HomeMy WebLinkAbout2000-P02015 - plumbing L.
�- PERMIT
�ITY OF ORONO
2�50 Kelley Parkway - PO Box 66 Permit Number: Po2ols
Crystal Bay, Minnesota 55323 Permit Type: Fixcures
(612) 249-4600 Date Issued: 2�ii�oo
SITE ADDRESS: s2s x,�cF�Ra
LONG LAKE,MN 55356
P��: 30-118-23-44-0003
DESCRIPTION:
Proposed Use: xesident�ai
Pernut Class: Plumbing
Pernut Sub-type(s): Single Family
Permit Type: Fixtures
DETAILS:
Approved per resolution#:
Separate pernuts require;cL
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Valuation: $ 1,600.00
State Surcharge Fee: $ 0.80
TOTAL FEE: $ 35.80
AP PLICANT: schu�ties P�umbing OWNE R: L V ARDITO&K J ARDITO
1521 94th La Ne 825 HUNT FARM RD
Blaine,MN 55449 LONG LAKE MN 55356
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IlvIPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND
STATE OF MINNESOTA BUII,DING CODE REQUIREMENTS.
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APPLICANT PERMITEE SIGNATURE D BY SIGNATURE
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Copies: City,Applicant,Assessor,Finance Page 1
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CITY OF ORONO APPLICATION FOR PLUMBING PERNIIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL IlVFORMATION
1. You may apply for plumbing pernuts by mail or in person at the City offices.
2. Pemut cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL 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 sepazate building permit must be obtained.
5. All work must be done in accordance with the State Code requirements.
6. All work must be inspected and air tested before it is covered. Call 473-7357. 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 ��3=�3rs3�: ��zrZ�9- �f���
Please check one: New C Addition Repair Replace
�_ Residential Commercial
JOB SITE• �����" �T7�:=-� Zip: ����
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Mailing Address: � � City: .��..�> Zip: �.��>
Contractor'sName:_ � .��.�� TelephoneNumber ��; ���,L
MailingAddress: �'"�, � ; , ��1„- � Cit3�: �ic�tl,r.-x__�. Zip:
. PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet � Floor Drains
Lavatory / Sewer Ejector
Bathtub Laundry Tray
Shower j Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Baz /
Sillcocks Misc (list)
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pERMIT FEE CALCULATION
1. 1.25% of Contract Price* or 'nimum� 35.00
x .0125 $
�contract price)
2. State Surcharge. ** Add the te Building Code Division
Surcharge to each permit. -� " i�� x .0005 $
(contract price)
or $.50, whichever is greater
3. Posta�e and Handlin� (Only 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 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 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 purp�ses. 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 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 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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A licant's Si nature: � ` L� � Date: o� ������
PP g
�' -� RESIDENTIAL • COMMERCIAL • REMODELING
Schulties Plumbing Inc.
1521 94th Lane NE • Blaine, MN 55434
786-4007
February 11, 2000
City of Orono
2750 Kelley Parkway
Crystal Bay,MN 55323
To Whom It May Concern:
Pete Schulties has my permission to pull a plumbing permit for 825 Hunt Farm Road, Orono,
MN. Please consider his signature valid authorization for this permit.
Sincerely,
Dou s
Vice President