HomeMy WebLinkAbout2005-P08593 - mechanical PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 P08593
Crystal Esay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: 4illi2oos
SITE ADDRESS: 2820 Deer Run Tr '
I.ong Lake,MN 55356
PID: 04-117-23-24-0015
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Mechanical Undefined
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
Cook Top
FEE SUMMARY: Permit Fee: $ 35.00
Valuation: $ 0.00
State Surcharge Fee: $ 0.50
Misc. Fee: $ 1.50
TOTAL FEE: $ 37.00
APPLICANT: Center Point Energy Minnegasco OWNER: Thomas&Dawn Valerius
13562 Central Avenue NE 2820 Deer Run Tr
Anoka,MN 55304 Long Lake, MN 55356
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPRf.�VEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF�RONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMITEE SIGNATURL: '� ISSUED BY SIGNATURE
Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1
PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 Poss93
Crystal 3ay, Minnesota 55323 Permit Type: FiX�ures
(952) 249-4600 Date Issued: 4illi2oos
� SITE ADDRESS: 2820 Deer Run Tr
I.ong Lake,MN 55356
P I D: 04-117-23-24-0015
DESCRIPTION:
Proposed Use:
Pernut Class: Plumbing
Permit Type: Fixtures 1'ermit Sub-type(s): Water Heater
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 35.00
Valuation: $ 0.00
State Surcharge Fee: $ 0.50
Misc. Fee: $ 1.50
TOTAL FEE: $ 37.00
APPLICANT: Center Point Energy Minnegasco OWNER: Thomas&Dawn Valerius
13562 Central Avenue NE 2820 Deer Run Tr
Anoka,MN 55304 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 SI'ATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMITEE S[GNATURG SUED BY SIGNATURE
Covies: 1-File(Si�nitures Required), 1-Applicant. 1-Monthlv Reports, 1-Assessing, 1-Finance Page 1
RECEIVED
• APR 0 � 2005
• CITY OF ORONO APPLICATION FOR PLLJI� G �ERIVIIT
Box 66 (2750 Kelley Parkway) ��� ' �' � '`�'���
Crystal Bay, 1��1 55323
GENERAL �'ORtiL�,TION
i. You may apply for plumbing perm.its by mail or in person at the City o�ces.
2. Permit cards will be sent by retum mail after a review is completed. PER1�fITS ARE NOT VALID
UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTII, THE PERMIT CARD IS
POSTED 0�1 THE JOB SITE.
3. Plumbing permiu may tx issued ONLY to licensed plumbing contractors and to property owners residin�
in the dwellin�.
4. When any new construction or remodelin� is involved, a separate buildin� permit must be obtained.
5. A11 work must be done in accordance wi[h the Sta[e 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 certif'ication. INCO�IPLETE APPLICATTONS WILL NOT BE PROCESSED. If you have
questions, call 249-4600.
Please check one: New Addition �_ Repair Replace
���esidential Commercial
P. JJ,�`� �
JOB SITE: ' -,- �� � - � ,� � ;� Zi �'v
Owner's �'ame: ��;���,> �,(,�,-� � Telephone Number: ��, �;7G�� ?��r'
l�Iailin� Address• � '����..t City: Zip:
Contractor's name: ..,p,��,�;,ht �(�.,��;,.�1 Telephone number: ��>3�J�;� �,��
Mailina Address: T��a� r p�-r,-�� �� f�`��''/�-'F� CitY: ,��,�«� Zip: ��` �� -�_
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PLLMBING FIXTURE SCHEDULE
FIXTURE BS�1T 1ST 2ND OTHER FIXTURE BS:�fT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
Lavatory Sewer Ejec[or
� ' . Bathtub Laundry Tray
���, �s.�.=
Shower Washer
Kitchen Sink Water Heater �
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� Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Misc (list)
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PERi�1IT TEE CALCULATION �
1. 1.25% of Contract Price* or Niinimum Fee ($35.00) •
x .0125 $ =�, �
(contrac[ price)
2. State Surchar�e. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $ • `'�-
(contract price)
or $.50, whichever is greater
3. Postaae and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ '; �, -
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* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted
work including materials, labor, profit, and other fized costs. It is the amount to be charged to the
cus[omer for the wotk done. If any material, equipment, labor, or installation 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 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 51,000,000 call the Department of Inspectional Services for the price.
The undersi�ned hereby applies to the City for issuance of a Plumbin� Permit, a?rees 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.
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Applicant's Signature: �`� �'���-1���' Date: �f= `��G�'
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