HomeMy WebLinkAbout2002-P05417 - plumbing " PERMIT
C;ITY OF ORONO Permit Number:
2750 K:;Iley Parkway - PO Box 66 Pos4i�
Crystal �ay, Minnesota 55323 Permit Type: F�Xtures
(952) 249-4600 Date Issued: �itv2oo2
SITE ADDRESS: 525 Sussex Circle
L,ong Lake,MN 55356
PID: 04-117-23-32-0012
DESCRIPTION:
Proposed Use: Kesicientiai
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): LavatoCloset
Y
Shower
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUIIIIMARY: Permit Fee: $ �7•50 Valuation: $ 3,000.00
State Surcharge Fee: $ 1.50
TOTAL FEE: $ 39.00
APPLICANT: Pavek Plumbing OWNER: Jon& Susan Campbell
4550 County Rd 10 N 525 Sussex Circle
Watertown, MN 55388 Long Lake,MN 55356
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE TI-�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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APPL[CANT PERMITEE S[GNATURE ISSUED BY SIGNATURE
Copies: 1-File(SiQnitures Reauired), 1-Applicant, 1-Monthlv Reoorts, 1-Assessine, 1-Finance Page 1
CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAI.INFORMATION
1. You may apply for plumbing permits by mail or in person at the Ciry offices.
2. Permit cazds 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 sepazate 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 (952) 249-4600. 24-hour notice
required.
Instructions Complete all items on this application. Compute the permit fee. Sign and date the
certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call (952) 249-4600.
Please check one: �New Addition Repair Replace.
Residential Commercial
JOBSITE: ��� S�SSf� Ci�U� Zip:
Owner's Name: O� � ,C(� Telephone Number:
Mailing Address: l ��Iti City: Zip:
Contractor's Name: c.! ��/c%� Telephone Num6er:R'S���'S"�=2l�o
Mailing Address: U SS� � ��K� City: l✓�£��n Zip: S—��f�
PLUMBING FIXTURE SCHEDULE �
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
Lavato � Sewer E'ector
Bathtub Laun Tra
Shower � Washer
Kitchen Sink Water Heater
Dis osal Water Softener
Dishwasher Wet Baz
Sillcocks Misc(list)
PERMIT FEE CALCULATION(Sl
2002 State Statute � Yes, This Section Applies
The replacement of a Residential fixture or an ln iance 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; excluding the cost of the fixture or appliance:
and
3) Is improved, installed or replaced by the homeowner or licenced contractor.
Skip next section; Cost of Permit $ 15.00
State Surcharge $ .50
Mail In Fee $ 1.50
If above does not apply, follow guidelines below:
1. Contract Price* is .0125 % of job with a Minimum Fee of($35.00)
3� x .0125 $ .
(c ntract price) (minimum$35.00)
2. State Surcharge. ** Add the State Building Code Division a (Minimum Fee of$ .50)
x .0005 $
(contract price) (minimum$ .50)
3. Postage and Handling (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $
* 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 installation aze fiunished by the owner, tenant 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 Department of Inspection 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: �—�r� _� Date: � � 6�