HomeMy WebLinkAbout2000-P02446 - plumbing PERMIT
� OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: Po2aa6
Crystal Bay, Minnesota 55323 Permit Type: Fix�ures
(612) 249-4600 Date Issued: s�9�oo
SITE ADDRESS: 440 North Arm Dr
MOIJND,MN 55364
P I D: 06-117-23-31-0003
DESCRIPTION:
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PTOpOS2d USe: nc�iucu�iai
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Water Softner
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 600.00
State Surcharge Fee: $ 0.50
Misc.Fee: $ 1.50
TOTAL FEE: $37.00
APPLICANT: Custom Plumbing OWNER: R&P STERNAU
815 Niagara Lane 440 NORTH ARM DR
Plymouth,MN 55447 MOLJND MN 55364
THE UNDERSIGNID HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVIMENTS 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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L ISSUED BY SIGNATURE
Copies: City,Applicant,Assessor,Finance Page 1
CITY OF ORONO APPLICATION 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 offices.
2. Pemut 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 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 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 �eplace
�Residential Commercial
JOB SITE: �T L�� I�l , 1�Cf✓`^ ��� � Zip:
Owner's Name: � e ti�� S�t e;�n c�v Telephone Number: �{�7�- 61 C G
Mailing Address: Custom Plumbin City: Zip:
Contractor's Name 815 Niagara Lane Telephone Number: �f K 9 - U 1 y 7
Mailing Address: Plymouth, MN City: Zip:
— 55447
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT ST 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 Baz
Sillcocks Misc (list)
PERMIT TEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00) c�v
`��0a ' x .0125 $ � �
(contract price)
2. State Surchar�e. ** 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) $ � �� � v
* 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 furnished by the owner,
tenant or any other party thE reasor,able market v�lue of such ite:^.s msst be added ro r},P esrimated cost
or contract price for permit fee purposes. In the event that there is a dispute on the amount of the job cost,
the Ciiy 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
correct.
Applicant's Signature: Date: 5 ��f o�