HomeMy WebLinkAbout2004-P08320 - plumbing PERMIT
�:I TY O F O RO N O Permit Number:
�/50'�:elley Parkway - PO Box 66 Pog32o
Crystal Bay, Minnesota 55323 Permit Type: FiX�ures
(952) 243-4600 Date Issued: i2i2si2oo4
SITE ADDRESS: 3125 Fox St
L.ong L.ake,MN 55356
PID: 04-117-23-33-O011
DESCRIPTION:
Proposed Use: xesidenhal
Pernut Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 512.50 Valuation: $ 41,000.00
State Surcharge Fee: $ 20.50
TOTAL FEE: $ 533.00
APPLICANT: Vogt Heating&Air Conditioning OWNER: �C.V r�Ps'
3260 Gorham Ave 3125 Fox Street
St. Louis Park, MN 55426 Long Lake, MN 55356
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN SI'RICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLIC PERMITEESIGNA'fURE I SUEDBYSIGNATURE
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Cooies: 1-File(SiQnitur•es Required), 1-Applicant, 1-Monthlv Revorts. 1-Assessine, 1-Finance Page 1
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CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMATION
1. You may apply for plumbing permits by mail or in person at the City offices.
2. Permit cards will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTII. THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Plumbing permits 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 dcne in acco:dance with the State 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 certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call 249-4600.
Please check one: New Addition Repair � Replace
Residential Commercial
JOB SITE: ( Zip:
Owner's Name: • Telephone Number:
Mailing Address: City: Zip:
Contractor's Name: �. Telephone N ber: � � ;��
Mailing Address• City:�� �.(�r,t,� Zip:
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Wa'er Closet � Floor Drains
Lavatory Sewer Ejector
Bathtub � � Laundry Tray
Shower � � Washer_�p i I
Kitchen Sinlc � Water Heater
Disposal � Water Softener
Dishwasher ! Wet Bar
Sillcocks Misc (list) �
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1. 1.25% of Contract Price* or Minimum Fee 35.00
, -- x .0125 $ • �b
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. �'l �1) � x .0005 $ p�� �jb
(contract price)
or $.50, whichever is greater
3. Postage and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ �J l3�•C�
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted
work including inaterials, lzbor, profit, �.*►d other fieed co�s. It is tkie amou�t to be charged to the
customer for the work 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 pemut fee purposes. In the event that there is a dispute on the amount of the job cost,
the Ciiy 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 Department of Inspectional Services for the price.
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 Ciry 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: - (� (_-d+�� Date:lG� ��7���