HomeMy WebLinkAbout2000-P02800 - plumbing � � PERMIT
` C I TY O F O RO N O Permit Number:
2750 Kelley Parkway - PO Box 66 Po2soo
Crystal Bay, Minnesota 55323 Permit Type: FiXt�res
(612) 249-4600 Date Issued: gi9i2000
SITE ADDRESS: 2700 Copper View Dr
LONG LAKE, MN 55356
P I D: 3 3-118-23-43-0017
DESCRIPTION:
�-,--��_,
Pl'OpOSeCI US2: nc�iuc�i�iai
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: � 2,799.00
State Surcharge Fee: $ 1.40
TOTAL FEE: $ 36.40
APPLICANT: COMMERS CONDITIONED WATER OWNER: Zag Zebski
9150 W 35W SERVICE Dr 2700 Copperview Lane
BLAINE, MN 55449 Long Lake,MN 55356
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AN D AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND
STATE OF MINNESOTA BUILDING CODE REQUIREMENTS.
`� � ��_J ` �
APP I A ERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: City,Applicant,Assessor, Finance Page 1
R
'� C;,TY OF ORONO � 6122494616 11/1b/99 10:32 � :02/03 N0:828
CTI'Y OF ORONO APPLICATION FOR P'LLiL�YT.s PERMIT
Box b6 (2750 Ktlley Parlcway)
Crystai Bay, MN SS323
GEPIE$Q�,IIY�aRMATIO�Y
1. You m�}r �ply for plumbin�permits by maii or in pcsaan at the Cicy oPftces.
1. Permit cud� wili be �ent by recura aisil after a rmview ia completed. PERMTCS ARE NOT VALm
UNT'Ii. Y�'U R�CEIVE A PERMiT, woRK,�,_S'� Nos BEC3tN �n�TtL- THE PE�M_1T C�An I�
9?ED ON THE JOB SITE.
3. Ptumbiag perrrrits may be issued ONLY io liceased ptumbin� convactocs aad to propercy oanen r�aiding
in the dwel�tng.
4. When an,y naw oo�ructioa or ran:adelia� is iavolved, a separace building pernut musc be obcained.
S. All wodc mp�t be done ln necord�nee wtch the Stace Code requirements.
6: All work muat bc inspccud and a!r ceated be(orc x� is covtred. Call 249-4b00, 24-hour notice requfred.
jg��jg� CompIaca all itoms an this applicacion. Compute the permit fet. Sign arsd date
th� c�crticication. IN�.'OLiPLET� APPLICATTDI�S �VT�_ NOT BE PROCFSSED. IF you havc
questions. call 249-4600.
Pica�c �hcck on�: ��' Ncw Additian Repair Raplace
.%�"Rcsideatial CcunmBrcial
_..:__
JOB Sl'TE: � �`' N�z�� ��.� v �� '`i Zi�;
. Owmer'�Narr�: � � �Tdephone �umbcr: �
� � i1�i�ilin�Addre9s» Ci�y: Zip:
Con#r�ctor's Name: Tekphone Numbex: 612-780-0555
' l�iai�ng Atldre�t:915 W 54J Servi ce Dr Ctty: B1 ai ne ZIp: 55449
pLv�sIlv��.Tt,T�E���
��XTUR� ATMT 1ST 3ND 0`IH�R FIXTUR� �.4MT 1ST 2ND OTHEIi
TYPE FL FL TYPE FL F6.
.�...........�
Wa�ter Closct Flaor Dtaine
Lava�ory Sewec E,}ector
�...
Bachcub Laundry Tny
Sbowar Waaher
�._.....�...�.r^
ICitchen Sink Wata Heater
bi��oaeal Wuar Softeaer X
Dishwagher We� Sitr
+......,,....�
Siltcocks Miac(liat) -,� "L � e yn-�
s
r CiTY OF ORONO � b12249461b 11/16/99 10:32 � :03/03 N0:828
���kEE CALGULATION �� ��
j. 1.259'0 of�oatiact Price* or M�',�nm Fee 1�3�� • '
�-�.; ��. s ��5. ���
.� x .oizs
c�� p��>
2. Ss,aie 9urchnrgc. *'" Add the Stat�e Buildiag Code Divlsion
S�rcharge to cach pcnnit. ? 1�'i 6 ` x .QOOS S ,�5�E�
��� A�)
or �.50� which,ever is greater
3. �'4�5��a�ct HBndLing (qnly tnai!-in appticatior�) $ �="
4. TOTAL PERMIT FEE (Add lincs 1-3 �bvve} $ ��, ci�• ,
* CON'i'RACf FRICB or 70H COST maans tlie actna! ar�stSnu�ted dollar amount charged(or the permlttcd
work imclud'sn� ma�r�ala, labor, prof�t, and othcr f�ted eosts. It is the amount ro be cbu'ped ta the
custaaur lor the woric done. If nny saaceriat, equlpaaea�,tabar,ar in�tallation are t�rnished by the owner,
eenane or�ny ather puty the reaiouaWe marSca vs�ue of suc6 itean must be added to the eseimatcd c�et
or camracc peice for ptrm[c fee purpaaes. Iu che eveut that tl�ere fa a dispate aa the amauac of the jo�cost,
� tAe Ciry tn�qr r�quest thm aubtnisal� af a si�aed copy of tt�c actual coatract.
�* The STATE S[3RCI�ARC� is .0003 of tba contract priCa uader SI,000,000 ar S.30 - whlchaver Is
�reaur. FOr v�uo�ti4su over S1,f300,000 c�11 the Depercazmc oP Inspectional 5crvicea far the price,
The underaignod her�by applies to thc Ciry far issuance of a Ptumbing Peronit, agrees ta do all
wark ia strict accordanoe with the ordinac�ces of the City �.ad the regvlations of che State of
MinrYsota� anc# ccrtifies tb$t al] atutemcnts madc on thls application are complete, tnie and
� cornxt,
� � -
A�F1iCant'sSi�gnatura; � �� ��� �`�<�✓� Dat�: �-�-�