HomeMy WebLinkAbout2008-P11983 - plumbing w y
' PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: p11983
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued:
4/17/2008
SITE ADDRESS: 725 Sixth Ave N Unit#
Wayzata,MN 55391
PID: 25-118-23-33-0004
DESCRIPTION:
Proposed Use: Commercial-Busines�
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Kitchen Sink
DETAILS:
Approved per resolution#:
Separate pernvts required:
NOTICES/REMARKS:
Kitchen Sink
FEE SUMMARY: Permit Fee: $ 62.50 valuation: $ 5,000.00
State Surcharge Fee: $ 2.50
TOTAL FEE: $ 65.00
APPLICANT: Earl W.Day&Sons,Inc. OWNER: Spring Hill Golf Club
P.O.Box 294
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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APPLIC PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: I-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
FOR CITY[�SE ONLY
' p�` City of Orono
'r" ¢ `r �� P.O.Box 66 Date Received: Permit#
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;%� �` 2750 Kelley Parkway
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��� �'�� Crystal Bey,MN 55323 Approved By_ Amount$_
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CITY OF ORONO—PLUMBING PERMIT
(All Commercial permits must be approved by the Building Official or Inspector)
GENERAL INFORMATION
1. You may apply for plumbing permits by mail or in person at the City offices. Applications will be
reviewed and a permit will be issued within two working days.
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 construction or remodeling is involved,a separate building permit must be
obtained.
5. All work must be done in accordance with State Code requirements.
6. All work must be inspected and air tested before it is covered. Call(952)249-4600.
(24-48 hour notice required)
TYPE OF PERMIT
(Check All That A l
❑ Residential 0 Commercial(Approval Required)
❑ New ❑ Additional ❑ Repairs ❑ Replace
❑ In Accessory Structure?
*You will need nrior approval and may need C'��i'.(Per Orono Ciry Code,Chapter 78,Article [V)
Job Site/Owner Information:
Site Address: �Zs cauary Rd 6
OWrie2': Springhill Country Club Mailing Address:
Long Lake 55356
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
Earl W.Day&Sons Jeff
Contractor: Contact Person:
520 Brimhall Ave 23310580
Address: State Bond#:
Long Lake 55356 12/31/08
City: Zip: Expiration Date:
PhOrie: �952)473-8403 (612)600-6411
Alternate Phone:
❑ Insurance—Current:
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PLUMBING FIXTURES BEING INSTALLED
FIXT'URE BSMT 1 2 OTF�R FIXTURE BSMT 1 2 OTI�R
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
Lavatory Sewer Ejector
Bathroom Laundry Tray
Shower Washer
Kitchen Sink 1 Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Miscellaneous
' FERh+IIT FEE CAt.C�t.}'LA"����
�t�S�1,3 E>�F-2�2 STA►T����.TC�
❑ Yes,this section applies
The replacement of a Residential fixture or appliance that meets all three of the following requirements:
1. Dces not require modification to electrical or gas service.
2. Has a total cost of$500.00 or less;excludins the cost of the fi�eture or appliance:and
3. Is improved,installed or replaced by the homeowner or licensed conhactor.
Skip neact section,if this applies; Cost of Permit $ 15.00
State Surchazge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
(Permit Fees Continued On Next Page)
2
� . . .
PERMIT FEE CALCULA►TiON S --�'QHS O�ER�SU0.40
If above dces not apply;follow guidelines below:
1. CONTRACT PRICE •is 1.25%of contract price with a(Minimum Fee of 535.00)
5,�.� x.0125$ 62.50
(contract price) (minimum 535.00)
2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum Fee ofS.50)
5'�"� x.0005 $ 2.50
(contract price) (minimum$ .50)
3. POSTAGE&HANDLiNG(Only on Mail-In Applications) $ 1.50
4. TOTAL PERNIIT FEE(Add Lines 1-3 Above) $ 65.00
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar 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 installations are furnished by
the owner,te�ant 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 Building Department at(952)249-4600 for the price.
PLUMBING PERIt+IIT APPLICATION At'rI�EEMENT
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 a11 s ents made on this application are complete, true and
correct. �
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Applicant's Signature: Date: `�— �7`��
R�set Fomt
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