HomeMy WebLinkAbout2008-P00894 (plumbing-fixtures) PERMIT
CITY OF ORONO
275C; Kelley Parkway - PO Box 66 Permit Number: p11894
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued:
2/29/2008
SITE ADDRESS: 3227 Casco Cir Unit#
Wayzata,MN 55391
PID: 20-117-23-43-0018
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: Pamela Plain
2905 Garfield Avenue S. 3227 Casco Cir
Minneapolis,MN 55408 Wayzata MN 55391
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.
� C�J`,
APPL[CANT PERMITEE S[GNATURE SUED BY SIGNATURE
Copies: 1-File(Signarures Required), ]-Applicant, 1-Monthly Reports, I-Assessing,(If Septic, 1-Septic) Page 1
FOR CITY i1SE ONI,Y
' �,¢��� City of Orono
, P.Q Box 66 Date Received: Permit#
tj`� � �`� 2750 Kelley Parkway
���� it"' i �� Crystal Bay,MN 55323 Approved By: Amount$:
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�\� °�'',�i r��,;" (952)249-4600
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CITY OF ORONO—PLUMBING PERMIT
(All Commercial permits must be approved by the Building Official or Inspector)
GENERAL INFORMATION
1. You may apply for plumbing permits by mail or in person at the City offices. Applications will be
reviewed and a permit will be issued within two working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECENE 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 State Code requirements.
6. All work must be inspected and air tested before it is covered. Call(952)249-4600.
(24-48 hour notice required)
TYPE OF PERMIT
Check All That A 1
�Residential ❑Commercial(Approval Required)
❑ New ❑Additional ❑Repairs �Replace
❑ In Accessory Structure?
*You will need prior approval and may need CUP.(Per Orono City Code,Chapter 78,Article IV)
Job Site/Owner Information:
Site Address: Dennis Plain
3227 Casco Circle
Owner: Orono, MN 55391 ress:
9524710487
City: _._.._ __�.-_3:__�..
Home Phone: A(ternate Phone:
Contractor Information:
Contractor: ! �> > Contact Person: _I�,S�
Address: 7�Jrl.S� �iart�l�t,S State Bond#: SS/`���D y
City: Zip: S S Expiration Date: 0 22 7 �o
Phone: ( /Z -y033 Alternate Phone:
�
❑ Insurance—Current:
1
Fe6, 21, 2008 3:41 Fivl iVo rb 1 om Pl umb i ng No, 4941 P, 1/2
PLUMBTNG FIX'I'URES BEING INSTALLEJJ
FIXTCIRE BSMT 1 2 O'Z'HER �T�TUk� SSMT ] 2` 01'H�R '
TYPE FT. �S, TYPE FL �'�,
Water CloseY Floor Drains �
Lavatory. Sewer Ejector
Bathroom Laundry 1'zay
Shower Washer •
Kitchen Sink ViWater Y-leater �
Disposal , �1Vater SoRener
Dishwasher ��g�. ,
Sillcocks • � Miscellaneous
• �
. PERNITT FBE CALCTJLA`�TON(S)� �
BASED OFF -2002 ST.�,TL STATU� ' �
� Yes,i�,is sectzon applies
The replsc�ment of a Residential fixtu or a�liance tt�at meers all three of�he following requirements:
1. Does not require modification Yo electricsl or gas service.
2. T�as a totai cost of$500.00 or less;exc udi the cost of the fxture or a�pliance:and
3. Is improved,installed o�r zeplaced by rlae hon�eowner or licensed contractor.
Skip next section,iftbis app]ies; Cost ofpermit $ 15.00
�� State Surcharge $ .50
Mail-Tn Fee(If Applicable) S .50
'�ota1�er�nit�'ee � J?.00
(Permit�ees ConYqaued On Next Page) _ �
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Feb, 27, 2U08 3;41PM Norblom Plumbing No. 4942 P, 2/2
�ERMIT FEE CAX,CUL.A,T10N S �JOBS OVE1t$500.00 .
Tf above does noi apply;�'o[low guidelines below:
1. CONTRACT PRi E *is 1.25%of contract price with a(Minimum Fee of$35.00) -- ,_
x.0125� �
(conaact price) (minimurri$;5,00)
?. STATE SURCHARGE *'�Add the Stace Bldg Code��v.Surc.�atge(Minimu�Fee of 5_50)
x.00OS $
(conQact price) (minimum$ .SO)
3. k'OSTA,G�&5�.��JX,S�1Gr(Only on Mail-!n Applicatjons) � I.50
4. 1'O�'AL��RM�T���(A.dd Lines 1-�Above) g �� L -�
• '� CON�AC�' FR�CE or JOB COST means the actual or estimated dollar amount chargod for fhe
perlrtitted wor�C inc�udlr�,alraate�al5, Iabor,profit,and other fixed costs. It is the amount to be charged
to the customer for the work done. 1�any z�aterial, equipment, labor or installations are fumished by
the owner,tenant or any other parry, the reasonable marJ,cet value of such itenns must be added to the
estimated cost or contcact price for permit fee �uzposes. Yn ihe event Zhat�here �s a dispute oz� ihe
amount of the job cost, the City may request the submission of a signed copy of the actual cvnttacC.
�N,
• �`* The STt�TE SL'RCHARGE is.0005 of the eonttact price under$1,000,000 oz$.50—wb�Kchevez is
�CeateT. FoF valuatjolls over$1,000,000 ca[L the Building Department at(952)249-4600 for the price.
PLUMBING PERMIT APPLICATI�ON A�`irRE��1C/�E1�iT � . '
x�e undetsigned hereby a��lies to the Ciry �or issuance of a�lumbing Permit, agrees to do all
work in sUict accoida�ce wrtb the ordinances af the City and the regulations of the State of
Minnesor� and certifies that all statements made on this application are compleie,-�rue and
' correct.
Applicant's Signatur . Date: 2� Q�
t�eset Form
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