HomeMy WebLinkAbout2006-P10199 - plumbing PERMIT
C;ITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P10199
(;rystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued:
8/10/2006
SITE ADDRESS: 2280 Devin La Unit#
Long Lake,MN 55356
PID: 03-117-23-22-0016
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: $ 2,500.00
State Surcharge Fee: $ 1.25
TOTAL FEE: $ 36.25
APPLICANT: Owner/Self OWNER: Kirk&Judy Nelson
� 2280 Devin La
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 CODE REQUIREMENTS.
.x.�%!z- -. .,��-- � � C �2� %�'l�'i
APPL[CANT PER1�lITE SIGNATURE ISSUED BY NATURE �
Copies: 1-Filc(SignaturesReguired), 1-Applicant, 1-MonthlyReports, 1-Assessing,(IfSeptic, 1-Septic) Page 1
FOR CITY USE ONLY
O���O City of Orono
P.O.Box 66 Date Received: Pe�nit#
�,? � 2750 Kelley Parkway
� .� �'�`��'� � Crystal Bay,MN 55323 Approved By: �4 • Amount$:
����,��,��..�o� (952)249-4600
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 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 percnits 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 pernut must be
obtained.
5. All work must be done in accordance with State Code requuements.
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 A ly)
�Residential ❑ Commercial(Approval Required)
❑ New �Additionial ❑Repairs ❑ Replace
����1.)V t'"��
❑ In Accessory Structure?
*You will need prior approval and may need CUP. (Per Orono City Code, Chapter 78,Article IV)
�ob Site/ Owner Information:
Site Address: 2�� �V�� �
Owner:" � � �� ���-' `� Mailing Address: ���D ��� �,
�� lP
City: � � Zip: � �
Home Phone:_`��� � �� �� L Alternate Phone: �I a� ������
Contractor Information:
Contractar: �� Contact Person: � � �,��
Address: ��� State Bond#:
City: Zip: Expiration Date:
Phone: Alternate Phone:
❑ Insurance— Current:
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PLUMBING 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 Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Miscellaneous
PERMIT FEE CALCULATION(S)
BASED OFF - 2002 STATE STATUE
❑ Yes,this secrion applies
The replacement of a Residential fixture or appliance that meets all tluee 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)
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�
PERMIT FEE CALCULATION(S)—JOBS OVER$500.00
If above does not apply; follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00)
� v2`�vU� x A125 $
(contract price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Si,u•charge(Minimum Fee of$.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) $
■ * CONTRACT PRICE ar 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 work done. If any material, equipment, labor or installations are funiished 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 un�ersigned hereby applies to the City for issuance of a Plumbing Per.mit, 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: �� /p o
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