HomeMy WebLinkAbout2008-P11910 - plumbing . PERMIT
CITY OF ORONO �
2750 Kelley Parkway- PO Box 66 Permit Number: p11910
Crystal Bay, Minnesota 55323 Permit Type:
Fixtures
(952) 249-4600 Date issued: 3/7/2008
SITE ADDRESS: 3707 Livingston Ave Unit#
Wayzata,MN 55391
P��� 17-117-23-34-0069
DESCRIPTION:
Proposed Use: Residential
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Plumbing Undefined
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
Repairs
FEE SUMMARY: Pernut Fee: $ 15.00 vaivation: $ 0.00
State Surcharge Fee: $ 0.50
Misc.Fee: $ 1.50
TOTAL FEE: $ 17.00
APPLICANT: Dean's Professional Plumbing OWNER: Debra Freund
20080 Dassel La 2113 S l st Street NW
Corcoran,MN 55374 Big Harbor,WA 98335
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 PERMITEE SIGNATURE S UED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
~ FOR C1TY USE ONLY
, O,¢D�O City of Orono
P.O.Box 66 Daie Received: Permit#
2750 Kelley Parkway
;,\� r��• t Crystal Bay,MN 55323 Approved By: Amount$:
'^,`_ r•,��� (952)249-4600
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CITY OF ORONO-PLUMBING PERMIT
(All Commercial pemiits must be approved by the Builciing Ot�icial or Inspector)
GENERAL INFORMATION
1. You may apply for plumbing permits by mail or in person at the City offices. Applications will be
reviewed and a permit will be issued within two working days.
2. Permit cards will be sent by return mait after a review is completed. PERNIITS ARE NOT
VALID UNTII,YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB STTE.
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. All work must be done in accordance with State Code requirements.
6. Ali work must be inspected and air tested before it is covered. Call(952)249-4600.
(24-48 hour notice required)
TYPE OF PERMIT
Check All That A 1 )
❑Residential ❑Commercial(Approval Reyuired)
❑New ❑Additional Repairs ❑Replace
❑ In Accessory Structure?
*You will need arior aparoval and may need CUP. (Per Orono City Code, Chapter 78,Article IV)
Job Site/Owner Information:
Site Address: , �� L� 1.,,.l V 1 ti!C'�S���'n( A-v� 6'�) ��f Z/�� �5_3�1 /
Owner� (�C'b�QA �,��,�ti/� Mailing Address: �77(}�7����b--T,r,t,� �,{��- ��
,
c�ri: ,��� ��--�c.� z�P: ���3`� 1
Home Phone: Alternate Phone:
Contractor Informarion:
Contractor. � ' �l� � `'c� �,fJrn b Contact Person: ��1�( B� �1����
J�t s-r,�► S-�t��'�nt5
Address: �� � ��������� State Bond#:
City: �� �� ��C,S Zip:�'S���Expiration Date:
Phone: ����`3-�E�?�,- j 3 Z I Alternate Phone:
❑ Insurance-Current:
1
PLUMBING FI�CT[TftES BEING INSTALLED
FIXTURE BSMT 1 2 OTEIER FIXTURE BSMT 1 2 OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
Iavatory Sewet Ejector
Bathroom ���.5,T�y
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Miscellaneous
PE�T�c�,cu�,�.�ox�s�
BASED OF�-2002 STAT.E STATUE
Yes,this section applies
e replacement of a Residentiat fixture or a�nliance that meets all three of the following requirements:
1. Does not require mod�cation 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 ticensed contractor.
Skip next section,if this applies; Cost of Permit $ 15.00
Sbte Swcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $�,o�-
(Permit Fees Continued On Neat Page)
2
' PERMIT FEE CALCULATION S —JOBS OVER$500.00
If above does not apply;follow guidelines below:
L CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00)
x.0125$
(contract price) (minimum$35.00)
2. STATE SURCHARGE ** Add the State Bidg Code Div. Siucharge(Minimum Fee of�SO)
x.0005 $
(contract price) (muumum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL PERMI'I'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 instatlations are furnished by
the owner, tenant or any other party,the reasonable market value of such items must be added to tbe
estimated cost or contract price for pennit 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$1,00Q000 call the Building Department at(952)249-4600 for the price.
PLUMBING PERMIT APPLICATION AGREEMENT
T'he undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do a11
wark in strict accordance with the ordinances of the City and the regulations of the State of
Minnesota, and certifies that a11 statements made on this application are complete, true and
coirect.
,.-._
Applicant's Signa e� .� Date: � "-� � _
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