HomeMy WebLinkAbout2002-p04963 - plumbing ITY' � R N PERMIT
2G,750 KeIIOParkOwa -OPO BOox 66 Permit Number: Po4963
Y Y
Crystal Bay, Minnesota 55323 Permit Type: FiXtures
(952) 249-4600 Date Issued: 3ii3izoo2
SITE ADDRESS: 4245 Chippewa Lane
Maple Plain,MN 55359
PID: 31-118-23-42-0001
DESCRIPTION:
Proposed Use: Kesidentiai
Pernut Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 52.50 Valuation: $ 4,200.00
State Surcharge Fee: $ 2.10
TOTAL FEE: $ 54.60
APPLICANT: Clear Water Systems Inc. OWNER: Jon&Clea Altman
1519 148th Ave NW 4245 Chippewa Lane
Andover,MN 55304 Maple Plain,MN 55359
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE TI�REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN SI'WCT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOT BUILDING CODE REQUIREMENTS.
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AP CANT PERMITEE SIGNATURE IS UED BY SIGNATURE
Copies: 1-File(SiQnitures Rec�uired). 1-Apolicant 1-Monthlv Reports, 1-AssessinQ, 1-Finance �,,,.o ,
PERMIT FEE CALCULATION(S)
2002 State Statute ❑ Yes, This Section Applies
The replacement of a Residential fixture or a�liance 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; excludin� the cost of the fixture or appliance:
and
3) Is improved, installed or replaced by the homeowner or licenced contractor.
Skip next section; Cost of Permit $ 15.00
State Surcharge $ .50
Mail In Fee $ 1.50
If above does not apply, follow guidelines below:
�
�� 1. Contract Price* is .0125 % of job with a Minimum Fee of ($35.00)
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,
��cg�� x .0125 $
(contract price) (minimum$35.00)
2. State Surchar�e. ** Add the State Building Code Division a (Minimum Fee of$ .50)
x .0005 $
(contract price) (minimum$ .50)
�
�
�; 3. Postage and Handlin� (Only 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
t' 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 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 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 Department of Inspection Services for the price.
The undersigned hereby applies to the City for issuance of a Flumbing Pernut, agrees to do all
work in strict accordance with ordinances of the City and the regulations of the State of
Minnesota, and certifies 11 state made on this application are complete, true and
correct. �
Applicant's Signa e: - Date:
£-
CITY OF ORONO APPLICATION FOR PLUMBING PERMI'I'
Box 66 (2750 Kelley Parkway)
Crystal �ay, IdIN 55323
GENERAL INFORM[ATIOIV
1. You may apply for plumbing permits by mail or in person at the City offices.
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 the State Code requirements.
6. All work must be inspected and air tested before it is covered. Call (952) 249-4600. 24-hour notice
required.
Instructions Complete all items on this application. Compute the permit fee. Sign and date the
certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call (952) 249-4600.
� Please check one: New Addition Repair Replace
� Residential Commercial
JOB SITE• ��7` � � � �i�3 Fl- �`� Zip:
Owner's Name: e,n S Telephone Number: �/�— ��1� --�/��
�' Mailing Address: City: Zip:
Contractor's Name: A��a�r� j� a�� Telephone Number: �1 z-2'Z1—c.�o f c}
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Mailin Address:€�!�j i��`�4 w Cit •�� �� v 2 Zi �
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PLUMBING FIXTURE SCHEDULE
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�_ FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
�'` Water Closet Floor Drains
� Lavato Sewer E'ector
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�, Bathtub Laund Tra
Shower Washer
Kitchen Sink Water Heater
Dis osal Water Softener �
Dishwasher Wet Baz
Sillcocks �Misc (list) �
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