HomeMy WebLinkAbout2001-P04229 - plumbing � ' ` PERMIT
C I TY O F O RO N O Permit Number:
2750 Kelley Parkway- PO Box 66 P04229
Crystal Bay, Minnesota 55323 Permit Type: Fix�es
(952) 249-4600 Date Issued: 8�2�i2ooi
SITE ADDRESS: 375 Leaf St
Long Lake,MN 55356
P ID: OS-117-23-14-0059
DESCRIPTION:
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Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 1,600.00
State Surcharge Fee: $ 0.80
TOTAL FEE: $35.80
APPLICANT: City View Plumbing&Heating OWNER: MI'•&Mrs.Crowther
1880 B Wayzata Blvd W. 375 Leaf St
P.O.Box 150 Long Lake MN 55356
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 BUII..DING CODE REQUIREMENTS.
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ISSLTED BY SIGNATURE
Copies: 1-File(Signitures Required), 1-Applicarrt, 1-MonthlyReports, 1-Assessing, 1-Finance 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 pernuts by mail or in person at the City offices.
2. Permit cards will be sent by retum 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 pennits may be issued ONLY to licensed plumbing contractoxs 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. 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 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 249-4600.
Please check one: New Addition Repair � Replace
Residential Commercial
JOB SITE: � ; Zip:
Owner's Name: Telephone Number:
Mailing Address: � City: Zip:
Contractor's Name: � � �� .Telephone Number:��a y�,���93
Mailing Address: City: �Zip: S�J`,,�'�
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2IVD OTHER FIXTURE BSMT 1ST 2ND 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
Sillcocks Misc (list)
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PERMIT I'EE CALCULATION
1. 1.25% of Contract Price* or inimum Fee ($35.00)
� -, 7 x .0125 $
�contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $
(contract price)
or $.50, whichever is greater
3. Postage 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 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 Ci�y 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 statem�nts made on this application are complete, true and
correct.
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Applicant's Signature: _ Date: � ��% L�
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