HomeMy WebLinkAbout2006-P10328 (Plumbing) PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 P1o328
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(�52) 249-4600 Date Issued:
9/14/2006
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Sfl'E ADDRESS: 2180 Abingdon Way Unit#
Long Lake,MN 55356
P��� 03-117-23-24-0007
DESCRIPTION:
Proposed Use: Residential
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Plumbing Undefined
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
Install Pressure Vac Breaker For Lawn Irrigation
FEE SUMMARY: Permit Fee: $ 35.00 valuation: $ 0.00
State Surcharge Fee: $ 0.50
Misc.Fee: $ 1.50
TOTAL FEE: $ 37.00
APPLICANT: Roto Rooter Services Co. OWNER: Rick Gage
14530 27th Ave.N. 2180 Abingdon Way
Minneapolis,MN 55447 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 PERMITEE SIGNATURE ISSUED Y SIGNATURE .
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page I
� C1T'Y OF ORONO APPLICATION FOR PLUMBING PERMIT
� Box 66 (2750 Kelley Parkway)
` Cry�stal 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 separate building pemut must be obtained.
5. All work must be done in accordance with the State Code requirements.
6. All work must be inspec[ed z.n� zi:teste�l before it is covered. Call 473-7357. 24-hour notice required.
Instructions Complete all items on this application. Compute the permit fee. Sign and date
the ct;rtification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call 473-7357.
Please check one: � New Addition Repair Replace
� Residential Commercial
JOB STTE: a.lSC7 ]�-b tr�� ��v� l�-W4�-y (�ror�u ZiP� �5�35 to
Owner's Name• 1Z`�rs- Gc�-� Telephone Number: (o jo2-�/� - 1 oZ-1 I
Mailing Address:�gc� V�-h ►►.��, �o� W�� �iiy: b rt,►2c� �ip: 5 5 3S �
Cont�ractor'sName: KO{-u ' ��« Telephon�Number:-7 G, 3 -5� C`r'-3��y
MailingAddress: ►� 5�,c� �-1 �� Y�-�-e vv Ci�y: 1� l�mo�rh Zip: rj 5 tf�l �
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
Z-ypF; FL FL TYPE FL FL
Wate: rlose? Floor Drains
Lavat��ry Sewer Ejector
Bathtub Laundry Tray
Showc�r Washer
Kitche;n Sink Water Heater
Dispo:�al Water Softener
Dishwasher Wet Bar
Sillcocks Misc (list) �u��•d'�
�us�c�+ Cv P v�,�:..��, .� v�"�-
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PERMIT FEE CALCULATION �
1. 1.25% of Contract Price�` or Minimum Fee ($35.00)
x .0125 $ -��-�'�' ,
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(contract price)
2. State Surchar�e. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $ � s�
(contract price)
or $.50, whichever is greater
3. Posta;e and Handlin� (Only mail-in applications) $ 1.50 '
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ 3 1-v�
* CONTRACT PRICE or JOB COST means the actual 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 an}�mat.�ri?l, enT�ipr^er.t, laber, ar ir.strlla�;on ac�furrusheci by�ne owner,
tenant or any other party the reasonable market value of such items must be added to the estimated cost
or contract price for pernut 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 Inspectional 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.
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Applicant's Signature: ['� ��-.�1 ��� Date: `)-1:� -D�