HomeMy WebLinkAbout2004-P07617 (Plumbing) PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 P07617
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(95�) 249-4600 Date Issued: 6/21/2004
SITE ADDRESS: 2285 Abingdon Way
Long Lake,MN 55356
PID: 03-117-23-23-0007
DESCRIPTION:
Proposed Use: Kesidenhal
Permit Class: Plumbing
Permit Type: Fixhues Pernut Sub-type(s): Water Heater
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.0o vaivation: $ 750.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 35.50
APPLICANT: City View Plumbing&Heating OWNER: Eric Thompson
1880 B Wayzata Blvd W. 2285 Abingdon Way
P.O.Box 150 Long Lake,MN 55356
Long Lake,MN 55356
'IT�UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CIT'Y OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERM E SIGNATURE ISSUED BY SIGNATURE
Conies: 1-File(SiQnitures Reaui�ed).1-Annlicant 1-Monthlv Reports, 1-Assessing, 1-Finance Page 1
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• � CITY OF ORONO APPLICATION FOR PLUMBING PERNIIT
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 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 UNTII,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 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 yo� have
questions, call 249-4600.
Please check one: New Addition Repair � Replace
Residential Commercial
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Jos srrE: ��� 5 � � Wa z�p: S�3S
Owner's Name: �' �� T ephone Number: q�;��7� J 3 I$
Mailing Address• City: Zip:
Contractor's Name: L;-�-�,�J� ,J �,y� ��,c� Telephone n'umber: � Fl7 3
Mailing Address: �.Qo ��,�� CitY: Lvh � ZiP� .S3 3
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL 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)
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PERNIIT TEE CALCULATION ' `�
1. 1.25% of Contract Price* or Minimum Fee (535.00) ���
`��n °�- x .0125 $
, (contract price)
2. State Surcharge. ** Add the State�Building Code Division
Surcharge to each permit. ; x .0005 $
(contract price) �{
or $.50, whichever is greater
3. Posta�e and Handli�g (Only mail-in applications)� $ 1.50
4. TOTAL PERNIIT FEE (Add lines 1-3 above) � $
* CONTRACT PRICE or JOB COST means the actual or estimated dollaz amount charged for the permitted
work including materials, labor, profit, and other fixed costS. It is ihe amount to be chazged 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 Ktems must be added to the estimatefl cost
or contract price for permit fee purposes. In the event that there is a dispute on the amount of the job cost,
the Ciry may request the submission of a signed copy of the actual contract.
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** 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 Inspectional 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, aad certifies that all statements made on this �pplication are complete, true and
correct. �
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Applicant's Signature: Date: b �� d
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