HomeMy WebLinkAbout2004-P07697 - plumbing CI'`fY OF R N PERMIT
� � � Permit Number:
2750 Kelley Parkway- PO Box 66 Po�69�
Crystal Bay, Minnesota 55323 Permit Type: FiX�ures
(952) 249-4600 Date Issued: �ii2i2ooa
SITE ADDRESS: 2945 Jamestown Rd
Long Lake,MN 55356
PID: 28-118-23-31-0005
DESCRIPTION:
Proposed Use: Kesidenrial
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Water Heater
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 15.00 Valuation: $ 0.00
State Surcharge Fee: $ 0.50
Misc.Fee: $ 1.50
TOTAL FEE: $ 17.00
APPLICANT: Norblom Plumbing Co. QWNER: Micheal&JoEllen Wahlig
2905 Garfield Avenue S. 2945 Jamestown Rd
Minneapolis,MN 55408 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.
�
! V��-U( �
APPLICANT PERMITEE SIGNATURE SSUED BY SIGNATURE
Copies: 1-File(SiQnitures Required), 1-At�plicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
� +
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 Ciry 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 TIOT 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 separate building permit must be obtained.
5. Ail �,vork musi be done ::.accordance witli uie State Cocie requirements.
6. All work must be inspected and air tested before it is covered. Call (952) 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 (952) 249-4600.
Please check one: New Addition Repair Keplace
� � � `'-' r^*nmercial
WAHLIG, MIKE
2945 JAMESTOWN ROAD
'1�B:►�I�: ORONO,MN 55356 '
Otvne _ le hone: �Zip; °
g ame.` cs�2)475-9922 - .
Number
.. , P . �
rs
Mailin Ac�dress:
.. �t� . Zip::
Contractor's Name: Telephone Number.:.; (;��2��'Z�-y�
�
Mailing Address: ZqOS e/✓ .So. City:_�VJ�/S Zip: s's�/��
PLUMBING FIXTURE SCHEDULE
FIXTURE I BSMT � 1ST I 2ND I OTHER II FIXTURE I BSMT I 1ST I 2ND pT
TYPE � I FL � FL I � TYPE HER
FL FL
Water Closet Floor Drains
Lavato Sewer $'ector
Bathtub Laund Tra
Shower Washer
Kitcben Sink Water Heater
Dis osal
Water Sof[ener
_
Dishwasher_. _. _. _ _. .
Wet Bar _
Sillcocks Misc (list)
' ,.
PERMIT FEE CALCULATION(S)
2002 State Statute � Yes, This Section Applies
The replacement of a Residential fixture or a�pliance 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 licenced contractor.
Skip next section; Cost of Permit $ 15.00
State Surcharge $ .SQ
Mail In Fee $ 1.50
If above does not apply, follow guidelines below:
l. - Contract Price* is .0125 % of job with a Minimum Fee of ($35.001
x .0125 $
(contract price) (minimum $35.00)
2. State Surchar�e. *�` Add the State Building Code Division a (Minimum Fee of$ .50)
x .0005 $
(contract price) (minimum $ .50)
3. Postage and Handling (Only mail-in applications) $ 1.50
OD
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ �� •
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted
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 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.
�or valuations over �1,000,000 call the Department of Inspection 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.
Applicant's Signature: � Date: ��`���Oy