HomeMy WebLinkAbout2005-P09142 - plumbing PERMIT
CIT'Y� �� ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: Po9142
Crystal Bay, Minnesota 55323 Permit Type:
Fixtures
(952) 249-4600 Date Issued:
9/6/2045
SITE ADDRESS: 2499 Kelly Ave Unit#
Excelsior,MN 55331
PID: 20-117-23-12-0052
DESCRIPTION:
Proposed Use: Residential
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Water Heater
DETAILS:
Approved per resolution#:
Separate permits 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: H.P. Pipeworks OWNER: Mr. &Mrs. Dahl
3670 Dodd Road Suite 100 2499 Kelly Ave
Eagan,MN 55123 Excelsior MN 55331
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.
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APPLICANT PERMITEE SIGNATURE ISSUED BY S[GNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) 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 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 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.
�. 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. Cali (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 ✓ Replace
✓ Residential Commercial
JOB SITE: .2� Zip: 5S 33 I
O�ti�ner's Name: v i q �} Telephone Number: q5�- �'��-85�{p
Mailing Address: Sar�� City: Zip:
Contractor's Name: �Q �;����,rk� TelephoneNumber: (oS�-3�,_��yU
11�Iailing Address: 3b70 1�p�d �( City: �c4 cc,h Zip: SS f'a.3
PLiTMBING FIXTURE SCI3EDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Wa�er Closet Floor Drains
Lavato Sewer E'ector
Bathrub Laund Tra
Shower Washer
I�itchen Sink , Water Hzater ,
Dis osal Water Softener
Dishwasher Wet Bar
Sillcocks Misc (list)
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PERMIT FEE CALCULATION(S)
Z002 State Statute �'Yes, This Section Applies
The replacement of a Residential fixture or ap�liance that meets all three of the following
requirements:
r
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 $ .50
Mail In Fee $ 1.50
If above does not apply, follow guidelines below:
1. Contract Price* is .0125 % of job with a Minimum Fee of ($35 00)
x .0125 $
(contract price) (minimum$35.00)
2. State Surcharge. Add the State Buildin Code Division a �
'�'� g (Minimum Fee of$ .50)
x .0005 $
(contract price) (muumum$ .50)
3. Postage and Handling (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 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 fumished 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.
For valuations over$1,000,000 call the Depaztment 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'fihis application are complete, true and
correct.
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Applicant'sSignature: Date: �1a51o5