HomeMy WebLinkAbout2003-P06618 - water heater .,,- . i`
PERMIT
CITY OF ORONO Permit ►vumber:
2750 Kelley Parkway- PO Box 66 P06618
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued: 8/4/2003
SITE ADDRESS: 3135 North Shore Dr
Wayzata,MIV 55391
PID: 09-117-23-32-0018
DESCRIPTION:
Proposed Use: Kesidenrial
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: $ 765.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 35.50
APPLICANT: City View Plumbing&Heating OWNER: Deb Halvorsen
1880 B Wayzata Blvd W. 3135 North Shore Dr
P.O.Box 150 Wayzata MN 55391
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.
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APPLICANT E TEE IGNATU ISSUED BY SIGNATURE
Conies: 1-File(SiQnitures Required), 1-Avnlicant, 1-Monthlv Revorts, 1-Assessine, 1-Finance 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 Ciry offices.
2. Permit cazds will be sent by return mail after a review is completed. PERMTTS ARE NOT VALID UNTIL
YOU RECENE 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: � ZIP;
Owner's Name: Telephone Number: �S��c�, 7�.�1��
Mailing Address: City: Zip:
Contractor's Name: � ' Telephone Nwnber:�S y� ��793
Mailing Address: City: ip: �,� 3�(�
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER>
TYPE FL FL TYPE �L FL
Water Closet .Floor Drains
Lavato Sewer E'ector
Bathtub ' Laun Tra
Shower Washer
Kitchen Sink Water Heater
Dis sal Water Softener
Dishwasher Wet Bar
5���� � Misc Qist) _
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 $ .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)
0
?� � .�
S � o� x .0125 $
(contract price) (minimum$35.Q0)
2. State Surcharge. ** Add the State Building Code Division a (Minimum Fee of$ .50)
x .0�5 $
(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 charged to the customer
for the work done. If any material, equipment, labor, or installation aze fumished by the owner, tenant or
any other party the reasonable mazket 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 ofthe contract price under$1,00O,OOQ or $.SO-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.
,
Applicant's Signature: �� � � Date: lJ
✓
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NO ICE SCHEDULED �!r-C13 ���
PERMR N0. g COMPLETED
ADDRESS��� /l/d�ZTfi c�ia� _ j/i2 .
OWNER CONTR. ��� U/��
TELEPHONE NO.__ l 5� ��� �rI9 �J
� DESCRIPTION ��r.l � l.�1_�C/` �Q��
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAI
Z 04 WALL BD• 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPUUNT
`� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBI INAL � �-` 36 FOUNDATIOWREMOVAL
� OWNER/CO ORTOMEETYOU:`�YES_NO
� COMMENTS:
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W� ❑WORKSATISFACTORY:PROCEED ❑PROJECTCOMPLEfE
W ❑ �RRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
� RK,CAL ON TEMPORARY
V � � PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
�TOP ORDER POSTED.CALL INSPECTOR
INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the nex inspection 24 hours in advance. (952) 249-4600
OwnerlCon o s' e:
Inspector. �
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