HomeMy WebLinkAbout2000-P02682 - plumbing PERMIT
CIT�Y O� ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Po26g2
Crystal Bay, Minnesota 55323 Permit Type: FiXtures
(612) 249-4600 Date Issued: �iisi2oo
SITE ADDRESS: 195 Crystal Creek Rd
LONG LAKE, MN 55356
PID: 33-118-23-32-0004
DESCRIPTION:
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PCO]�OSeC�USe: �c�iuciiiiai
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Single Family
DETAILS:
Approved per resolution #:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 2,598.00
State Surcharge Fee: $ 1.30
Misc. Fee: $ 1.50
TOTAL FEE: $ 37.80
APPLICANT: COMMERS CONDITIONED WATER OWNER: PILLAR HOMES INC
9150 W 35W SERVICE Dr 185 CRYSTAL CREEK RD
BLAINE,MN 55449 LONG LAKE MN 55356
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPL[ANCE WITH ALL CITY OF ORONO ORDINANCES AND
STATE OF MINNESOTA BUILDTNG CODE REQUIREMENTS.
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, PLICANT PERMITEE SIGNATURI: ISS D B 'SIGNATURE
Copies: City,Applicant, Assessor,Finance Page 1
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'` CITY OF ORONO � 6122494b1b 11l16/99 10:32 � :02/03 N0:828
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CITY OF ORONO APPLICATION FdR PLLTMBING PERMIT
Boz b6 (2750 Kelley ParScway)
Crystai Bap, MP( SS323
GEYE{��ORMATI�Y
t. You u�c a�ply for plumbin�permits by mail or in�eeraan at cbe Ctry oPflca.
2. Permit cuda will be �eat by rctura mail aftqr a review is completed. AERMITS ARE NQT VALID
UNT1I. YDU RECEiVE A PIItMFT', yvf�RK MUST NOT BE(lIN CINTIL 'i']-IE PEjtMiT CARD IS
3TED O�{�JOS SITE.
3. Phtr.nb�ng pentats may be issued ONLY to licoasad plumbin� contractors and to properry owne�s r�iding
in thc dwel}tng.
4. Wht� driy csew ootiltruCtioti or camodelia= is involved, a sepatate building permit musi be obtained.
S. All wotic mtut be dorie tn ae¢ordanee wtch the Stace Code reyuiremeats,
5: Atl work muat be iuspccud and a!r teated beforc i� i� covtred. Call 249-4ti00. 24-hour notia required.
jg���g Complate aII icoms an this appiic:ation. Campute the permit fee. Sign arai date
tht c,trtic7cation. IN�'OMPL�T`� APPt.ICATIONS WII.L NOT BE PROCESSED. If you havc
ques'ons; call 249-4600.
Ptcasc chcck on�: New addition Repair Replace
, „�Resid�atial Cwnmarcial
�aB �: 1�>�"C��.�,�.�� ������' �l� z��:
' {hmac'a Naxne:--�-_�� "�� ���` Tdephone �umbcr•
�I�I�ilin�A � Ci�y: .Z[p:
Cqntr�ctor's Name: Tekp6or�e Number: 612-780-0555
1'�a�ng Addre�t:915 51�1 Servi ce Dr City: B1 ai ne �Ip: 55449
p�UMBEN�,�TRE SCHE��
EIXTUF� �SMT iST 2ND 0`IHEA FIXTURE BSMT 15T 21�iD OTHER
'I'1'PE FL FL TYAE FL �L
Waccr Closct Flaor Draina
L,avatory Sawe� EJector
Bathtub I.tWndry Tray
Sbower Waaher
Kitcben Sink Wates Heater
bit�aal Wtter Softeaer X
Dis�washer Wet Sat
Silicocts Miac(liat)
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� CiTY OF ORONO � 612249461b 11/16/99 10:32 � :03/03 N0:828
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��$��g Ct�L���
1. 1.259'0 of�ontraet Price* or Minimum Fee f�3,�00) � ,��
� �. -;:y" � x .0125 S <�-J
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(caatract pda)
2, �tate 9utctusr�c. *'" Add tix State Building Code Dtvtsion
S�ucharge to cach permit. � x' ������ �.�' x .Q003 S � � c>
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or �.50, whichever is grea�er . °
3. �'9g�e,�e a�d Hs�d1InQ (4nly maij-in ap�tications) � t-S�_
4. TOTAL PERMTT FEE (Add limea 1-3 abov�} � �7-��� ,
* CQN'1'RACT PRICE or]08 COST maans tj►e actuai ar estSmated dollaz amouat tharged for t�e permltu:d
work includin� m�ceriala, labor. pro[it. and otber fi�ed cos�s. It is the amoiu►t to ba cb�r4ed to cbe
�atoaur for the worY done. !t�ny meterid, equlpmeat,labor.or inuallacion are f�rnished by the owner,
cenanc or ury oth,er puty tha reasona�e marica value of suc6 itcan must be Mdcd to the�timmataf cort
or conirect price for ptrmlt fcc purpOaes. Iu the event that tt�ere is a disyut�on the amaunc oi the jo�coat,
� tha Ciry mab+ rsq�sest thm avbmiaaiaa of a ei�aM capy of the accual concract.
•' Tho STATB SURCHARG� is .0005 of tba contrtct priCa zmder SI.00O,OdO ar S.� - whichever te
�raur. Far va�uouletu aver Si.�00,000 es11 the Deparcajmc of Inspectional 5rnieca for the priee.
- The underaigned her�by applies to thc City for issuance of a Ptumbing Permit, agrees w do all
work i�scrict accordance wifh the ordi�anc�s. af the City �ad che reguladons of the 5tate of
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M�esota� and certifies that all at�temenis made on thls application are complete, true and
correct.
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ApPlicarit'sSignature; LG��� Datz: � � c, Ej��