HomeMy WebLinkAbout2003-P06223 - water heater CITY OF ORONO PERMIT
27�0 F,��ley Parkway - PO Box 66 Permit Number: Po6223
Crystal Bay, Minnesota 55323 Permit Type: Fix�ures
(952) 249-4600 Date Issued: 4�23�2003
SITE ADDRESS: 2515 North Shore Dr
Wayzata,MN 55391
PID: 09-117-23-41-0002
DESCRIPTION:
Proposed Use: xesidentiai
Pernut Class: Plumbing
Pernut Type: Fixtures Permit Sub-type(s): Water Heater
DETAILS:
Approved per resolution#:
Separate pernuts 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: NorblomPlumbing Co. OWNER: Mr. &Mrs.7ester
2905 Garfield Avenue S. 2515 North Shore Dr
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.
' �' l�.,��.� ,;� .�,, k, C%1'l'IG�-/1
APPLICANT PERMITEE SIGNATURE SUED BY SIGNATURE
Conies: 1-File(SiQnitures Required), 1-Anplicant, 1-Monthiv Revorts, 1-Assessin�. 1-Finance Page 1
t
CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL IlVFORMATION
1. You may apply for plumbing permits by mail or in person at 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 teste�l 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 Repair }� Replace
� Residential Commercial
JESTER,JOSEPH
JOB SITE: 2515 SHORE DRIVE NORTH Zlj�:
O��ner's Name: ORONO,MN 55391 Telephone Number:
Mailing Address: �952)473-5529 City: Zip:
Contractor'sName: 1�}ccb�um t�lv� �n,r�� TelephoneNumber: (�,iz)�Z�-yu33
Mailing Address: ZqOS (�u,r�� Jo/ �z So. City: ' �5 Zip• 5"53`I I
PLUMBING FIXTURE SCHEDULE
FIXTt'RE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
(
Water Closet 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)
*
PERMIT FEE CALCLJLATION(S)
2002 State Statute � Yes, This Section Applies
The replacement of a Residential fixture or a�liance 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 $ .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 (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 fixed 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 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 City and the regulations of the State of
Minnesota, and certifies that all statements made on this application are complete, true and
conect.
Applicant's Signature: `/� Date: `I��S�°3
DATE TIME V
CITY OF ORONO �] � CALLED IN
INSPECTION NOTICE, �/ SCHEDUIED y�/L� -/)3 _�/; 3 O 1f�✓l�
PERMIT NO. /� ��_ COMPLEfED
ADDRESS _:��J��'S �'�JL��'T�/ c-� /z �l'�' .
OWNER J�S 7�'C/^ CONTR. r`V�:)l�'3��C/�
TELEPHONE NO. 7 _ J � � ;
� DESCRIPTION /.-���. �`���f!" � I�Y�l� ' �'`� �''� �
lL 01 FOOTING 11 ME NICA I 18 EXCAV/GRADING/FILLING
� 02 FRAMING i 13 CH L I � 19 LAKESHORE/WETLANDS
y
O 03 INSULATION /25 WO 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 BIN6'RT-"�� 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J MBING FINAL 36 FOUNDATION/REMOVAL
ONTRACTOR TO MEET YOU:�YES_NO
� OMMENTS:
�
W
�
�
J
O
>.
�
O
�
W
�
Q
�
2
W
�
W
�
�
d
W WORKSATISFACTORY:PROCEED ROJECTCOMPLETE
W' ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE GOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL REfURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTIONREQUtRED.CALLTOARRANGEACCESS.
Call for the next ins tion 24 hours in advance. (g52) 249-4600
OwnerlContra or te
Inspector.
White Copyllnspector's File Canary Copy/Site Notice