HomeMy WebLinkAbout2007-P10804 - plumbing PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P10804
Crystal Bay, Min�iesota 55323 Permit Type: Fixtures
(952)249-4600 Date Issued:
. 2/28/2007
SITE ADDRESS: 2920 Somerset La Unit#
Long Lake,MN 55356
P��� 04-117-23-21-0012
DESCRIPTION:
Proposed Use: Residential
Permit Class: Plumbing
Pernut Type: Fixtures Permit Sub-type(s): Multiple Fixhues
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 52.50 valuation: $ 4,200.00
State Surcharge Fee: $ 2.10
Misa Fee: $ 1.50
TOTAL FEE: $ 56.10
APPLICANT: Aeshliman Plumbing Inc. OWNER: Peter&Lori Ginsberg
16686 65th St. 2920 Somerset La
Otsego,MN 55330 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.
������ �
APPLICANT PERMITEE SIGNATURE I D BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
„ FOR CITl'i-SE O�LY”
, O¢p�O Cih�ofOrono
' ' P.O.Box t6 Datt Rteei�'td: Pennit=
"�0 Kelle�°Park��a�
.+ r �* CRstalBa�.\I�j�3'± Appro�edB}: Amount5:
�e- s � ., (95'1'�9-1600
� �m�og�
CITY OF ORONO—PLUMBING PERMIT
(All Commercial permits must be approved by the Building Official or Inspector)
GENERAL INFOR'�IATION
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 11RE NOT
VALID iJN'I'IL 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)249-46U0.
(24-48 hour notice required)
TYPE OF PERMII'
(Check All That A lv)
�Residential ❑Commereial(Approval Required)
❑Ne��• ❑Additional ❑Repairs ❑Replace
❑ In Accesson• Stnicture?
*You«�ill need prior a�ro�-al and mav need ' .(Per Orono City Code,Chapter 78,Article IV)
Job Site!Owner Information:
Site Address: ZaZO �Y1/l�� � �,Q.�Q Cj��
Owner: Mailing Address:
City: Zip: /
Home Phone: Altemate Phone: �� ��'Z I�"'���
Contractar Information:
Cont�a.ctor: !��' � LQ/� Contact Person: /�s�� (Ivl G�-�/l.._
CResl�l� w�a v� p wv►�l����, I��� , t p �-� j�
Address: `�Q,6 (��'� � State Bond#: N � N ��O��IJ
City: � � Zip:��� Expiration Date: �Z �
Phone: ��Z"'��U ��5 1 Alternate Phone:
❑ Inswance-Current: ,�/c � ��� -
1
. PLUMBING FIXTURES BEING INSTALLED
FIXT'IJRE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Dtains
Lavatory Z Sewer Ejector
Q� y I Laundry Tray
Shower , Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Miscelta�otis
PERMIT FEE CALCULA'fION(S)
BASED OFF-2002 STATE STATUE
❑ Yes,this section applies
The replacement of a Residential fixture or appliance that meets all three of the following requirements:
1. Does not require modification to electrical or gas service.
2. Has a total cost of$500.00 or less;excludins the cost of the fiacture or appliance:and
3. Is improved,installed or replaced by the homeowner or licensed contractor.
Skip next section,if this applies; Cost of Permit $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
(Permit Fees Continued On Neat Page)
2
. " � •
� PERMIT FEE CALCULATION S —JOBS OVER 5500.00
_ If above does not apply;follow guidelines below:
1. CONTRACT PRICE *is 125%of contract price with a(M�imum Fee of$35.00)
oc L�0
�� x A 125$ ���
(contract price) (mmimnm S35.00)
2. STATE SURCHARGE "Add the State Bldg Code Div. Surcharge(NSnunum Fec of S.50)
42ao°° '°
X.000s $ Z-
cconaact ptice> cminimnm s .so>
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
��0
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
permitted work including materials,labor,profit,and other fi�ced costs. It is the amount to be charged
to the customer for the work done. ff any material,equipment,labor or installations are fiunished by
the owner, tenant or any other party,the reasonable market value of such items must be added to the
estirnated 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.
• s'` 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 PERMIT APPLICATION AGREEMENT
T'he 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 applicarion are complete, true and
correct.
Applicant's Signature: Date: z 2� O
Reset Form
3