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Home My WebLink About2005-P09404 - water heater PERMIT CIT"�OF ORONO 275.:'i Kelley Parkway- PO Box 66 Permit Number: P09404 Crystal Bay, Minnesota 55323 Permit Type: Fixtures (952) 249-4600 Date Issued: 11/8/2005 SITE ADDRESS: 1680 North Farm Rd Unit# Long Lake,MN 55356 P�� 27-118-23-44-0010 DESCRIPTION: Proposed Use: Residential 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. OWNER: Mr. &Mrs. Thomas Ebert 2905 Garfield Avenue S. 1680 North Farm Rd 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. J' .•`s",",.� t�i� �%�-�-�C APPLICANT PERMITEE SIGNATURE I SUED BY SIGNATURE Copies: 1-File(SignaturesReguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 CITY OF ORONO APPLICATION FOR PLUMBING PERMIT Box 66 (2750 Kelley Parkway) � Crystal Bay, MN 55323 ' ' GENERAL INFORMATION ; 1. You may apply for plumbing permits by mail or in person at ihe City offices. ' ' 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 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. G. �►II work must be insp�cteu an:i air tes�ed bef�rz it is covered. `�;1 (952) 249-46CC. 24-h�ur n�tic� 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 �S Keplace �/�esi. - EBERT,TOM/MARIANNE 1680 NORTH FARM ROAD J�$,�I�: _ ..... . ORONO,MN 55356 �Zlp; ' , O'wrier's Name: , ( 52)476-4819 .." ... � s ber _ e� 1Vlailing Ac�dressc�� ZI�.., - _ Contractor's IYame: ` � � Telephone Number..:.� (�1 z��1Z�-5��3_ Mailing Address: ZqOS 'e�✓ .So: City: �+V)�/� Zip:' Ss�oa' PLUMBING FIXTURE SCHEDULE FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavafo Sewer E'ector Bathtub Laund Tra Shower Washer Kitchen Sink Water Heater � Dis osal Water Softener .. _. _ ._ . . , _. . .. . Dishwasher Wet Baz .. ' Sillcocks Misc (list PERMIT FEE CALCULATION(S.� 2002 State 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; excludin� the cost of the fixture or appliance: and 3) Is improved, installed or replaced by the homeowner or licenced contractor. Skip next section; Cost of Permit $ 15.00 State Surcharge $ .SQ Mail Tn 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$35.00) _ 2. State Surchar�e. ** Add the State Building Code Division a (Minimum Fee of$ .50) x .0005 $ (contract price) (minimum $ .50) 3. Postage and Handlin� (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 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 che 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 Pernut, 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 s temen s made on this application are complete, true and correct. � 031 a � Applicant's Signature: � Date: � Y� � I �; +(l � � ��-) DATE � TIME ✓ 1 CITY OF ORONO � CALLED IN ��"� INSPECTION NOTICE / SCHEDULED c t� z�/o� �(._. PERMIT NO.-��C~`_L� COMPLETED / ,, -... ? /, ADDRESS �L.i,�[: ��/' :��/�/'YI J�� OWNER CONTR. ��!'"�"��/`�'I �'�/t_��;F�� TELEPHONE NO. ��a � 7�-' ��J�� DESCRIPTION - L £ li t� �. /- r c�� l� 01 FOOTING 11 MECHANICAL I 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS ti O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 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 � 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 � OWNER/CONTRACTOR TO MEET YOU:�YES_NO , � COMMENTS: �� !✓_�_X.��2 �,'?/lk l! � L/1C� � Sr� �-t�r � � � �I � �- - /C U K 0 � w � Q � z W � W � � GW ❑WORK SATISFACTORY:PROCEED YCJ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED �rsSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR W4LL RETURN O STOP ORDER POSTED.CALL INSPECTOR n CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. �952� 249-46�� OwnerlContractor on site: Inspector. �� J �,,) LS--� White Copyllnspector's File Canary CopylSite Notice