HomeMy WebLinkAbout2007-P11367 - plumbing PERMIT
CITY QF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: pi1367
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued:
8/23/2007
SITE ADDRESS: 1540 North Arm Dr Unit#
Mound,MN 55364
PID: 08-117-23-33-0075
DESCRIPTION:
Proposed Use: Residential
Permit Class: Plumbing
Permit Type:
Fixtures Pemut Sub-type(s): Water Heater
DETAILS:
Approved per resolution#:
Sepazate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 15.00 vatuation: $ 0.00
State Surcharge Fee: $ 0.50
Misc.Fee: $ 1.50
TOTAL FEE: $ 17.00
APPLICANT: Norblom Plumbing Co. OWNER: Eddie Lindgren
2905 Garfield Avenue S. 1540 North Arm Dr
Minneapolis,MN 55408 Mound MN 55364
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.
Q a.c,C l�-
APPL ANT PERMITEE SIGNATURE ISS BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
� FOR CITY USE ONLY
" ` City of Orono
4�� P.O.Box 66 Date Received: Permit#
`� �" 2750 Kelley Parkway
a , 'u �.'; Crystal Bay,MN 5�323 Approved By: Amount$:
�� ' ; o` (952)249-4600
�.,.
CITY OF ORONO—PLUMBING PERMIT - - -:-
(All Commercial permiu must be approved by the Building Official or Inspector)
GENERAL 1NFORMATION
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 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.
;. 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. All 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 )
�itesidential ❑Commercial(Approval Required)
❑ New ❑Additional ❑Repairs �Replace
❑ In Accessory Structure?
*You witl need orior aaaroval and may need CIJP.(Per Orono City Code,Chapter 78,Article IV)
Job Site/Owner Information: —�
Site Address: Ed Lindgren
1540 NORTH ARM DRIVE
Owner: Orono, MN 55364 ress:
9524717115
City: _
Home Phone: Alternate Phone:
Contractor Information:
Contracto�jQ (� C�ontact Person:
Address:294� 827'4033 SOState Bond#: SOCoS�
.
ciry: MINNEAPOLIS� �I 5540�xpiration vate: _ _ D
Phone: Alternate Phone:
❑ Insurance—Current: �
1
PLUMBING FIXTURES BEING INSTALLED
FIXTURE BSMT 1 2` OTHER FIXTURE BSMT 1 2 OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
Lavatory. Sewer Ejector
Bathroom Laundry Tray
Shower Washer
Kitchen Sink Water Heater 1
1
Disposai Water Sofrener
Dishwasher Wet Bar
Sillcocks Miscellaneous
PERMIT FEE CALCULATION(S)
BASED OFF -2002 STATE STATUE
� 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 licensed contractor.
Skip next section,if this applies; Cost of Permit $ 15.00
• State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $ /�.DO
(Permit Fees Continued On Next Page)
2
' rERMIT FEE CALCULATION S —JOES OVER�500.00
If above does not apply;follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00) -- -_
• x.0125$
(contract price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div.Surchazge(Minimum Fee of$.50)
x.0005 $
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $
■ * CONTRACT PRICE or JOB COST means the actual or estimateii 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 installations 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 permit 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$1,000,000 call the Building Department at(952)249-4600 for the price.
PLUMBING PERNIIT APPLICATION AGREEMENT �
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: Z �7
Reset Form
3