Loading...
HomeMy WebLinkAbout2007-P10733 (fixtures) PERMIT CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: p10733 Crystal Bay, Minnesota 55323 Permit Type: Fixtures (952) 249-4600 Date Issued: 1/30/2007 SITE ADDRESS: 2520 Casco Pt Rd Unit# Wayzata,MN 553)1 P��� 20-117-23-21-0017 DESCRIPTION: Proposed Use: Residential Permit Class: Plumbing Permit Type: Fixtures Permit Sub-type(s): Washer DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 35.00 valuation: $ 1,000.00 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 35.50 APPLICANT: John Anderson Plumbing Co. OWNER: Mr. &Mrs. Rocca 19840 Lakeview Ave. 2520 Casco Point Rd Deephaven, MN 55331 Wayzata MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE W[TH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. � � > >� '' ✓i�^-�/� ,.�- . d�v"- � ���1�l� �vl._ i � l/ , �` APPLICA;VT PERMITE�SIGNATURE [ UED BY SIGNATURE / / Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 � r � � FOR CITY U5E ONLY ¢�� City of Orono P.O.Box 66 Date Received: Permit# ���,� � 2750 ICelley Parkway a '�j't��r� �* Crystal Bay,MN�5323 Approved By: Amount$: ��+��'�'u"�o a� (9�2)249-4600 �ir"��'o$w CITY OF ORONO—PLUMBING PERMIT (All Commerciai permits must Ue 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 pemut will be issued within two working days. 2. Permit cards will be sent by reh.un mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORIi MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON TAE JOB SITE. 3. Plumbu7g peimits may be issued ONLY to licensed plumbing conn�actors and to property owners residing in the dwelling. 4. When any new consh�uction or remodeling is involved, a separate building peinut 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. (2;-43 hour e.otice rcquired) � TYPE OF PERMIT (Check All That Apply) �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: ,�S ��% C r�� � v �]`; ��,�, Owner: Rv�-i ����C C � Mailing Address: City: ,�7 r �,'�v � Zip: Home Phone: qS"Z - `/7/ - %�'S �y Alternate Phone: Contractor Inforniation: Contractor: �f��i h�,���sc- �. Contact Person: '� �� � � �/ Address: � ��`�o L�� •-F��-�r^'f��•� State Bond #: C>��,�1�Z� �'��i City: ,��c-��-s��'% Zip:5�5 33�' Expiration Date: /z�r�� C e// . Phone: ys� `/�y_ �1���S"1 Alternate Phone: `!S Z- y�Z ' `'`/Z E ❑ Insurance — Current: 1 � � . /I . . : ,PLUMBING FIXTURES BEING INSTALLED ' FIXTURE BSMT 1 2' OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower W asher / Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous " PERMIT FEE CALGULATION(S) ' BASED OFF - 2002 STATE STATUE ❑ Yes,this section applies The replacement of a Residential fixture or appliance that meets all tluee of the following requu-ements: 1. Does not require modification to electrical or gas service. 2. Has a total cost of$�00.00 or less; excludin�the cost of the fixture or appliance: and 3. Is improved, installed or replaced by the homeowner or licensed contractor. Skip next section, if this applies; Cost of Permit $ 15.00 State Surcharge � .50 Mail-In Fee(If Applicable) $ 1.50 Total Permit Fee $ (Permit Fees Continued On Next Page) � r ► t . PERMIT FEE CALCULATION(S)-JOBS OVER$500.00 ' > - If above does not apply; follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00) � /va� � x.0125 $ (contract price) (minimum�35.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) x .0005 $ (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-Iil Applicarions) $ 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 installations 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 puiposes. 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 conhact. � *� The STATE SURCHARGE is .0005 of the contract price under $1,000,000 or $.50—whichever is greuter. For valuations over$1,000,000 call the Building Deparrinent at(9�2) 249-4600 for the prace. �. PLUMBING'PERIVIIT A:PPLICATIqN AGREEMEI�TT ' The undersigned 'nereby applies to �nc City far issua�ce af a Plumbing Pe�rr�it, agre�s to 3o 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: � , -� Date: %/3u�G 7 -, �