HomeMy WebLinkAbout2007-P10759 - plumbing PERMIT
CITY OF ORONO
2750 Kelley.Parkway- PO Box 66 Permit Number: P10759
Crysi•al Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued:
2/9/2007
SITE ADDRESS: 4448 North Shore Dr Unit#
Mound,MN 55364
PID: 07-117-23-31-0013
DESCRIPTION:
Proposed Use: Residential
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
Moving Existing
FEE SUMMARY: Pernut Fee: $ 35.00 Valuation: $ 1,845.00
State Surcharge Fee: $ 0.92
TOTAL FEE: $ 35.92
APPLICANT: City View Plumbing&Heating OWNER: Muriel Senn
1880 B Wayzata Blvd W. 4448 North Shore Dr
P.O.Box 150 Mound MN 55364
Long Lake,MN 55356
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.
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APPLICAN PERMITEE SI ATURE ISSUED B SIGNATURE
Copies: l-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
� �`UR GT'CY USE O1�iLY
04��0 City of Orono �, �� , .b =
P.O.Box 66 Aate Received: Pernut#
2750 Kelley Pazkway
Crystal Bay,MN 55323 P�pproved By: AmnunY�:
�.�� (952)249-4600
CITY OF ORONO—PLUMBING PERNIIT
(All Commercial permits must be approved by the Building Official or Inspector)
GENERAL INF(?RIVIATION ' ° �
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. PERNIITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTII.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 sepazate 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)
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����� Check Ali T`l�at A� �1 � �
�Residential ❑Commercial(Approval Required)
❑New ❑Additional ❑Repairs ❑Replace
❑ In Accessory Structure?
*You will need arior aanroval and may need CUP.(Per Orono City Code,Chapter 78,Article IV)
Job Site/f3wner Infprtnation: �
Site Address: ���� NO<�� JV1Gt� ,V�
Owner: /�VI u�;2-` ��.P►�i'1 Mailing Address: ��� S� 1�+ Sl��(��d'
City: l��✓►��'7 Zip: ,3 L
Home Phone: Alternate Phone:
Contractor information: `
Contractor: ��T ' �i '� � Contact Person: ���✓1 J
Address: �d��dx �,�� staxe Bond#: /'-r�,3 3 S°I �
City: �►�I � �e- Zip:�S,�{7 Expiration Date: �y 31 �
Phone: �S��7��7� Alternate Phone:
❑ Insurance—Current:
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FIXTURE BSAqT 1 O'I'HER FIXTURE BSMT 1 2 OTI�R
TYPE FL FL TYPE FL FL
. \�(� � Water Closet I Floor Drains
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�o� ���, I Sewer E��
�� Bathr�m ��Y T�Y
V�`
pG� �' Shower W��'
\ ���
� `� Kitchen Sink Water Heatet
Disposal Water Softetter
Dishwasher Wet Bar
Sillc�ks Miscellaneous
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❑ Y�,this section applies -
The replacement of a�teside�tial fixbue or a�lxam�that me,ets all thrce of xhe following requiremeMs:
1. not require modific�tion to ele�rical or gas service.
Z. Has a t�of$500.00 or 1�;eacc ' the c�t of the fixdue or appliance:and
3. Is improved,installed or replac�ci by the homeawaer or li�coaha�or.
Skip next section,if this applies; Cost of Pennit $ 15.QQ
State Sorcharge $ .SO
Mail-In Fee(If Applicable) $ l SO ,
TMat Pemdt Fee $
(Permit Fees Continaed On A1est Page)
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If above does not apply;follow guidelines below:
1. CONTRACT PRICE '�is 1.25%of coni�act price with a(Minimum Fee of$35.00)
�`?.l �� x.0125$
(contract price) {minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(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 estimated dollar amount charged for the
pernutted work including ma.terials, 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 putposes. 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—whichev�r is
greater. For valuations over$1,000,000 call the Building Depariment at{952)249-4600 for the price.
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<;��. ��.�: "�� ��s`�'��r�h��.!-f.�?��`�B';lF PL��Fi���.�,r��!A•�Q�'!�,e���,L''��y�i e�'e� ���+ ,r � �.�,
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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 c,ertifies that all sta�ements tnade on tllis application are complete, true and
correct.
Applicant's Signature: Date: � q �
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