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HomeMy WebLinkAbout2006-P10308 - plumbing �, � PERMIT ` CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: p10308 Crystal Bay, Minnesota 55323 Permit Type: Fixtures (952) 249-4600 Date Issued: 9/12/2006 SITE ADDRESS: 2765 Casco Pt Rd Unit# Wayzata,MN 55391 P��� 20-117-23-23-0019 DESCRIPTION: Proposed Use: Residenrial Permit Class: Plumbing Fixtures Permit Sub-type(s): Kitchen Sink Permit Type: Dishwasher DETAILS: Approved perresolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 850.00 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 35.50 APPLICANT: Steve Santema Plumbing OWNER: Mr. &Mrs. Pumam 4407 Locke Ave SW 2765 Casco Point Rd Cokato,MN 55321 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. _��� � �--- U���r�, �.�� APPL[CANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(Signatures Reguired), I-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 � � ` FOR CITY USE ONLY „ O,�D�O City of Orono P.O.Box 66 Date Received: Permit# �;;. 2750 Kelley Parkway � �'�?�� � Crystal Bay,MN 55323 Approved By: Amount$: ����..$a (952)249-4600 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 pernuts by mail or in person at the City offices. Applications will be reviewed and a pernut will be issued within two working days. 2. Pernut cards will be sent by rettuzi mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Plumbing pernuts may be issued ONLY to licensed plumbing conhactors and to property owners residing in the dwelling. 4. When any new conshuction or remodeling is involved,a separate building pernut 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 Apply) �Residential ❑ Commercial(Approval Required) ❑ New ❑Additional ❑Repairs ❑ Replace ❑ In Accessory Structure? *You will need nrior approval and may need CUP.(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: Site Address: o� 7���� �S r� ��. p��') Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: s��Uf� ��ti��OCJ Contact Person: 5;��U�� Address: �/�0 7 l.o��'���� .�4e State Bond #: f�S �/�S i City: �o N Zip:�53.2� Expiration Date: ���/ �. v�OC?�, Phone: �/'�- �0� r�/� Alternate Phone: ❑ Insurance—Current:���5/�(Q . -0���/���'� 1 �CJ i�e�-S �5 � J - 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 Washer Kitchen Sink / Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous PERMIT FEE CALCULATION(S) ' BASED OFF -2002 STATE STATLTE ❑ Yes,this section applies The replacement of a Residential fixture or appliance that meets all three of the following requirements: 1. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less; excludinQ 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) 2 . PERMIT FEE CALCULATION S —JOBS OVER$500.00 If abo�•e does not apply; follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00) � •f'--, ,y�L! 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-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 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 pernut fee ptuposes. 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 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 Building Depariment at(952)249-4600 for the price. PLUMBING PERIVIIT A.PPLICATION AGREETVIENT 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. C",a Applicant's Signature: ������ , Date: J—%2 —O � 3