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Home My WebLink About2007-P11036 - plumbing PERMIT CITY OF ORONO � 2750 Kelley Parkway- PO Box 66 Permit Number: p11036 Crystal Bay, Minnesota 55323 Permit Type: Fixtures (952) 249-4600 Date Issued: 5/22/2007 SITE ADDRESS: 2545 Kelly Ave Unit# Excelsior,MN 55331 P�� 20-117-23-11-0023 DESCRIPTION: Proposed Use: Residential Permit Class: Plumbing Permit Type: Fixtures Pennit 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: Champion Water Services OWNER: Robert&Barbara Ponzetti 212 N River Ridge Cr 2545 Kelly Ave Burnsville,MN 55337 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. ./�Yl-G.txGe� �/��yYltti" �� APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 � . . .. � . c/ �9` Fc�'` CITY OF ORONO APPLICATION FOR PLL�R�Il�T� E�IT Box 66 (2750 Kelley Parkway) ,� ��O Crystal Bay, MN 55323 �,AO � GENERAL INFORMATION �� i. 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 70B SITE. �3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners residi.ng in the dwelling. 4. When any new construction or remodeling is involved, a sepazate 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. 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 Replace � Residential Commercial JOB SITE:` Zip: Owner's Name: Telephone Number:�(./r]/ � �-�jp Mailing Address: City: � Zip: 553 3 ( Contractor's Name: Telephone Number: �'j�'j'a—'�3 �^ -rj'`�ay l�iailing Address•_ ( �y_p v� �a��Cit�,: j'��((,� Zip: PLUMBING FIXTURE SCHEDULE FI�iTURE 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 Ki�chen Sink , Water Hzater � � Dis osal Water Softener Dishwasher Wet Bar Sillcocks Misc (list) � s 1 � �' �:'�a�� .+��..�i s �� ,k�'��.,....a� #F- �,rs...k.,,;� �,v„>� g i :.,� . FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector Bathroom Laundry Tray Shower Washer Kitchen Sink Water Heater ) Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous ��r, � � � � ,4" 2 3��°r2 �� , �-. a y,� a r ur� .. �� p�� . ... .. ,�'§r..<,.�.:. . .....lE�, .:•::. n,. , ,...:<,� . ..�.. �.,> 1 .; . ., ,� .. . ;�.�_ . .', , ...,,, . ,��-. . ' . ._, - ,� ' ,..: �. � Yes,this section applies The replacement of a Residential fixture or apnliance 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;excludine the cost of the fixhue or appliance:and 3. Is improved,installed or replaced by the homeowner or licensed contractor. Skip next section,if this applies; Cost of Permit $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 1.50 Total Permit Fee $ 1�.� (Permit Fees Continued On Next Page) 2 . ,�, . . '`�� ,��"��.�?`� If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00) x A125 $ (contract price) (minimum$35.00) 2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum Fee of$.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 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 installations aze 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 Building Department at(952)249-4600 for the price. ;�� `4��T�. g � 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. � �1 �Applicant's Signature: Date: � �� -�`��`l2e�e�p , �� ,.. K��..�� ... < � � 3