HomeMy WebLinkAbout2006-P10092 - mechanical PERMIT
CITV OF ORONO Permit Number:
�'750 Kelley Parkway- PO Box 66 P10092
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Pernvts
(952) 249-4600 Date Issued:
7/11/2006
SITE ADDRESS: 3060 Sixth Ave N Unit#
Long Lake,MN 55356
PID: 28-118-23-32-0014
DESCRIPTION:
Proposed Use: Residential
Pernvt Class: General
Permit Type:
Mechanical Pernuts Permit Sub-type(s): Gas Line Inspection
DETAILS: �
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
Gas Line Being Run To Pool Heater
FEE SUMMARY: Permit Fee: $ 15.00 valuation: $ 0.00
State Surcharge Fee: $ 0.50
Misc.Fee: $ 1.50
TOTAL FEE: $ 17.00
APPLICANT: Bredahl Plumbing Inc.(See Comments) OWNER: Christopher&Heather Kosek
7916 73rd Ave N 3060 Sixth Ave N
Brooklyn Park,MN 55428 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 BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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" ,'�0�,�� City of Orono � �l�,C.'rf
P.O.Qo�66 Date Reccived:7�/ �C'(� Permit#
� �y_,_ �',j 2750 Kelley Parkway �
� ��' 1! Crystal Bay,MN�5323 Approved By: Amount$:
��� ���r%o��� (952)249-4600 ,n
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CITY OF ORONO—P���NG PERMIT
(All Commercial permits must be approv y the Building Official or Inspector)
GENERAL INFORMATION
l. 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 ly)
�Residential ❑Commeroial(Approval Required)
❑New ❑Additional ❑Repairs ❑Replace
❑ In Accessory Structure?
*You will need prior approval and may need CUP_.(Per Orono City Code,Chapter 78,Article IV)
Job Site I Owner Information: '''
Site Address: =-��� `a < <��-^�`i '\t`� ' C
Owner: � ����S �'��s�u- Mailing Address:
n �'� 3 5c:
l '�'L�r�� <
City: Zip:
Home Phone: .� �,� � a�''�3 -`�,����-�- Alternate Phone:
Contractor Information:
,� n
Contractor: ���� � ��` � � �`^�b�� Contact Person: � r`''^��`'�
Address: ,-� �� � �I? �a /4� � � State Bond#: �� � / � 7� �
c)
City: �`�"i`1 Y '"� �`'� �Zip: S S 9a�' Expiration Date: / — � � — �G
Phone: l�� � �� `�F ��6 Alternate Phone:
❑ Insurance-Current:
1
i
FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
Lavatory Sewer Ejector
Bathroom Laundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Baz
Sillcocks Miscellaneous ��t
Qvr. �lk� �.'�� '�t7 QooL �4� /�e�,soti_ �o ��r �-.w.•.. G a-3
t'V►.arsSl�- a�a.i So..�. `fN� ob (�pf►.�
❑ 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;excludin�the cost of the fixture or appliance:and
3. Is improved,installed or replaced by the homeowner or licensed contractor.
Skip next section,if this appiies; Cost of Permit $ 15.00
State Surchazge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $ ��!x'
(Permit Fees Continued On Next Page)
2
PERMIT FEE CALCULATI4N{S)-JC?BS'f�VER$SOa.00
[f above does not apply;follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00)
x.0125$
(contract price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Min;mum Fee of�.50)
x.0005 $
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ L50
4. TOTAL PER101IT FEE(Add Lir.es ]-3 Above) $
■ * 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 any material, equipment, labor or installations are furnished by
the owner, tenant or any other party,the reasonabie 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.
�' ' P���I�BING PERMIT`APPLICATION A�REEMEN`I`. ° '`
�.
�.,
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: �� ��— 0�
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