HomeMy WebLinkAbout2001-P04473- plumbing _ �
CITY OF ORON PERMIT
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2750 Kelley Parkway - PO Box 66 Permit Number: Po44�3
Crystal Bay, Minnesota 55323 Permit Type: F�X�ures
(952) 249-4600 Date Issued: loiio�2ooi
SITE ADDRESS: 2755 Countryside Dr W
Long Lake,MN 55356
PID: 04-117-23-12-0017
DESCRIPTION:
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PI'O]�OSOC�USO: nc�iucuuai
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 49.94 Valuation: $ 3,995.00
State Surcharge Fee: $ 2.00
TOTAL FEE: $ 51.94
APPLICANT: Westonka Mechanical Inc OWNER: Bob&Kathy Tunheim
6501 County Rd 15 2755 Countryside Dr W
Mound, MN 55364 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
ST E OF MI ESOTA BUILDING CODE REQUIREMENTS.
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APP ICANT PERMITEE SI NATURE � ISSUED BY SIGNATURE
Copies: 1-File(Signitures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing, 1-Finance Page 1
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CITY OF ORONO APPLICATION FOR PLITi�iBING PERMIT
Box 66 (27�0 Kelley Parkway)
Crystal Bay, 1�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. Per�it cards will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID
UNT:L YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTII. THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Pluinbing permiu may be issued ONLY to licensed plumbing contractors and to property owners residing
in Lhe dwelling.
4. When any new construction or remodeling is involved, a separate buildin; perm.it 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 249-4600. 24-hour notice required.
Instructiors Complete all items on this application. Compute the permit fee. Sign and date
the certi ication. I'�i tCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call 249-4600.
Please check one: New Addition Repair � Replace
� Residential Commercial
JOB SITE: �S S C ��` S � )J(- � Zip:
Owner's Name: Telephone Number:
l�iailing Address: City: Zip:
Contractor's Name:�j �O �. (' , �, Telephone \umber: y�oi�U�l�(
Mailing Address:�50�, �G- 1 S� City: /i/1 O Nn GI ZiP� SS�'�a�
PLUNIBING FIXTURE SCHEDULE
FIXTURE BS�1T 1ST 2ND OTHER FIXTURE BS;�ST 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
Dishwasher Wet Bar �
Sillcocks Misc (list)
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PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
��q�1 S.(�(� x .0125 $ �
(contract price) i
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) $
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted I
work including materials, labor, profit, and other fized costs. It is the amount to be charged to the
cusromer for the work done. If any material, equipment, labor, or installation are fumished by the owner, I
tenant or any other party the reasonable market value of such items must be added 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.
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 Ciry and the regulations of the State of
Niinnesota, and certifies that all statements made on this application are complete, true and
conect.
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Applicant's Signature: - Date: IO IO Cl/ I