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HomeMy WebLinkAbout2006-P10187 - water heater PERMIT CI�Y OF ORONO ?�50 Kelley Parkway- PO Box 66 Permit Number: P10187 Crystal Bay, Minnesota 55323 Permit Type: Fixtures (952) 249-4600 Date Issued: 8/7/2006 SITE ADDRESS: 1135 North Arm Dr Unit# Mound,MN 55364 PID: 07-117-23-14-0064 DESCRIPTION: Proposed Use: Residential Permit Class: Plumbing Pernvt Type: Fixtures Permit Sub-type(s): Water Heater DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: PernutFee: $ 15.00 Valuation: $ 0.00 State Surcharge Fee: $ 0.50 Misc.Fee: $ 1.50 TOTAL FEE: $ 17.00 APPLICANT: Norblom Plumbing Co. OWNER: C Weiler&R Meerkins 2905 Garfield Avenue S. 1137 Elmwood Ave Minneapolis,MN 55408 Mound MN 55364 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. � r \/���'� —v 1 �'��F�t�`'"""l APPLICANT PERMITEE SIGNATURE I D BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 . CITY OF ORONO. APPLICATION FOR PLUMBING PERMIT Box 66 (2750 Kelley ParkwayJ . Crystal Bay, MN 55323 ' GENERAL 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 maiI after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT ARD 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 separate building permit must be ob!air.ed. 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 Renair �Keplace ��eside WEILER, CLAUS r . � : _ _ . _ ?135 NORTH ARM DRIVE .T�$S�:. . . __ . ORONO, MN 55364 � � a (952)472-3154 �ZiP: O'wr�er's Name:. � ;r,: ., ... Mailing Ac�c�ress:�� ,'�ip:`,. - Contractor's Name: " Telephone Number.:., (��2�yZ��y�3_ Mailing Address: ZqOS e,E,/ .so: City: ,�Vl,�/S Zip:` �S�lc��' PLUMBING FIXTURE SCHEDULF FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER TYPE FL FL TYFE FL FL Watec Closet Floor Drains Lavato Sewer E'ector Bathtub Laund Tra Shower Washer Kitchen Sink - Water Heater Dis osal Water softener � � _.._ . _ .. _.... _ _ _. . Dishwasher_ . ` .. . . .. _ Wet Har Sillcocks Misc list . � � P�RMIT FEE CALCULATI 2002 Sta.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; excludine the cost of the fixture or appliance: and 31 Is improved; installed or repl�ced by the h�mPe���nez o: liCeRC�u cor�tra�t��. Skip next section; Cost of Permit $ 15.00 State Surcharge $ .SQ 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$35.00) + 2. State Surcharge. '"* Add the State Building Code Division a (Minimum Fee of$ .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 fumished 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 City may request che submission of a signed copy of the actuai 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. n Applicant's Signature: � Date: � � -� � � � ` ��