HomeMy WebLinkAbout2004-P07577 - water heater PERMIT
CITY �F ORONO Permit Number:
2750 l�elley Parkway- PO Box 66 P07577
Crystal Bay, Minnesota 55323 Permit Type: FiX�es
(952) 249-4600 Date Issued: 6iai2ooa
SITE ADDRESS: 1540 Long Lake Blvd
I.ong Lake,IvIN 55356
PI D: 26-118-23-33-0007
DESCRIPTION:
Proposed Use: Kesicientiai
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: $ 15.00
Valuation: $ 0.00
State Surcharge Fee: $ 0.50
Misc.Fee: $ 1.50
TOTAL FEE: $ 17.00
APPLICANT' Norblom Plumbing Co. QWNER: William Ghandy&Rachel Carpenter
� 2905 Garfield Avenue S. 1540 Long Lake Blvd
Minneapolis,MN 55408 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.
.
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APPLICANT PERMITEE SIGNATURE SUED BY SIGNATURE
Conies: 1-File(SiQnitures Required), 1-Avnlicant 1-Monthlv Reuorts, 1-Assessine, 1-Finance Page 1
CITY OF ORnNO APPLICATION FOR FLUMBING PERNIIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORNIATION
1. You may apply for plumbing permits by mai] or in person ac 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 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.
6. All work must be inspected and air rested before it is covered. Call (952) 249-460Q. ?4-hour nodce
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
��Zesidential Commercial
J�B SITE:. GRANDY,WILLIAM
' 1540 LONG LAKE BOULEVARD `; 'Zli1:
1
O+Kmer's Name: . _ �
ORONO,MN 55356 ie Number:
g (952)249-0434
Mailin- Ac�dress: �.��. ' Zip; ;
Contractor's Name: c Telephone Number: (��z��z�-yc'.��
Mailing Address: 2qOS e�✓ -so, City;_�J�/S Zip: �'s���'
PLUMBING FIXTURE SCHEDULE
FIXTURE I BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE I FL FL
TYpg I �
.L FL
Water Closet Floor Drains
Lavato Sewer E'ector 5
Bathtub Laund Tra
Shower Washer
Kitchen Sink Water Heater �
Dis osal Water Softener
_
Dishwasher _ Wet Bar
Sillcocks Misc (list)
PERMIT FEE CALCULATI N S
2002 State Statiite 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 �eciiu�i; Cost of Permit $ 15.00
State Surcharge $ .5�
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 $35.00)
2, State Surchar�e. �`* Add the State Building Code Division a (l�iinimum Fee of$ .50)
x .0005 $
(contract price) (minimum $ .50)
3. Postage and Handlin� (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 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 Permit, agrees to do all
work in strict accordance with the ordinances of the Ciry 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;S( ���U�'