HomeMy WebLinkAbout2001-P03897 (plumbing) � • PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Po3a9�
Crystal Bay, Minnesota 55323 Permit Type: FiX�ures
(952) 249-4600 Date Issued: 6ni2ooi
SITE ADDRESS: 3775 Bayside Rd
LONG LAKE, MN 55356
PID: OS-117-23-24-0111
DESCRIPTION:
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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: $ 35.00 Valuation: $ 740.00
State Surcharge Fee: $ 0.50
Misc.Fee: $ 1.50
TOTAL FEE: $ 37.00
APPLICANT: Heating Consultants OWNER: Ross&Barbara Erickson
119A West Main 3775 Bayside Rd
New Prague,MN 56071 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 SI NATURE ISSUED BY SIGNATURE
Copies: City,Applicant,Assessor,Finance Page 1
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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 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 UN'TII, THE PERMIT CARD IS "�
POSTED ON THE JOB SITE. �
3. Plumbing permits may be issued ONLY to licensed lumbin contractors and to ro e �
in the dwelling. P g P P nY owners residing �
4. When any new construction or remodeling is involved, a separate building perm.it must be obtained. �
5. All work must be done in accordance with the State Code requirements. f
! 6: All work must be inspected and air tested before it is covered. Call 249�600. 24-hour notice required. �
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; Instructions Complete alI items on this application. Co�r�pute the per�it fee. SigZ and date ~`
, the cert�cation. INCOMPLETE APPLICATIONS WiLL NOT BE PROCESSED. If you have
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questions, call 249-4600. ��
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Please check one: New Addition Repair �/ Replace
� Residential Commercial
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� Owner's Name: _Rd S 5 �Q;�.I,�S��; Telephone Number: 9',s-z_ y�G - 6 sS c�
Mailing Address: 3��S 13a�s���. �2c� City: D2v� � Zip: SS 3 Z.3
� Contractor's Name: _ /��.t;��. �o,�,su itA y�.r Telephone Number: S,sZ- 7.r�- y7 Z 7
Mailing Address: //9A- w�-�r- rn,¢:u Cit3'� �eui � e Zi
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PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
Lava[ory Sewer Ejector
Bathtub Laundry Tray. .
Shower Washer �
Kitchen Sink Water Heater p�
Disposal Water Softener
� Dishwasher Wet Bar
Sillcocks Misc (list)
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PERMIT TEE CALCULATION ,
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
x .0125 $ 35 vc
(contract price)
� 2. State Surchar� ** Add the State Building Code Division
Surcharge to each permit. x .0005 $
(contract price)
or $.50, whichever is greater
3. Posta�e and Handling (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ (a. J c
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted
work inciuding 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 fumished by the owner,
tenant or any other party the reasonable mazket value of such items must be added to the estimated cost
or contract price for g�rmit fee pu��ses. L�the event t�a�there is a dispute cn the arnaunt of the job cost,
the Cicy 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 Jnspectional 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: ��.� �ad Date: S 30 ��� �r'
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FR0�1 : NE�TING CONSULTANTS INC FAX N0. : 612 758 5434 Jun. 06 2001 02:35PM P5/5
pERMIT F'EE CALCULATXON
1. 1.25% of Contract Pzice* or Minimum Fee ($35.00�
�1�� x .0125 $ .3 S o 0
T �::S�P,a;tkact-?p�ice)
2. Stare Surchar e. ** Add the Stat� Building Code Dxvision
Suz�charge to each permit. � x �.0005 $
(contract price)
or $.50, whi.c�iever is greater
3, postage and �iandlin.� (Only mail-in applxcacions) $ 1.50
�}. TOTAL PERMT'T FEE (Add lines 1-3 above) $ �. -��
* CONTRACT PRICE or 70H COST means the actual or estima[ed dollar amount charged for the permitted
vrork including materials, labor, profi�, and other Fixed coscs. It is the arao�t to be charged to [he
cuscomer for the work done. If any material, equipment, labor,or installation aze furnished by the owner,
tenant or sny other parry Ihe reasonable maxkec value of such items mvst be addcd [o the estunated cost
or con[ract price for permit fee purposes. Yn the event that ther�is a dispu[e ou Che amount of tk�e job cost,
�he Ci�y may requcst the submission of a signed eopy of the actual contract, `
�� The STATE SURCHARGE is .0005 of the coAtract price under $1,000,000 or $.50 - whichever is
grea�er. For valuations over S1,OOO,OOo call the Department oP Jnspeccional..Services for ihe price.
The undersigned hereby ap�lies to the City for issuance of a Plumbiz�g Permit, agrees to do all
work :in strict accordance with [he ordinaz�ces of the Ciry and [he regulations of ihe State of
Miru�,esota, and certifies [hat all statemeats made on 'this a,pplication are complete, ttue and
correct. .
Applicant'sSignature: �-� � Aate: S 3a �/
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