HomeMy WebLinkAbout2007-P10879 - floor drains PERMIT
C��TY t�F ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P10879
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued:
4/9/2007
SITE ADDRESS: 2750 Kelley Pkwy(Admin Offices) Unit#
Long Lake,MN 55356
PID: 33-118-23-12-0007
DESCRIPTION:
Proposed Use: Other
Permit Class: Pluxnbing
Pernut Type:
Fixtures Pemut Sub-type(s): Floor Drains
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS: �
FEE SUMMARY: Valuation: $ 0.00
TOTAL FEE: $ 0.00
APPLICANT: Westonka Mechanical Inc OWNER: .City of Orono
6501 County Rd 15 2750 Kelley Parkway
Mound,MN 55364 P.O.Box 66
Crystal Bay,MN 55323
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:
APPLICANT PERM[TEE SIGNATLiRE ISSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
/
. , • 'I'<)R C1TY USE UNLY `
��� City of Orono _
P.O.I3ox G6 Date Received: Permit#
��, � 2750 Kelley Parkway
� v'�`�; � Crystal Bay,MN 55323 Approved By: Amount$:
����o (952)249-4600
�B�Ho$�'
CITY OF ORONO—PLUMBING PERMIT
(All Commerciat permits must be approved Uy the Building Official or Inspector)
GENERAL INFORMATION
1. You may apply for plumbing pemuts by mail or in person at the City offices. Applications will be
reviewed and a peinut 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 pernuts 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 pernlit must be
obtained.
5. All work must be done in accordance with State Code requirements.
6. All work inust be inspected and air tested before it is covered. Call(952)249-4600.
(24-48 hour notice required)
TYPE OF PERMIT �
' (Check All That'App1Y)
❑ Residential ❑ Commercial(Approval Required)
�{�'New ❑Additional ❑Repairs ❑Replace
❑ In Accessory Structure?
*You rviti neeu prior approval and may need CLJP.(Per Grono City Cod�,Chapter 78,Article IV)
Job Site-/ Owner Information:
Site Address: a 7Sv / Q���v
Owner: l.�L� � �►'�� Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
(��.� �k�. m�,�,�
Contractor: Go c�,-�' T h c, Contact Person: � �G �q r� Y�v rr��o h
Address: �oSo( G"fy �S State Bond#:
City: �o��� Zip:SS��Expiration Date:
Phone: �52� �-{7�- �/`^IS � Alternate Phone:
❑ I�isurance— Cunent:
1
*
' , , ,
�.., PL�[TMBING,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
Siilcocks Miscellaneous
,� }" 'n PERMIT,FEE CALCIJLA'I'IfJN S :
- , ( ), , � , �_
�" � << n 7,. ,, .
` � ., , .. .. ; .� . � " �
{BASET� OFF 2002 STATE STATLIE , '
❑ Yes,this section applies ,
The replacement of a Residential fixture or a�pliance that meets all tluee of the following requirements:
1. Does not require modification to elechical or gas service.
2. Has a total cost of$500.00 or less;excluding the cost of the fixiure or appliance: and
3. Is improved, installed or replaced by the homeowner or licensed conh•actor.
Skip next section, if this applies; Cost of Permit $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee �
(Permit Fees Continued On Next Page)
2
I
. PEIZMIT 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$35.00)
o�
�,D(yd '� x.0125$
(contract price) (minimum$35.00)
2. STATF.SURCHARGE **Add the State Bldg Code Div. Si.u•charge(Minimum Fee of$.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
pernvtted 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 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 conhact 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.
, =�=PLTJMBI:�G;PERMIT'APPLZ�ATIOI�`AGREENIENT";: �
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
Minnesola, and certif es that atl statenients inade on this application are cornpiete, true and
correct.
Applicant's Signature: Date:
3