HomeMy WebLinkAbout2007-P10983 - plumbing PERMIT
CITY �F ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: p1o983
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued:
5/11/2007
SITE ADDRESS: 4785 Creekwood Tr Unit#
Maple Plain,MN 55359
PID: 30-118-23-33-0009
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: Permit Fee: $ 35.00 valuation: $ 1,400.00
State Surcharge Fee: $ 0.70
TOTAL FEE: $ 35.70
APPLICANT: Standard Plumbing&Applicance OWNER: Lonnie w/Marsha Underhill
8015 Minnetonka Blvd 4785 Creekwood Tr
St. Louis Park,MN 55426 Maple Plain MN 55359
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE W1TH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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1 ��- �}'Yt C-� ��7 SC{�
APPLICA PGRM(TEE SIGNATI�RE 1SSUED Y S[GNATURE
Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,([f Septiq 1-Septic) Page 1
FOR C1TY GSE ONLY
' �� � City of'Orono
��'� P.O.Box 66 Date Received: Pennit#
��;,�,�,,,�' � 2750 Keiley Park�vay
a �j"!�'�,�`�. � Crystal Bay,MN 5�323 Approved By: Amount$:
���r����o~ (952)249-4600
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CITY OF ORONO -PLUMBING PERMIT
(All Commercial pemiits must be approved Uy the Building Official or Inspecror)
GENERAL INFORMATION
1. You may apply for plumbing peimits by mail or in person at the City offices. Applications will be
reviewed and a permit 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. Plumbing pernuts may be issued ONLY to licensed plumbing conhactors and to property owners
residing in the dwelling.
4. When any new construction or remodeling is involved, a separate building peinvt 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 prior approval and may need CUP. (Per Orono City Code,Chapter 78,Article IV)
Job Site/ Owner Information:
Site Address: �% �� S L'rLkkK w�+v0 i►'�
Owner: M�'�S h'� G��V��2 h���- Mailing Address: ��B S �'���/�w��OT�
City: ���'�i� �°��ti Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: 5r"An�� ��vw��"��'�Pl�ontact Person: �H2iS Z.�4G:�f•+-s
Address: �lS M�N�i�ra���� State Bond#: � g 7 �y��
City: Sr'L�IS ��L Zip: Expiration Date: �� �7
Phone: Altenlate Phone: �Sa-93 $ ' 3 5��
❑ Insurance-Current:
1
. �„ , .
PLLTMBING FIXTURES BEING 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 W asher
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher � Wet Bar �
Sillcocks Miscellaneous
PER��iIT FEE i�t1LCT�Ai�iJN�S)
, BASED OFF - 2002 STATE STATUE
❑ Yes,this section applies
The replacement of a Residential fixture or agpliance 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 replaced 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 Next Page)
2
PERMIT FEE CALCULATION S —JOBS OVER$500.00
If above does not apply; follow guidelines below:
1. CONTRACT PRICE *is 1.25%of conn�act price with a(Minimum Fee of$35.00)
�'` �7�. � xA125 $
(contract price) (minimum$35.00)
2. STATE SL'RCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
x .0005 $ '
(conh�act price) (minimum� .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
pernutted work including materials, labor, profit, and other fixed costs. It is the amount to be charged
to the customer for the wark done. If any material, equipment, labor or installations 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 Building Department at(952) 249-4600 for the price.
PLUMBING PERMIT 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: �,G� ��� Date: S // O 7
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