HomeMy WebLinkAbout2004-P07293 - plumbing CITOF ORONO PERMIT
27",
Permit Number:,ley Parkway - PO Box 66 P07293
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued: 3/9/2004
SITE ADDRESS: 1180 Willow Dr N
Long Lake,MN 55356
PID: 27-118-23-32-0003
DESCRIPTION:
Proposed Use: Residential
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 2,500.00
State Surcharge Fee: $ 1.25
Misc.Fee: $ 1.50
TOTAL FEE: $ 37.75
APPLICANT: Dean's Professional Plumbing OWNER: Joseph&Valerie Thies
20080 Dassel La 1180 Willow Dr N
Corcoran,MN 55374 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 SSUED BY SIGNATURE
Covies: 1-File(Siznitures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing, 1-Finance Page 1
F
CITY OF ORONO APPLICATION FOR PLUMBING PEftft
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323 82004
GENERAL INFORMATION JR01v0
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
_Residential Commercial
JOB SITE: //2() W i l jOt ► �r . Zip: `'53 9/
Owner's Name: oe s Telephone Number: - bl q - aS d - 3_-.7;r'1(,,Mailing Address: /(60 w l(o c,� City: OVono Zip: 553 V
Contractor's Name: s ro fe5sl a a Telephone Number:
Mailing Address: ,)oohoo Dasse% L,N City: cpmrgn Zip: 65-37Y
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT IST 2ND OTHER FIXTURE BSM IS 2ND OTHER
TYPE FL FL TYPE T T FL
11 FL
Water Closet Floor Drains
Lavatory Sewer Eli'ector
Bathtub Laundry Tray
Shower / Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Misc(list)
Ps
RMIT FEE CALCULATIONS)
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; 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)
'�)500 . 00 x .0125 $ 3 5, 00
(contract price) (minimum$35.00)
2. State Surcharge. **Add the State Building Code Division a (Minimum Fee of$ .50)
x .0005 $ /, a JC
(contract price) (minimum$ .50)
3. Postage and Handling (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ S7, '7 S
* 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 are 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 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 tion areeplete, true and correct.
Applicant's Signature: Date: a00
Reset Form