W�B�
Sillcocks Miscel(an�us
�
❑ Yes,this section applies
The replacement of a Residential fixture or appliance that meets all three of the following requirements:
_ 1. Does not tequire modification to electrical or gas scrvice.
2. Has a total cost of$500.00 or less;excl ' the cost of the fixture or appliance:and
3. Is improved,installed or replaced by the homeownea'or licensed contractor.
Skip next section,if this applies; Cost of Permit $ I5.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
(Permit Fees Continued On Nezt Page)
2
<��
1 follow guidelines below:
If above does not app y; * o p ���Fa of 535.00)
i, ['ONTRACT P�CE is 1.25/o of contr���with a(Mf
G��S—� x.0125 S
(minimum S35.00)
(conuact Pnce)
2. STATE SUItC� *'�Add the State Bldg
Code Div.Surcharge(M�n�mum Fee of S.SU)
x.0005 $
(�n��� (minimum$ .50)
I�cations) $ 150
3. POSTAGE&HAN�LING�0°�y on Mai1-In App�
4. TOTAL PERMTr FEE(Add Lines 1-3 A1�ove)
$
dollar amount charged for the
. * CONTRACT PRIC� or JOB COST means�����fix t�. It is the amount to be charged
labor,P ui ment,labor or installations are fumished by
permitted work including materials, ��e�lal�eq p
to the customer for the work done. If any
the owner,tenant or any other parry,the reas°nable�°In the v nt that there ista di Pute on the
rice for permit fee purpo ��pY af�e actual contract.
estimated cost or contract P may requ�� Su��1On of a sign
amount of the job cost,the C►tY ppp or$.50—whichever is
arhneM at(952)249-4b00 for the price.
. ** The STATE SURCHARGE is.00US of the contract Fnce under Sl, �
greater. For vatuations over$1,000,000 ca11 the Building Dep �� ^
„�r�,��`
� jn: �
pe�n�t, agxees to do all
The undersigned hereby applies to the City for issuance of a Plumbing�attons of the State of
and the reg
lication are complete, true and
work in strict�acco�dance�a ��statementsemad on this aPP
Minnesota, an
correct. � �
Date: �
ppplicant's Signature'
,
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�� �� �}D T�+E TIME �
ITY OF ORONO CALLED IN ( ! �S
INSPECTION NOTIC SCHEDULED _-��� �
fjT �
PERMIT NO. �� COMPLETED
ADDRESS .� � L.G2_,v��l�ma/�,,� �j2.
OWN ER CONTR.
TELEPHONENO. � � � � � ��"— � �
� DESCRIPTION ___ � � ��rY1�--�
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FR,4MING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMUVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� ❑WORK SATISFACTORY:PROCEED �PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED SSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETURN ❑ CITATION ISSUED
❑STOP OROER POSTED.CAIL INSPECTOR
❑ INSPECTION REQUiRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-4600
OwnerlContractor on site:
Inspector. �_�rc'�� /�-S
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