HomeMy WebLinkAbout2001-P04472 - water heater ' ' PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 P04472
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued: ioiioi2ooi
SITE ADDRESS: 700 North Arm Dr
Mound,MN 55364
PID: 06-117-23-43-0003
DESCRIPTION:
Proposed Use: xesicientiai
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: $ 35.00 Valuation• $ 500.00
State Surcharge Fee: $ 0.50
Misc.Fee: $ 1.50
TOTAL FEE: $37.00
APPLICANT: Norblom Plumbing Co. OWNER: Gregory Harty
2905 G�eld Avenue S. 700 North Arm Dr
Minneapolis,MN 55408 Mound MN 55364
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN SfRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMITEE SIGNATURE ISSUEDBY SIGNATURE
Conies: 1-File(SiQnitures Required). 1-Annlicant, 1-Monthlv Renorts, 1-A�essin¢. 1-Finance Page 1
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CITY OF ORONO APPLICATION FOR PLiJMBING PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAI, INFORMATION
1. You may apply for plumbing permits by mail or in person at the Ciry o�ces.
2. Permit cards will be sent by retum 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 properry owners residing
in the dwelling.
4. When any new construction or remodeling is involved, a sepazate 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 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 249-4600.
Please check one: New Addition Repair x Replace
Residential Commercial
JOB SI'TE:_7� I�QTN � t�;�1.�� Z'p: ��
Owner's Name: _��� {��r� Telephone Number: �i�z 4�2-
Mailing Address: 7L�i� NC�, ate.VVt fj�2• City: Q�CN7 Zip: �3�,�f
Contractor's Name: b/ Co. Telephone Number: 6�2 -82�y ou 3 3
Mailing Address: �q�5 Gar�=��l A-v�. Cit3': �1�J.o�S Zip: 55y�g
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PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
Lavatory Sewer Ejector
Bathtub Laundry Tray
Shower Washe
Kitchen Sink Water Heater '
Disposal Water
Dishwasher Wet Baz
Sillcocks Misc (list)
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PERMIT I+'EE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
x .0125 $ 35. 00
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $ . 5 O
(contract price)
or $.50, whichever is greater
3. Posta�e and Handling (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE ' (Add lines 1-3 above) $ 37. 00 .
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted
work including materials, labor, profit, and other fued costs. It is the amount to be charged to the
customer for the work done. If any material, equipnient, labor,or installation aze furnished by the owner,
tenant cr any other party ti-�z reas��abie mazket value a�such items must be added to the estimated cost
or contract price for pemut fee purposes. In the event that there is a dispute on the amount of the job cost,
the Ci�y may request the submission of a signed copy of the actual contract.
** The STATE SURCHARGE is .0005 of the con[ract price under $1,000,000 or $.50 - whichever is
greater. For valuations over $1,000,000 call the Department of lnspectional 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 t at al s tements de on this app�ication are complete, true and
correct.
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Applicant's Signature: l� Date: /� ���