HomeMy WebLinkAbout2006-P09564 - plumbing PERMIT
:CITY OF ORONO
� 2750 Kelley Parkway- PO Box 66 Permit Number: P09564
Crystal Bay, Minnesota 55323 Permit Type:
Fixtures
(952) 249-4600 Date Issued: 1/27/2006
SITE ADDRESS: 2920 Fox St vn►t#
Long Lake,MN 55356
PID: 04-117-23-31-0018
DESCRIPTION:
Proposed Use: Residential
Permit Class: Plumbing
Permit Type:
Fixtures Permit Sub-type(s): Water Sofiner
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 15.00 valuation: $ 400.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 15.50
APPLICANT: Richard's Custom Water OWNER: Mr. &Mrs. Chad Abraham
6121 Excelsior Blvd. #206 186 Seminary Dr
St. Louis Park, MN 55416 Meulo Park, CA 94025
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 BUIL G CODE REQUIREMENTS.
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APPLICANT PERMITEE SIGNATIJRE UED[3Y SIGNATURE �
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
FOR CITY USE ONLY
' '���`, City of Orono
!��`r�� P.O.I3o�66 Date Received: Pennit#
r(��,� �'`� 2750 Kelley Parkway
'+Ia q'��'7•, ':. �Jj Crystal Bay,MN 55323 Approved By: Amount$:
��i�%�:-ti�%� (9�2)249-4600
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CITY OF ORONO—PLUMBING PERMIT
(All Commercial permits inust be approved by the Buildino 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 permit will be issued within two working days.
Z. Permit cards wi(l 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 JOE3 SITE.
3. Piwnbing pern�its 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 pennit 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 A 1
ftesidential ❑ Commercial (Approval Required)
�'New ❑ Additional ❑Repairs ❑ Replace
❑ In Accessory Structure?
*You will need nrior approval and may need CUP. (Per Orono City Code,Chapter 78,Article IV)
Job Site/ Owner Information:
Site Address: z�� �� ���
Owner: /V �����h'` Mailing Address:
City: � �� �' � Zip:
Home Phone: Alternate Phone:
Contractor Information:
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Contractor: �`5 � C"�rv�S �51� �ontact Person: /�•t�l�'-�
Addcess: G�Z� �'�C�`�'S�DYL �J�y�ate Qond #:
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City: ��Gc�i.s z�p:Ss yl EYpiration Date:
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Phone: 9S'Z—�i� 'J 2� Alternate Phone:
❑ Insurance—Curcent:
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PLUMBING FIXTURES BE1NG INSTALLED
FIXTURE BSMT 1 2' OTHER FIXTURE BSMT 1 2' OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
Lavatory Sewer Ejector
Bathroom Laundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dish�vasher Wet Bar
Sillcocks Miscellaneous QU
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PERMIT FEE CALCULATION(S)
BASED OFF - 2002 STATE STATUE
❑ Yes,this section applies
The 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;excludin�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 appiies; Cost of Permit $ 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:
l. CONTRACT PRICE * is 1.?5%of contract price with a(Minimum Fee of$35.00)
y� �" a.oizs $
(contract price) (minimum$3�.00)
2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(�linimum Ece of$.�0)
x .0005 $
(contract price) (minimum$ .�0)
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
pern�itted 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 inaterial, equipment, la��r or installations are furnished by
the owner, tenant or any other party, the reasonable market value of such items must be added to tlle
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 Plwnbing 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.
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Applicant's Signature: Date:
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