HomeMy WebLinkAbout2003-P06643 - water heater � r - PERMIT
CITY OF ORONO permit Number:
2750 Kelley Parkway- PO Box 66 P06643
Crystal Bay, Minnesota 55323 Permit Type: FiX�es
(952) 249-4600 Date Issued: aii2i2oo3
SITE ADDRESS: 2545 North Shore Dr
WAYZATA,MN 55391
P I D: 09-117-23-41-0003
DESCRIPTION:
Proposed Use: Kesidenrial
Pernut Class: Plumbing
Pernut Type: Fixtures Permit Sub-type(s): Water Heater
DETAILS:
Approved per resolurion#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 35.00 Valuation• $ 950.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 35.50
APPLICANT: John Anderson Plumbing Co. OWNER: CAROL G CALLAHAN
19840 Lakeview Ave. 2545 NORTH SHORE DR
Deephaven,MN 55331 WAYZATA MN 55391
THE UNDERSIGNED HEREBY REQUESI'S PERNIISSION 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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APPLICANT PERM E SIGNATURE ISSUED BY S GNATURE
Covies: 1-File(SiQnitures Revuired), 1-Auplicant, 1-Monthlv Renorts, 1-AssessinQ, 1-Finar►ce 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 the 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 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 (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
JOB SITE: 2�`/� /�/o r�h��o/�si Dr. Zip:
Owner's Name: y��wu rd ��//Q ��„� Telephone Number:
Mailing Address: �S�IS .Ua r�f�S�.or�/J�;�� City:.�b d�d�d Zip: ss 3z�
Contractor's Name:�e�,,�¢k�,,�a,��Oi.,„6;.,� � - TelephoneNumber:(RS'r�y�y_yy89
MailingAddress: /9Syo [��,��e�w ,9�.�, City: ,b.�..���.�. Zip: S s3� i
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
Lavato Sewer E'ector
Bathtub Laun Tra
Shower Washer
Kitchen Sink Water Heater r
Dis sal 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 a,�pliance 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 Minimwn Fee of($35.001
��J,SO-�� x .0125 $
(contract price) (mi.nimum$35.00)
2. State Surcharge. ** Add the State Building Code Division a (Minimum Fee of$ .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 dollaz amount chazged for the permitted
work including materials,labor,profit,and other fixed costs. It is the amount to be chazged to the customer
for the work done. If any material, equipment, labor,or installation aze 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 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 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 statements made on this application are complete, true and
conect.
Applicant's Signature: Date: � 2 d Z
�j �
T���� TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE r- SCHEDULED
PERMIT N0. �� LDI�y� COMPLETED ��
ADDRESS -�`��4� � � \�'i c��'P !7�
OWNER CONTR. '�►l�l/� 1R-I 4.0'�On
TELEPHONE NO:"a�LI�� � �-IL-I t�Q �L�J •
� DESCRIPTION w���-'� ��.L�
� 01 FOOTING 11 MECHANICAL RI 78 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 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
� OWNERICONTRACTOR TO MEET YOU:�YES NO
� COMMENTS:
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W ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
❑CORRECT WORK 8�PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
O CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WlLL RETURN
�STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next ins ction 24 hours in advance. (952) 249-4600
OwnerlConU tor o it :
Inspector.
White Copy/lnspector's File Canary CopylSfte Notice