HomeMy WebLinkAbout2003-P06620 - plumbing C'i'T� OF ORONO PERMIT
2750 Kelley Parkway - PO Box 66 Permit Number: Po662o
Crystal Bay, Minnesota 55323 Permit Type: FiXr�es
(952) 249-4600 Date Issued: siai2oo3
SITE ADDRESS: 1180 Loma Linda Ave
Mound,MN 55364
PID: 08-117-23-23-0002
DESCRIPTION:
Proposed Use:
Pernut Class: Plumbing
Permit Type: Fixtures Permit Sub-rype(s): Water Heater
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 15.00
Valuation: $ 0.00
State Surcharge Fee: $ 0.50
Misc. Fee: $ 1.50
TOTAL FEE: $ 17.00
APPLICANT: Norblom Plumbing Co. OWNER: Matthew Burns
2905 Garfield Avenue S. 1180 Loma Linda Ave
Minneapolis,MN 55408 Mound MN 55364
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICI'COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMITEE SIGNATURE ( ISSUED BY SIGNATURE
Conies: 1-File(Si�nitures Required), 1-Anplicant, 1-Monthlv Renorts, 1-Assessing, 1-Finance Page 1
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CITY OF.ORONO. APPLICATION FOR PLi4�f$���pE�IT
Box 66 (2750 Kelley Parkway} . . . � �c����
Crystal Bay, MN 55323 � • .
C�ENERAL INFORI�ATIO�T. � .. . .... � . ..... .
1. You may apply for plumbing permits by mail or in person at the City offices. ' �
2. Permit cards will be sent by retum mail after a review is completed. PERMITS ARE.NOT VALID UNTIL
YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERM�T CARD IS POSTED ON
THE JOB SITE.
.3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners residing
in the dwelling.
4. When any new construction or remodeling is involved, a separate building permit must be obtained.
5. All work must be done in accordance with the State Code requirements.
6. All work must be inspected and air tested before it is covered. Call (952) 249-4600. 24-hour notice
required. '
Instructions Complete all items on this application. Compute the permit fee. Sign and date the
certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call (952) 249-4600.
Please check one: New Addition Repair Keplace
�/ftesidential Commercial
.
. . _
_ � _
J�$�I,�:e BURNS,MATTHEW �
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O`ivxier's Name . ORONO MN 5D�A4AVENUE� ! �Zlp' `
�_Telephone�lumber: y��� �"�
Meiiling Ac�t�ressi ' (952)472-1212 . :
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Contractor's-lyame:-� .
- � � � � . Tele hone Number.�.,
Mailin Addresst ZqOS P . C�12��2� _
g e/ -Sv�� City:�/S Zip: 55���'
. �LUMBING FIXT �F SC �iTLE
FIXTURE BSMT 1ST 2ND OTHBR FIXTURE BSMT 1ST 2ND OTHER
TYPB FL FL TYPE FL. FL
Water Closet Floor Drains
Lavafo Sewer E'ector
Bathtub Laund Tra
Shower Washer
Kitchen Sink. Water Heater .
Dis osal .
... ...
,
, .. ,. _.. .... ... ...
Water Softenec
. ..,.. .. . ..
Dishwasher .. . ` , . . .. .. . .
.. _ _ Wet Bar .. _ _ _ .. ... . _
Sillcocks
Misc list �
PERMIT FEE CALCULATION(SZ
2002 State Statute � Yes, This Section Applies
The replacement of a Residential fixture or appliance 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; 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($35.001
x .0125 $
(contracr price) (minimum$35.00)
2. State Surcharge. ** Add the State Building Code Division a (Minimum Fee of$ .50)
x .0005 $
(contract price) (minimum $ .50)
3. Postag.e and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL F�It�'VIIT I'EE (Add lines 1-� 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.aze 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. tn 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 fhe Department 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
1Vlinnesota, and certifies that all statements made on this application are complete; true and
correct.
Applicant's Signature: Date: ��123[ 03