HomeMy WebLinkAbout2004-P07519 - plumbing PERMIT
CITY CJF ORONO Permit ►vumber:
275CtKelley Parkway - PO Box 66 Po�si9
Crystal Bay, Minnesota 55323 Permit Type: FiXcures
(952) 249-4600 Date Issued: si2oi2ooa
SITE ADDRESS: 1435 Cherry Pl
MOLJND,MN 55364
P I D: 08-117-23-33-0023
DESCRIPTION:
Proposed Use: Kesidential
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Plumbing Undefined
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 Valuation• $ 0.00
State Surcharge Fee: $ 0.50
Misc. Fee: $ 1.50
TOTAL FEE: $ 37.00
APPLICANT: Center Point Energy Minnegasco OWNER: EVANS JOHNSON ETAL
13562 Central Avenue NE 1435 CHERRY PL
Anoka, MN 55304 MOUND MN 55364
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN SI'RICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERM[TEE SIGNATURE ISSUED QY SIGNATURE
Copies: 1-File(Sienitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessing, 1-Finance Page 1
, •
CITY OF ORONO APPLICATION FOR PLLIi�iBING PERI�IIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, 1�I�i 1 55323
GENERAL INFOR�L�,TION
1. You may apply for plumbing permits by mail or in person at the City o�ces.
2. Permit cards will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTII., THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Plumbing permits may be issued ONL.Y to licensed plumbing contrac[ors and to property owners residing
in the dweiling.
4. When any new construc[ion or remodeling is involved, a separate buildin; perm.it must be obtained.
5. All work must be done in accordance wi[h the State Code requirements.
6: All work must be inspected and air tested before i[ is covered. Call 249-46Q0. 24-hour notice required.
Instructions Complete all items on this application. Compute the permit fee. Si?n and date
the certif'ication. I'iVCOMPLETE APPLICATTONS WILL NOT BE PROCESSED. If you have
questions, call 249-4600.
Please check one: New Addition � Repair Replace
Residential Commercial
JOB SI'TE• �`t` Zip: j,>,3(� `/
O�mer's i�'ame: ���� Telephone Number: ��< <�)1 -g'`f 7.�
I�Iailin� Address: City: Zip:
Contractor's l�ame:��' ,:.� , ��„���,�,�,;�� Telephone I�umber: J��3��5�-��
I�iailina Address: f 3���� l/� ,:�; / �9,�/��f£ Cih'� ��.::�1�r> Zip: �"� -;��
PLUI�IBING FIXTURE SCHEDULE
FIXTURE BS�1T 1ST 2I�1D OTHER FIXTURE BS:�ST 1ST 2ND OTHER �
TYPE FL FL TYPE FL FL
Wacer Closet Floor Drains
Lavatory Sewer Ejector
. Bathtub Laundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Misc (list)
�
• ' .
PERNIIT TEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
x .0125 $ ,3.i� ���,
(contract price)
2. State SurcharQe. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $
(contract price)
or $.50, whichever is greater
3. PostaQe and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ j��. QO
* CONTRACT PRICE or JOB COST means the actual or estimated doilar amount charged for[he permitted
work including macerials, labor, profit, and other fized costs. It is the amount to be charged to the
customer for[he work done. If any material, equipment, labor, or installation 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 tha[chere is a dispute on che amount of the job cost,
the Ciry may request che submission of a signed copy of tbe actual contract.
** The STATE SURCHARGE is .0005 of the con[ract 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.
The undersi�ned 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 re;ulations of the State of
Minnesota, and certifies that all statements made on this application are complete, true and
correct.
Applicant's Signature: � G�%��� Date: �ll lQ>