HomeMy WebLinkAbout2000-P03461 - plumbing ` � PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Po�461
Crystal Bay, Minnesota 55323 Permit Type: F�Xcures
(612) 249-4600 Date Issued: 1��2i2oo
SITE ADDRESS: 1003 Cox Farm Rd
LONG LAKE, MN 55356
PID: 27-118-23-33-0014
DESCRIPTION:
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PCOpOSeCI USe: nc�iuc�iva�
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Fixtures>3
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 Valuation• $ 500.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 35.50
APPLICANT: PARK PLUMBING OWNER: S SWENSON&C A BAIER
P.O. BOX 214 1003 COX FARM RD
MAPLE PLAIN,MN 55359 LONG LAKE MN 55356
THE UNDERS[GNED HEREBY REQUESTS PERM[SSION TO MAKE TE-� REAL [MPROVEMENTS 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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APP ICA PE TEE S[ NATURE SUED BY SIGNATURE
Copies: City,Applicant,Assessor, Finance Page 1
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CITY OF ORONO APPLICATION FOR PLU11-IBING PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, NIN 55323
GENERAL INFORMATION
1. You may apply for plumbing permits by mail or in person at the City offices.
2. Permit cards will be sent by retum mail after a review is completed. PER�IITS ARE NOT VALID
UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Plumbing permiu may be issued ONLY to licensed plumbin; contractors and to property owners residing
in the dwelling.
4. �'hen any new construction or remodelin, is involved, a separate buildino 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 249-4600. 24-hour notice required.
Instructions Complete all items on this application. Compute the permit fee. Sign and date
the ceRification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call 249-4600.
Please check one: New � Addition Repair Replace
� Residential Commercial
JOB SITE: j��� C o x t-aY'►� �� Zip:
Owner's Name: Telephone Number:
Nlailing Address: City: Zip:
Contractor's Name: ar 1<�(�,�.wtlo',�� �� • Telephone I�umber���3. y�y-�y3�
Mailing Address: �-0 � Box �l�-I City: Yucc�l� 1�1�.�w Zip: 5.�3��
PLUMBING FIXTURE SCHEDULE
FIXTliRE BSMT 1ST 2ND OTHER FIXTURE BS:�1T 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Wa[er Closet Floor Drains
Lavatorv 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 TEE CALCULATION
1. 1.25% of Contract Price* or l�iinimum Fee ($35.00)
� x .0125 $
(contract price)
2. State Surchar� ** 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 chazged for the permitted
work including materials, labor, profit, and other fixed costs. It is the amount to be chazged to the
customer for the work done. If any material, equipment, labor,or installation aze fumished 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 pernut fee purposes. In the event that there is a dispute on the amount of the job cost,
the Cicy 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 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: Date:
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