HomeMy WebLinkAbout2002-P04880 - water heater PERMIT
CI���' OF ORONO PermitNumber:
2750 Kelley Parkway - PO Box 66 Po4sso
Crystal Bay, Minnesota 55323 Permit Type: FiXtures
(952) 249-4600 Date Issued: 2�s�2oo2
SITE ADDRESS: 567 Park La
Long Lake,MN 55356
PID: 06-117-23-41-0045
DESCRIPTION:
Proposed Use: Kesidential
Per►nit Class: Plumbing �
Permit Type: Fixtures Permit Sub-type(s): Water Heater
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 15.00 Valuation: $ 0.00
State Surcharge Fee: $ 0.50
Misc. Fee: $ 1.50
TOTAL FEE: $ 17.00
APPLICANT: Norblom Plumbing Co. OWNER: Audrey Overby
2905 Garfield Avenue S. 567 Park La
Minneapolis,MN 55408 Long Lake MN 55356
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEIv�NTS 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 PERMITEE SIGNATURE ISS�EDBY SIGNATURE �
Copies: l-File lSiQnitures Reauired), l-Avplicant, 1-Monthlv Reoorts. 1-AssessinQ. 1-Finance Page 1
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CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORNIATION _
1. You may apply for p(umbing 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 constructi�n 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 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 V I�eplace
�esidential Commercial
JCJB SITE: �� ,�
L..a.ti�2.. . 'Zip; `5535��
Maulin s Name: . �� � �� - , ..,,
Owner
; �'Telephone Number: (ysz)�73-y7�'6
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Contrac A�dress: — � ,�� _
City: Cr.c��o ' Zipti;�S,3s�
tor's Name: � Telephone Nurriber: (��2)�2�-��3�
Mailing Address: Z�OS �/✓ �,:_��1� Zip: �5���,
-so'• Ci
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2IVD OTHER
TYPE FL FL TYPE
FL FL
Water Closet Floor Drains
Lavato Sewer E'ector
�
Bathtub Laund Tra
Shower
Washer
Kitchen Sink Water Heater I
Dis osal Water Softener
Dishwasher . . Wet Bar `
Silicocks 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 modi�cation 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 $ .SO
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 ($35.001
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. Posta�e and Handling (Only mail-in applications) $ 1,50
4. �'O�AI, P�IL'���� � �� (Add :in�s 1-3 above) $
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amotmt charged for the permitted
work inc]uding 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 furnished by the owner, tenant or
any other parry 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 Ciry 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 cail 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: � 13� (��
;
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION N TIC SCHEDULED ,�.�7--0/ /O•.3a
PERMIT N0. � � coM LETED �'
ADDRESS �� �����-++�-�
OWNER CONTR.����
TELEPHONE NO.
� DESCRIPTION
� Oi FOOTING 11 MECHANICAL RI 18 EXCAV/GRADtNG/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSUTATION 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
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
ING FINAL , � 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� 'P�IORK SATISFACTORY:PROCEED JXPROJECT COMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVEFING
PERMANENT
❑CORRECTUNSAFECONDITIONWI7HIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. �952� 249-Q6Q�
OwnerlContrac on sit .
Inspector.
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