HomeMy WebLinkAbout2001-P04407 - plumbing CITY OF ORONO PERMIT
275 ' K.^Iley Parkway - PO Box 66 Permit Number: Po44o�
Cry��al Bay, Minnesota 55323 Permit Type: F�XtUres
(952) 249-4600 Date Issued: lo�ii2ooi
SITE ADDRESS: 1550 North Arm Dr
Mound,MN 55364
PID: 08-117-23-33-0074
DESCRIPTION:
Proposed Use: Kesidentiai
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Plumbing Undefined
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
Dryer with 1/2"copper
FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 315.00
State Surcharge Fee: $ 0.50
Misc. Fee: $ 1.50
TOTAL FEE: $ 37.00
APPLICANT: Reliant Energy OWNER: Margaret Peltola
1240 West River Parkway 1550 North Arm Dr
Minneapolis,MN 55454 Mound MN 55364
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE TI�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.
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APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Cooies: 1-File(SiQnitures Reauired). 1-Apolicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
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CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
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GENERAL INFORMATION
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 PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Plumbing pernuts 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 pernut 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. C:all 249-4000. 24-hour not:ce requi:ed.
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: � Zip: j���
Owner's Name: � r���, Telephone Number: �,�;�..�� / .,/Oa�
Mailing Address: � ;� City: Zip:
Contractor's Name: l � '� � � �,�f �� �� r Telephone Number:l�/�-�?/-�OqJ
Mailing Address: ,,�. '_� � ity: _r�_ Zip: �
PLLTMBING FIXTURE SCHEDITLE t's1�,�^ti'��� ��'S� 0���' .
9f ;�)�- a.;
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Urains
Lavatory Sewer Ejector
Bathtub Laundry Tray
Shower Washer
� Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Misc (list)
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PERMIT �EE CALCULATION ti.
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
J(���`� � �� x .0125 $ �j� J�J
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $ : rj(j
(contract price)
or $.50, whichever is greater
3. Postage and Handling (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ �5 7, �j'
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount chazged for the permitted
work including materials, labor, profit, and other fixed costs. It is the amount to be charged to the
custam::r for the work doue. 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 Cicy 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 lnspectional 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 statem�nts made on this application are complete, true and
correct.
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Applicant's Signature: (1'�� l� Date: �-;��`U1
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