HomeMy WebLinkAbout2005-P09092 - water heater PERMIT
�:�-i F ORONO Permit ►vumber:
2750 Kelley Parkway- PO Box 66 P09092
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued:
8/22/2005
SITE ADDRESS: 2655 Pheasant Rd Unit#
Excelsior,MN 55331
P��� 21-117-23-23-0005
DESCRIPTION:
Proposed Use: Residential
Permit Class: Plutnbing
Pernut Type: Fixtures Permit Sub-type(s): Water Heater
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 15.00 va�uation: $ 0.00
State Surcharge Fee: $ 0.50
Misc.Fee: $ 1.50
TOTAL FEE: $ 17.00
APPLICANT: H.P.Pipeworks OWNER: 7ames&Cheryl7ohnson
3670 Dodd Road Suite 100 2655 Pheasant Rd
Eagan,MN 55123 Excelsior,MN 55331
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 PERMITEE SIGNATURE UED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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CITY OF ORONO APPLICATION FOR PLUMBING PERNIIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, l�IN �5323
G ENER�L INFOR1�iATION
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 comple�ed. PERMITS ARE NOT VALID UNTIL
YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON
THE TOB SITE.
3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners residinj
in the dwelling.
=�. ��'hen any new construction or remodeling is involved, a separate building permit must be obtained.
�. �11 work must be done in accordance with the State Code requirements.
6. All work must be inspected ai�id air iested before it is covereci. Cail (yS2) 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 Replace
Residential Commercial
JOB SITE: ��S {��rc3 SC�tir►�" f; e-� Zip:
O���ner's Name:�t�.� 5 tJ�V��S �� Telephone Number:
i�lailing Address: ���yi, � ,,,,��, City: Zip:
Contractor's Name���'���`�—
,.�.. r,�r,r-� op�� Telephone Number:
�IailinaAddress: J`���' """'�'�`
b --���AI, IV16�?__.5�`i�3 City: Zip:
���1� ��a s 1�1'r.
PLLTMBING FIXTUI2E SCHEDULE
FL�TURE BSMT 1S'T � 2ND OTHER FIXTURE � BSMT � 1ST 2ND OTHER
T�'PE FL FL TYPE FL FL
�Va�er Closet � Floor Drains
La��ato�� Sewer E�ector
Bathrub Laundr Tra
Shower Washer
Ki�chen Sinl: Water Hzater ( �
Dis osal Water Softener
Dishwasher Wet Bar
Sillcocks Misc (list)
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PERMIT FEE CALCULATI N S
2002 State Statute Yes, This Section Applies
The replacement of a Residential fixture or appliance that meets all three of the following
requirements:
r
1) Does not require modification to electrical or gas service.
2) Has a total cost of$500.00 or less; excludina 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 Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $
� CONTRACT PRICE or JOB COST means the acrual 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 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 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.
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Applicant's Si�nature: �� '1 � � E Date: � Z ��
���� DATE TIME ✓
CITY OF ORONO CALLED IN /I- /5
INSPECTION NOTICE SCHEDULED (�_-/�U i- " U
PERMIT NO. ��7���� � COMPLETED
ADDRESS :�LPJ �J /�/L�G4 SG�-<-�J"" ,�
OWNER � CONTR. ��7 �' ��`�1.��+rICS
TELEPHONE NO. S�j � � � ��y�
� DESCRIPTION i�=.�/V�e-ll �E'��t•'-
� 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 REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FO�LOW-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 WORK SATISFACTORY:PROCEED PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
C STOP ORDER POSTED.CALL INSPECTOR
C INSPECTION REQUIRED.CA�LTO ARRANGE ACCESS.
Call for the next ins ection 24 hours in advance. (952� 249-4600
OwnerlContra r on ' e:
Inspector.
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