HomeMy WebLinkAbout2006-P10365 - plumbing PERMIT
CITY�F ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: P10365
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued:
9/25/2006
SITE ADDRESS: 160 Cygnet Pl Unit#
Long Lake,MN 55356
PID: 04-117-23-22-0020
DESCRIPTION:
Proposed Use: Residential
Permit Class: Plumbing
Permit Type:
Fixtures Pem,it Sub-type(s): Plumbing Undefined
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
Back Flow Preventor
FEE SUMMARY: Permit Fee: $ 15.00 valuation: $ 0.00
State Surcharge Fee: $ 0.50
Misc. Fee:
TOTAL FEE: $ 15.50
APPLICANT: Sunrise Plumbing Inc. (See comments) OWNER: Olson&Bernardi
11092 61th Street NE 160 Cygnet Pl
Albertville,MN 55301 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 DE REQUIREMENTS.
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APPLICANT TEE SIGNATUR ISSUED BY SIGNATURE
Copies: 1-File(SignaturesReguired), 1-Applicant, 1-MonthlyReports, 1-Assessing,(IfSeptic, 1-Septic) Page 1
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� FOR CITY USE ONLY
• ��� City of Orono
' ,O' O P.O.Box 66 Date Received: Permit#
�,;,� 2750 Kelley Parkway
� '�� Jr Crystal Bay,MN 55323 Approved By: Amount$:
�1 �ri�o� (952)249-4600
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CITY OF ORONO—PLUMBING PERMIT
(All Commercial permits must be approved by the Building Official or Inspector)
GENERAL INFORMATION
1. You may apply for plumbing permits 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 rehuzi mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECEIVE A PERIv1IT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Plumbing pernuts may be issued ONLY to licensed plumbing contractors and to property owners
residing in the dwelling.
4. When any new construction or remodeling is involved, a separate building permit 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: ^
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Site Address: ��
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Owner. ' (�l�'/- ailing Address:
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City: � p�U�J Zip:
Home Phone: �i ��—�����Alternate Phone: �,� (��'���Z?�' �
Contractor Information:
� ��Contractor: , ontact Person:
Address: / ���� � �5��� State Bond #:
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Clty: /r� - ( Zip�,SO'(Expiration Date:
Phone: �- ( � Alternate Phone:
❑ Insurance— Current:
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PLUMBING FIXTURES BElNG 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
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Miscellaneous
. PERMIT FEE CALCULATION(S) `` 4�'
BASED OFF - 2002 STATE STATUE
% Yes,this section applies
y
Th 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; excluding 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; foilow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00)
(/� E-' � �S`�--�x.0125 $
(contract price) (minimum�35.00)
2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
x.0005 $
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $
■ * CONTR.ACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
pemutted 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 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 pernut 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 conhact.
■ ** 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 ma on this a �cation are complete, true and
correct. ir �
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Applicant's Signature: ' % Date: �
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