HomeMy WebLinkAbout2000-P02568 - plumbing , PERMIT
f �ITY O F O RO N O permit Number:
2750 Kelley Parkway- PO Box 66 Po2s6s
Crystai Bay, Minnesota 55323 Permit Type: Fix�es
(612) 249-4600 Date Issued: 6iis�oo
SITE ADDRESS: l00 Luce Line Ridge
MAPLE PLAIN,MN 55359
P I D: 31-118-23-34-0009
DESCRIPTION:
•�__.�_,
PfOpOSeC�j]S0: i�c�iucu�iai
Permit Class: Plumbing
Permit T e: Fixtures Permit Sub-type(s): Water Closet
YP Lavatory
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUIIAMARY: PermitFee: $ 35.00 Valuation: $ 2,085.00
State Surcharge Fee: $ 1.04
TOTAL FEE: $ 36.04
APPLICANT: DORAN ENTERPRISES INC OWNER: C M&R H PASSOW
1440 KELLY DR 100 LUCE LINE RIDGE
GOLDEN VALLEY,MN 55427 MAPLE PLAIN MN 55359
THE UNDERSIGNID HEREBY REQUESTS PERMISSION TO MAKE TI�REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCFS AND
STATE OF MINNESOTA BUII.,DING CODE REQUIREMENTS.
SUED BY SIGNATURE Q,_,�
J�`�
Copies:City,Applicant,Assessor,Finance Page 1
�
CITY OF ORONO APPLIC�TION 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 o�ces.
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 PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Plumbing pemuts may be issued ONLY to licensed plumbin� 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 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: � �, UC �+ r � �e /1 � c� Zip:
Owner's Name: �g S o u.� S elephone Number:
�Iailing Address: Cit�-: Zip:
Contractor's Name: rc� � �H,�Q s o,� ;�Ps ,( k�, Telephone Number: ��,3 .s"'S(� S�D66
Mailing Address: i Y�l� /t�/!,, '� Citc: (/G// Zip: �'"S^�,��
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTL�RE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet � Floor Drains
Lavatory � Sewer Ejector
Bathtub Laundn� Tray
� Shower � Washer
i Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Misc (list)
�
PERMIT �EE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
���� "' 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. Posta�e 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 dollaz 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 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 pemut 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 statements made on this application are complete, true and
conect.
G�----- _ � ''_ G�
Applicant'sSignature: \ '�� Date: G� `S