HomeMy WebLinkAbout2006-P10157 - plumbing PERMIT
rITY OF ORONO
2750 Keliey Parkway- PO Box 66 Permit Number: P10157
Crystal Bay, Minnesota 55323 Permit Type:
Fixtures
(�52) 249-4600 Date Issued: 7/31/2006
SITE ADDRESS: 2700 Countryside Dr W Unit#
Long Lake,MN 55356
PID: 04-117-23-12-0012
DESCRIPTION:
Proposed Use: Residential
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pern�it Fee: $ 12091 Valuation: $ 9,673.00
State Surcharge Fee: $ 4.84
TOTAL FEE: $ 125.75
APPLICANT: Hutton&Rowe Inc. OWNER: Brad&Lily Everett
15790 Jarvis Street 2700 Countryside Dr W
Elk River,MN 55330 Long Lake,MN 55356
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.
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APPLICAN PERMITEE SIGNATURE ISSUED BY S[GNATURE
Copies: 1-File(Signatures Required), l-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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FOR CITY USF,ONLY
. .. 0 City of OronQ /
O¢ �O P•O.Box 66 Date Received: 71 ?1�la'� Permit# �d���
y�,�.� 2750 Kelley Parkway
' � ��'�.'�,� Crystal Bay,MN 55323 Approved By: Amount$: -'.-��.���
`'��'�"�a� (952)249-4600
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CITY OF ORONO-PLUMBING PERMIT
(All Commercial permits must Ue approved by die Building Official or Inspector)
GENERAL INFORMATION
1. You may apply for plumbing pernvts by mail or in person at the City offices. Applications will be
reviewed and a pernut will be issued within two working days.
2. Pernut 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. Plumbuig pernuts may be issued ONLY to licensed plumbing conhactors and to property owners
residing in the dwelling.
4. When any new conshuction or remodeling is involved,a separate building peimit must be
obtained.
5. All work must be done in accordance with State Code requirements.
6. All work must be inspected and air tested before it is covered. Call(952)249-4600.
(24-48 hour notice required)
TYPE OF PERMIT
(Check All That Apply)
� Residential ❑ Commercial(Approval Required)
❑ New ❑Additional ❑Repairs � Replace
❑ In Accessory Structure?
*You will need urior approval and may need CUP. (Per Orono City Code,Chapter 78,Article IV)
rJob Site/ Owner Information:
Site Address: Z�l740 Coc�.��y sid� �ti''.
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Owner: r,' , ; 7�t� ��rMailing Address: Sc�w��
City: Zip:
KeK �Gd�I
Home Phone: �s'Z -H��- -��Z Alternate Phone:
Contractor Information:
Contractor: ��� a�..,,t�w�-���. Contact Person: �o�v�� ��—
Address: /5 7 rfd�'.�,r✓,s 5�. State Bond #:
City: ����i✓G�' Zip:it�l,� Expiration Date: � Z ^3� '��a
Phone: 76 3 '�l2� '2 3 2 � Alternate Phone: �O� 2 3�9 -Jb/03
❑ Insurance-Current:
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PLUMBING FIXTURES BE1NG INSTALLED '
FIXTURE BSMT 1 2' OTHER FIXTURE BSMT 1 2 OTHER
TYPE FL FL TYPE FL FL
Water Closet � Floor Drains
Lavatory � Sewer Ejector
Bathtub � Laundry Tray
Shower / Washer
l
Kitchen Sink ' Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Miscellaneous �
1�s'�..��f �a�-er ��s pe,�,sea--
PERMIT FEE CALCULATION(S)
BASED 4FF - 2002 STATE STATUE
❑ Yes,this section applies
The replacement of a Residential fixture or appliance 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; excludinQ the cost of the fixture or appliance: and
3. Is improved,installed or repiaced by the homeowner or licensed contractor.
Skip next section, if this applies; Cost of Pernut $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
(Permit Fees Continued On Nest Page)
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� 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 $
(contract price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
00
�l, �O �3- — X.000s �
(contract price) (minimum S .50)
3. POSTAGE&HANDLING(Only on 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
peimitted 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 installations are fumished by
the owner, tenant ar any other party, the reasonable market value of such items must be added to the
estimated cost or contract price for pernut fee pmposes. 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 Building Department at(952)249-4600 for the price.
`. PLUMBING PERIVIIT 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.
Applicant's Signature: ���,y�� ��'�-- Date: 7� 3 � 'd�'
�ct v�� L . �da,�
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