HomeMy WebLinkAbout2007-P11684 - plumbing PERMIT
CITY `�OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 P11684
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued: 11/15/2007
SITE ADDRESS: 4205 North Shore Dr Un�t#
Mound,MN 55364
P��� 07-117-23-43-0004
DESCRIPTION:
Proposed Use: Residential
Permit Class: Plumbing
Pernut Type: Fixhues Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate pemuts required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 566.25 Valuation: $ 45,300.00
State Surcharge Fee: $ 22.65
Misc.Fee: $ 1.50
TOTAL FEE: $ 590.40
APPLICANT: Genz-Ryan Plumbing&Heat OWNER: Mary 7o Peterson
14745 S.Robert Trail 4205 North Shore Dr
Rosemount,MN 55068 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 STAT'E OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMITEE SIGNATURE I SUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Sepric) Page 1
FOR CTf Y USE ONT.'Y
� �,���0 City of Orono
P.O.Box 66 Date Received: Permit t�
�.�,,,,� 2750 Kelley Pazkway
� � ���'�,,.� Crystal Bay,MN 55323 Approved By: Amount$:
„�� (952)249-4600
CITY OF ORONO—PLUMBING PERMIT
(All Commercial permits must be approved by the Building Official or Inspector)
GENERAL INFORMATION
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 cazds 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 properly 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 U�'PERMIT
Check All That A 1
❑� Residential ❑Commercial(Approval Required)
�New ❑Additional ❑Repairs ❑Replace
❑ In Accessory Structure7
*You will need arior anuroval and may need CUP.(Per Orono City Code,Chapter 78,Article I�
Job Site/Owner Information:
Site Address: 4205 NORTHSHORE DRIVE
Owner:�GHMARK BUILDERS Mailing Address: 12245 NICOLLET AVE S
C1Ty: BURNSVILLE Zi . 55337
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Home Phone: �952)882-8904 Alternate Phone:
Contractor Information:
Contractor: GENZ-RYAN Contact Person: �
2200 W HWY 13 929298827
Address: State Bond#:
BURNSVILLE 55337 08/14/08
City: Zip: Expiration Date:
PhOrie: �952)767-1000 (952)767-1863
Alternate Phone:
oaiovos
�✓ Insurance—Current:
1
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FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER
TYPE FL FL TYPE FL FL
Water Closet 1 1 3 Floor Drains 1
Lavatory 1 1 5 Sewer Ejector
Bathroom 1 1 3 Laundry Tray 1
Shower 1 1 Washer 1
Kitchen Sink 1 Water Heater 1
Disposal 1 Water Softener 1
Dishwasher 1 Wet Baz 1
Sillcocks 2 Miscellaneous
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❑ Yes,this section applies
The replacement of a Residential fixture or a lpp iance that meets all three of the following requirements:
1. Does not require modificafion to electrical or gas service.
2. Has a total cost of$500.00 or less;excludine 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 Surchazge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
(Permit Fees Continued On Nezt Page)
2
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If above does not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00)
45,300.00 x.0125$ 566.25
(contract price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div.Surchazge(Minimum Fee of$.50)
45,300.00 x.0005 $ 22•65
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
4. 'Y'O'i'AL PERI4�II�'FEE(Add Lines 1-3 Above) $ 590.40
■ * 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 installations are furnished by
the owner,tenant or any other party,the reasonable mazket 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.
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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.
� 11/07/07
Applicant's Signatur . Date:
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