HomeMy WebLinkAbout2001-P04089 - plumbing � !t
PERMIT
CITY OF ORONO
2750 K�Iley Parkway - PO Box 66 Permit Number: Poaos9
Crystal Bay, Minnesota 55323 Permit Type: F�Xtures
(952) 249-4600 Date Issued: �i16i2ooi
SITE ADDRESS: 255 Brown Rd S
Long Lake,MN 55356
P ID: 03-117-23-24-0008
DESCRIPTION:
,-,--.�_,
PI'OpOSeCl USe: i�c�iuci�uai
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMAFtY: Permit Fee: $ 56.25 Valuation: $ 4,500.00
State Surcharge Fee: $ 2.25
TOTAL FEE: $ 58.50
APPLICANT: Hovde Plumbing&Heating Inc OWNER: Margaret Cost
2222 Edgewood Avenue 255 Brown Rd S
Minneapolis, MN 55426 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.
� �.v„� /`�"l�-L���yi�c�_.--_��jJ
APPLI ANT PE MITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Signitures Required), 1-Applicant, 1-Monthly Reports,1-Assessing, 1-Finance Page 1
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 retum 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 pemuts 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.
J= 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. INCOMPLE�'E APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call 249-4600.
Please check one: New Addition Repair �eplace
�Residential Commercial
� �
JOB SI1'E• �`� �.-`���� � ��� ��� Zip:
�—. ,-
Owner's Name: ���. �� �r„ .x �'_��w-�; Telephone Number:
l�Iailing Address: ` City: Zip:
Contractor's Name: a �p�� ��' ���1 Telephone l�umber:
�
Mailing Address: ��`�� �.��;,� ���y�C y�`�. � Cit3': �� f, Zip: ��'
��
�;:' PLUMBING FIXTURE SCHEDULE
�
�
� FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
�' TYPE FL FL TYPE FL FL
�
� Water Clos�t e� Floor Drains
�
Lavatory � Sewer Ejector
Bathtub ,� Laundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Misc (list)
PERMIT TEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee 35.00
�r�` .�, � 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. Post,aQe 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 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 pemut 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.
** 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 lnspectional 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. .
�O,�- _ : ��, �
Applicant's Signature: �=�-��' C� � `'���-�� Date: � � ���.
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