HomeMy WebLinkAbout2001-P04136 - plumbing PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 P04136
Crystal Esay, Minnesota 55323 Permit Type: FiXtures
(952) 249-4600 Date Issued: �i3oi2ooi
SITE ADDRESS: 1360 Railroad Avenue
Crystal Bay, IVII�155323
PID: 10-117-23-31-0007
DESCRIPTION:
Proposed Use: Kes�dential
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: $ 300.00
State Surcharge Fee: $ 0.50
Misc. Fee: $ 1.50
TOTAL FEE: $ 37.00
APPLICANT: Norblom Plumbing Co. OWNER: Timothy Pattrin Sr.
2905 Garfield Avenue S. 1360 Railroad Avenue
Minneapolis,MN 55408 Crystal Bay MN 55323
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEN�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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APPLICANTPERMITEESIGNATURE ISS EDBYSIGNATURE
Copies: 1-File(Sienitures Reauired). 1-Apolicant. 1-Monthlv Reports, 1-Assessine. 1-Finance Page 1
. CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323 ;,� � 1���
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 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 249-4600. 24-hour notice required.
Instructions Complete all items on this application. Compute the permit fee. Sign and date
the certification. INCOMPLETE APPLICATIONS WII.L NOT BE PROCESSED. If you have
questions, call 249-4600.
Please check one: New Addition Repair x Replace
Residential Commercial
PATTRIN,TIM
.IOB SI�: 1360 RAILROAD AVENUE Zlp:
Owner's Name: ORONO, MN 55323 Tele hone Number:
(952)475-1921 p
Mailing Address: City: Zip:
Contractor's Name: � b/ Co. Telephone Number: (,�� -��.�y ou 3 3
Mailing Address: �S 6ar�I�l�! A-v�. Cit3'. .�L/,o�s Zip: 55y�g
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PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
Lavatory Sewer Ejector
Bathtub Laundry Tray
Shower Washer
Kitchen Sink Water Heater '
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Misc (list)
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PERMIT FEE CALCULATION -
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
x .0125 $ 3S. 00
(contract price)
2. State Surcharge. ** Add the State Building Code Division •
Surcharge to each permit. x .0005 $ . S O
(contract price)
or $.50, whichever is greater
3. Posta�,e and Handling (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE � (Add lines 1-3 above) $ 37• 00 .
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount chazged for the permitted
work including materials, labor, profit, and other fued costs. It is the amount to be chazged 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 rzasenavie market valuz of such items nust be added to thz est;mated �ast
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.
** 1fie 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 Tnspectional 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: i�
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