HomeMy WebLinkAbout2003-P06089 - plumbing � � PERMIT
CITY F ORONO
2750 Kell y Parkway- PO Box 66 Permit Number: Po6o89
Crystal B y, Minnesota 55323 Permit Type: Fixtures
(952) 24 600 Date Issued: 3iioi2oo3
SITE ADD ESS: 3190 Sussex Rd
I,ONG LAKE,MN 55356
P I D: 04-1 7-23-32-0007
DESCRIP ION:
Proposed Use: Kesidentiai
Permit Class: Plumbing
Pernut Type: Fixtures Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per esolution#:
Separate pe ' s required:
NOTICES/ EMARKS:
FEE SUM RY: Permit Fee: $ 35.00 Valuation• $ 500.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 35.50
APPLICAN : p�`�PLUMBING OWNER: J D KENNEY&M J KENNEY
P.O.BOX 214 3190 SUSSEX RD
MAPLE PLAIN,MN 55359 LONG LAKE MN 55356
THE UNDE IGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGRE S TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOT BUILDING CODE REQUIREMENTS.
__.._ .
� .: -� � � C��
PPL T PERMITEE SIGNATURE SUED BY SIGNATURE
Conies: 1-File SiQnitures Required), 1-Annlicant 1-Monthlv Renorts, 1-Assessin¢, 1-Finance Page 1
ITY OF ORONO APPLICATION FOR PLUMBING PERMIT
ox 66 (2750 Kelley Parkway)
rystal Bay, MN 55323
ENERAL INFORMATION
You may apply for plumbing permits by mail or in person at the City offices.
Permit cazds 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 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.
I structions Complete all items on this application. Compute the pemut fee. Sign and date the
c rtification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have
q estions, call (952) 249-4600.
P ease check one: New �_Addition Repair Replace
Residential Commercial
J B srrE: 3 I q� S�ss�x t�- • z�p:
er's Name: Telephone Number:
ailing Address• City: Zip:
C ntractor's Name: ��„k,�� u„K ; �,.� ��C . Telephone Number: ��, j -y?q-��-,C3 �
ailing Address: �,p ..�� x .�I y , City: j ,y . Zip: 5'�"3 S�r.
PLUMBING FIXTURE SCHEDULE �
TURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
PE FL FL TYPE FL FL
ater Closet Floor Drains
vato Sewer E'ector
B thtub Laun Tra x,
S ower Washer
tchen Sink Water Heater
D s osal Water Softener
D shwasher Wet Bar
S'lcocks Misc (list)
PERMIT FEE CALCULATION(Sl
2002 State Statute ❑ 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; excludin�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 Pemut $ 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)
�
j0O x .0125 $
(contract 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 Handlin� (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 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 installation aze furnished 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 pemut 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 statements mad on this application are complete, true and
correct. '
Applicant's Signature: Date: �r����-3