HomeMy WebLinkAbout2002-P04881 - water heater CiT�Y� OF ORONO PERMIT
2750 Kelley Parkway - PO Box 66 Permit Number: Po4gg�
Crystal Bay, Minnesota 55323 Permit Type: F�Xtures
(952) 249-4600 Date Issued: 2is�2oo2
SITE ADDRESS: 1170 Lyman Ave
Wayzata,NIl�155391
PID: 35-118-23-43-0028
DESCRIPTION:
Proposed Use: Kesidentiai
Permit Class: Plumbing
Permit 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: Norblom Plumbing Co. OWNER: Richard&Lynn Phillips
2905 Garfield Avenue S. 1170 Lyman 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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APPLICANTPERMITEESIGNATURE ISSUEDBYSIGNATURE -
Cooies: 1-File(SiQnitures Reauired), 1-Aoblicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
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CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
Box 66 (2750 Kelley Parkway)
' Crystal Bay, NIN 55323 ;
; �
; GENERAL INFORNIATION
1• You may apply for plumbing permits by mail or in person at the City of�ces. ' �
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 remode]ing is invoived, 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 tested before it is covered. Call (952) 249-4600. 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: New Addition Re air � �
__�___/fZesidential Commercial P --�- Keplace
J�B SIT'E: 1� 7� L Ui1'I�7�1 �►1e,t��,�p
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_ Owner's Name :��I 1�p5 . t�� �1,. Zip:--55�3/� ,
Telephone Nwnber:��5 z)yc�y-Dl�-� _ _ ;
Mailing Ac�dress: 1 U L �
e- Cit�: =Grcmo Zi�'��- .�l
Contractor's Name:- � Telephone Number; , (E��z Z�-yo�
Mailing Address: Z9'OS �,��/ ----�� �
-s�'• City:_l�{�lS Zip: SS���'
� PLUMBING FIXTURE SCHEDUL
E
FIXTURE BSMT 1ST 2IVD OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE
FL FL
Water Close[
Floor Drains
Lavato Sewer E'ector
Bathtub
Laund Tra
Shower
Washer
Kitchen Sink Water Heater �
Dis osal
Water Softener
Dishwasher
Wet Bar
Sillcocks
Misc (list)
»
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PERMIT F�'EE CALCULATION(S)
2002 State Statute �Yes, This Section Applies
The replacement of a Residential �xture 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 irnproved, installed or replaced by the homeowner or licenced contractor.
- Skip next section; Cost of Permit $ 15.00
State Surcharge $ .50
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$35.00)
2. State Surcharge. ** Add the State Building Code Division a (1�Tinimum Fee of$ .50)
x .0005 $
(contract price) (minimum $ .50)
3. Postage and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PER�'�TIT I'E� (Add lir�es 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
a 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 accual 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 statements made on this application are complete, true and
correct.
A licant's Si nature: -2�--- Date: �/`3�` �Z
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