HomeMy WebLinkAbout2003-P06765 - plumbing CITY OF ORONO PERMIT
Permit Number:
2750 Kelley Parkway- PO Box 66 P06765
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued: 9/15/2003
SITE ADDRESS: 1450 Tanglewood Rd
Long Lake,MN 55356
PID: 26-118-23-32-0015
DESCRIPTION:
Proposed Use: Residential
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Water Heater
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 15.00
Valuation: $ 0.00
State Surcharge Fee: $ 0.50
Misc.Fee: $ 1.50
TOTAL FEE: $ 17.00
APPLICANT: Norblom Plumbing Co. OWNER: Gardiner&Catherine Van Ness
2905 Garfield Avenue S. 1450 Tanglewood Rd
Minneapolis,MN 55408 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
Conies: 1-File(SiQnitures Required), 1-ADDlicant,1-Monthly Reports. 1-Assessine, 1-Finance Page 1
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RECEIVED
SEP 15 2003
GjrY OF ORO
CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMATION
1. You may apply for plumbing permits by mail or in person at the City offices.
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 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
_i, residential Commercial
VANNESS, GARDINER
JOB SITE: 1450 TANGLEWOOD ROAD . Zip;
Owner's Name: . ORONO, MN 55356 Telephone Number:
Mailing Address: (952)473-0384 City: Zi
Contractor's Name:—AlirWeyn '
Telephone Number:.; (�12,22'2-W?3
Mailing Address: 2805 City:_ /S Zip: 6: zVe p
PLUMBING FIXTURE SCHEDULE
FIXTURE JBSMT IST LFLND I OTHER FIXTUREjBSMT 1ST 2ND I OTHER
TYPE FL
TYPE FL FL
Water Closet [Floor Drains
Lavatory Sewer Ejector
Bathtub
Laundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Misc (list)
PERMIT FEE CALCULATIONS)
2002 State Statute Q—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; 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)
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 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 charged for the permitte
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 are furnished by the owner, tenant o
any other party the reasonable market value of such items must be added to the estimated cost or contrac
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 al
work in strict accordance with the ordinances of the City and the regulations of the State o
Minnesota, and certifies that all statements made on this application are complete, true an
correct. /
Applicant's Signature: Date: