HomeMy WebLinkAbout2008-P12009 - plumbing �ITY'OF ORONO PERMIT
2750 Kelley Parkway- PO Box 66 Permit Number: p12oo9
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued: 4/28/2008
SITE ADDRESS: 2797 Casco Pt Rd Unit#
Wayzata,MN 55391
P��� 20-117-23-23-0016
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: Mr. &Mrs. Ronald Grundeen
2905 Garfield Avenue S. 2797 Casco Point Rd
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.
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APPLICANT PERMITEE SIGNA"I'URE ED BY SIGNATURE
Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,([f Septic, 1-Septic) Page 1
FOR CITYUSE ONLY
si�`""p``"�>, City of Orono
�� �O�, P.O.Box 66 Date Received' Permit tt
�f , % 2750 Kelley Pazkway
'`� �t�� �% Crystal Bay,MN 55323 Approved By: Amount$:
'� i��=,J�u,r (952)249-4600 � � � � �
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CITY OF ORONO—PLUMBING PERNIIT
(All Commercial permits must be approved by the Building Ot�icial or Inspector)
GENERAL INFORMATION
I. 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 RECEIVE 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 arior approval and may need CUY.(Per Orono City Code,Chapter 78,Article IV)
Job Site/Owner Tnformation:
Joy Grundeen
Site Address: 2�9� Casco Point Road
Owner: Orono, MN 55391
9524719133 ldress:
City:
Home Phone: Alternate Phone:
Contractor Information:
� ^
Contractor: ��C�7'� ��O'�11'� ��`1.�,��i"t,YJ i Y�� ontact Person:
Address: o�-f��� �'{ ��� ���" J State Bond#: ��.�.�� �� �" � " 1
City: s�- �� Zip:��(�Expiration Date: J� fJ�
Phone: j��� ��� ������� Alternate Phone: �
❑ Insurance—Current:
1
� . �. .,.,
; , PL:FI�VIBINCr'FI�'FC1�I?�ES>BETNG FI�TA:���T�'{� �`;_ v ..���,�.`�;. '.
FI�YTURE BSMT 1 2' OTHEK FIXTURE BSMT 1 T 2"D OTF�R
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
Lavatory Sewer Ejector
Bathroom Laundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Miscellaneous
: = P�RIVIIT FEE C:ALGUI.ATLf?N(�} � '��x^,
� ; BASED�t�F'F - 2�0?��TA"T� SZ�'�U� �:�.,- �{:� '
'y,j ' Yes,this seciion applies
� The replacement of a Residential fi�cture or appliance that meets all three of the following requirements:
l. Does not require moaification to electrical or gas service.
2. Has a tota(cost of$500.00 or less;excludin�the cost of the fixture or appliance: and �
3. Is improved,instailed or reptaced by the homeowner or licensed contractor.
Skip next section,if this applies; Cost of Pertnit $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50 .
Total Permit Fee $�
i�7. csc.�
(Permit Fees Continued On Next Page) -
2
i 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(:Vlinimum Fee of$35.00)
x .0125 $_ _
(contract price) (minimum$35.00)
2. STATE SURCHARGE �`* Add the State Bldg Code Div. Surcharge(�iinimum Fee of�.50)
x.0005 $
(contract price) (minimum$ .�0)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ L�0
4. TOTAl,PERMIT FEE(Add I,ines 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 permit fee purposes. 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 Deparnnent at(952)249-4600 for the price.
�- PLUMBING PERMIT APPLICATION AGREEMENT
The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do al]
work in strict accordance witr� the ordinances or tne City and the regulations of the State of
Minnesota, and certifies that all sta�ements made on this application are complete, true and
correct.
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Applicant's Sig ature Date: V
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