HomeMy WebLinkAbout2001-P03721 - water heater �- . e PERMIT
CITY C�F ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 Po3�2t
Crystal Bay, Minnesota 55323 Permit Type: FlXn�res
(952) 249-4600 Date Issued: 4i�si2ooi
SITE ADDRESS: 3925 Cherry Ave
MOUND,MN 55364
PID: os-ii�-r-3�-oos6
DESCRIPTION:
�-,--��_,
PCOpOSed USO: nc�iucuua�
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: $ 35.00 Valuation: $ 1,500.00
State Surcharge Fee: $ 0.75
Misc. Fee: $ 1.50
TOTAL FEE: $ 37.25 •
APPLICANT: Randy Lane& Sons Plumbing&Heating OWNER: Paul Berge
1501 West Broadway 3925 Cherry Ave
Minneapolis, MN 554ll Mound MN 55364
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.
APPLICANT PERMITEE SI NATURE ISSUED BY SIGNATURE
Copies: City,Applicant,Assessor, Finance Page 1
Cl'FY OF UI�ONQ APPLICATION FQR PLUMBING PE1tMIT �
�6oY hb (27�0 �elley Parkway)
Crystal Say, MN 55323
GENERAL INFORMATION
1. You may apply for plumbing permits by mail or in person at the City offices.
2. Permit cazds 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
POST�D 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 pernut must be obtained.
5. All work must be done in accordance with the State Code requirements.
6. All��ork must be inspected and air tested �efore it is covered. Call 473-7357. 24-uour notice required.
Instruction� Co�nplet? all items on this application. Compute the permit fee. Sign and date
the certi�catioii. .INCOMPLET� APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call 473-7357.
Please check one: New Addition Repair � Replace
� Residential Commercial
JOS SIT�;: � � Zip:
Owner's Name: Telephone Number:
Mailing Address: City: Zip:
Contractor'sName: � � � TelephoneNumber: ���-�'��..��3�
MailingA ddress: l ,��-c r��, �� City: Zip:����� � �
PLUMBIlliG FdXTURE SCHEDULE
FIXTUR.E BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND 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
Dishw,;sher Wet Bar
Sillcocks Misc (list)
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PERMIT FEE CALCULATION
' 1. 1.25% of Contract Price* or Minimum Fee ($35.00)
� � x .0125 $ 3a�. 1��
(contract price)
�� 2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $ . ��
(contract price)
or $.50, whichever is greater
3. Posta�e and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) � ��'�1.�
* CONTRACT PRICE or JOB COST means the actual or estimated dollaz 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 wori:done. Ii any material, equipment, labor,or installation are fi;rnished by the owuer,
tenant or any other��Tty the reasQnable mazket value of such items �iust �ie aciued to the estimated cost
or contract price for pemut fee purposes. In the event that there is a dispute on the amount of the job cost,
the Ciry 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 Department of Inspectional Services for the price.
�x The undersigned hereby apglies 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. '
A licant's Si nature: �i4� , Date: `�'"��"�/
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