HomeMy WebLinkAbout2006-P09798 - water heater � " PERMIT
CI'�'Y OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P09798
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952)249-4600 Date Issued:
4/25/2006
SITE ADDRESS: 3670 Livingston Ave Unit#
Wayzata,MN 55391
P��� 17-117-23-34-0031
DESCRIPTION:
Proposed Use: Residenrial
Permit Class: Plumbing
Permit Type:
Fixtures Pemut 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: Norblom Plumbing Co. OWNER: Micheal&Debra Larson
2905 Garfield Avenue S. 3670 Livingston 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.
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APPLICANT PERMITEE SIGNATURE I SUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
Box 66 (2750 Kelley Parkway) .
Crystal Bay, MN 55323
GENERA.L 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. PBRMITS 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 permit must be obtained.
5. All work must be done in accordance with the State Code requirements.
5. Al: wark :,�ust �e ins�,Ecteu ar,d air iested beiore it is covered. �aii (9�2) z49-460U. 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: NPw Addition Repair Keplace
� �ARS(�N, DEBBIE/MIKE
3670 LIVINGSTON AVENUE
.T�$�I�L ORONO,PNN 55391 �Zip� �
� �, . • +;952)479-3287 ��]]ber'
Owner s Name• ._ ..,
Mauling A��c�ress: � ,'Zl�.., - _
Contractor's Name: c Telephone Number: (6I z��Z�-y�3,�
Mailing Address: ZqOS e,�✓ ,so: City;_�V),�/S Zip: SS��`�'. -
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 15T 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
Lavato Sewer E'ector
Bathtub Laund Tra
Shower Washer
Kitchen Sink Water Heater
Dis osal Water Softener
. . . _ ... _
Dishwasher Wec Bar '
. _
Sillcocks Misc list
, !
PERMIT FEE CALCULATION(S)
2002 ta.te 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; excludinQ the cost of the fixture or appliance:
and
3) Is improved, installed or replaced by the homeowner or licenced contractor.
Skip next section; c`;ost of rermit $ 1�.G0
State Surcharge $ .SQ
Mail In Fee $ 1.50
If above does not apply, follow guidelines below:
1. - �ontract 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. Postage and Handling (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 parry 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 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 statem nt� made on this application are complete, true and
correct.
� � �
Applicant's Signature: �' � Date � � � ��
�
� � AT TIME V
CITY OF ORONO cn�- �E�iN �'��
INSPECTION N IC 6 SCHEDULED '� �0:30
PERMIT NO. 90 COMPLETED
ADDRESS ��7d �-1�/l1'lQi�(t'���
OWNER��-e CONTR. 6 I�
TELEPHONE NO. b��- -�� �S - a� 3D �'SL �7/ �Z �f'7
� DESCRIPTION [.e/�c,
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINA� 19 LAKESHORE/WETLANDS
� 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 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
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W� WORKSATISFACTORY:PROCEED PROJECTCOMPLEfE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WlLL RETURN
❑ CITAT�ON ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the nex inspection 24 hours in advance. (J52� 249-4600
OwnerlContra i :
Inspector.
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