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HomeMy WebLinkAbout2006-P09538 - plumbing , � � � PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway- PO Box 66 Po9538 Crystal Bay, Minnesota 55323 Permit Type: Fixtures (952) 249-4600 Date Issued: 1/18/2006 SITE ADDRESS: 2914 Casco Pt Rd Unit# Wayzata, MN 55391 PID: 20-117-23-31-0031 DESCRIPTION: Proposed Usc: Residential Permit Class: Plumbing Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 187.50 valuation: $ 15,000.00 State Surcharge Fee: $ 7.50 TOTAL FEE: $ 195.00 APPLICANT: Westman Plumbing&Heating OWNER: Andrew&Marcia Freese 31569 Nuthatch Ave. 2914 Casco Point Rd Atkin,MN 56431 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. � �� �' � � �� ----� t �yf-�--� � r'�� � APPLICANT PERMITF.E SIGNATLJRE �� IISSUED BY SIGNATURE Copies: l-File(Signatures Required), 1-Applicant, 1-Monthly Reports, I-Assessing,(If Septic, 1-Septic) Page 1 . . � � ! FOR CITY USE ONLY "—'"�'�`: City of Orono f4�`�`��'� P.O.Fio�:66 DateReceived: Pennit# /%� �'� 2750 Kelley Parkway i�,a i�� l'r` Crystal Bay,MN 55323 Approved By: Amount$: ��t� ��'i�vyo� (952)249-4600 ��xr�szsu% CITY OF ORONO—PLUMBING PERMIT (All Commercial permits must be approved by the Building Official or Inspector) GENERAL INFORNIATION l. 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 t�vo working days. 2. Permit cards�vill be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL�`OU RECEIVE A PERMIT. WORK MUST NOT BEGiN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Plwnbing 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 pennit must be obtained. 5. r111 work must be done in accordance with State Code requirements. 6. All work must be inspected and air tested before it is covered. Call (95?)249-4600. (2a-48 hour notice required) � TYPE OF PERMIT (Check All That Apply) [�Residential ❑Com���ercial(Approval Required) [�New [V]�Additional ❑Repairs ❑Replace ❑ In Accessory Structure? *You will need nrior an�roval and may need CUP. (Per Orono City Code,Chapter 78,Article IV) Job Site/ Owner Information: ' / Y . , / Site Address: � � �`7 � �-S �-C� � � d � �--- . Owner:/�✓�� �'G u� G'-� .5 � Mailing Address: J� `�-'I � City: � i�c� �'t J � �� Zip: � ;S^3 I � Home Phone: Alternate Phone: Contractor Infon�ation: i ,/ Contractor: i✓�)�,�/]�•� l' fi� Contact Person: ���l`�-- Addi-ess: � ��G J/t%�ti���:��1�� `— State Bond #: �� � / I `�l�' City: IT/ ��1�� Zip:�i��/l� E�piration Date: ,�'�-- `, "GG PlZone: ��� �`� `�7rf� Alternate Phone: �.5�� �— `���-����1�`� ❑ Insurance—Curreilt: �j�' J � �—� l . �. . . \ 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 � 5 Bathroom Laundiy Tray 1 Shower � Washer 1 Kitchen Sink ; Water Heater i Disposal ` Water Softener Dishwasher Wet Bar � Sillcocks Miscellaneous PERMIT FEE CALCULATION(S) BASED OFF - 2002 STATE STATUE ❑ 1'es,this section applies The replacement of a Residential fixture or appliance that meets alt three of the following requirements: 1. Does not require modification to electrical or gas service. ?. Has a total cost of$500.00 or less;excludin�the cost of the fixture or appliance: and 3. ls 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) � 1 � 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) ���� x.0125 $ (con ract pnce) (minimum$3�.00) 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(�tinimum Fee of�.50) x .0005 $ (contract price) (ininimum$ .50) 3. POSTAGE&HANDLING (Only on Mail-In Applications) $ 1.50 4. TOTAL PERMIT FEE(Add Lines t-3 Above) $ ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the pennitted work including materials, labor, profit, and otller 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 marhet 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 SURCfIARGE is .0005 of the contract price under$1,000,000 or$.�0—whichever is greater. For valuations over$1,000,000 call the Building Department at(9�2)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 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. � � � Y��G: .4pplicant's Signature: %'�� Date: / Reset Form 3