HomeMy WebLinkAbout2004-P07385-VOID PERMIT
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CITY OF ORONO
Permit Number: �
2750 Kelley Parkway - PO Box 66 P07--
2750
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Crystal Bay, Minnesota 55323 Permit Type:
(952) 249-4600 Date Issued: 4/12/2004
SITE ADDRESS: 980 North Shore Dr W
MOUND,MN 55364 C) ( '0
PID: 07-117-23-23-0024
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DESCRIPTION:
Proposed Use: Kesidentiat
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 2,000.00
State Surcharge Fee: $ 1.00
TOTAL FEE: $ 36.00
APPLICANT: Mack Plumbing&Heating OWNER: Bob Morlock
12233 94th Ave.N 5020 Page Ave.
Maple Grove,MN 55369 St. Michael,MN 55376
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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APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Sienitures Reauired). 1-Applicant, I-Monthly Reports. 1-Assessine. 1-Finance Page 1
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PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 P07385
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued: 4/12/2004
SITE ADDRESS: 980 North Shore Dr W
MOUND,MN 55364
PID: 07-117-23-23-0024
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:
FEE SUMMARY: Permit Fee: $ 35.00
Valuation: $ 2,000.00
State Surcharge Fee: $ 1.00
TOTAL FEE: $ 36.00
APPLICANT: Mack Plumbing&Heating OWNER: Bob Morlock
12233 94th Ave.N 5020 Page Ave.
Maple Grove,MN 55369 St.Michael,MN 55376
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.
I ';; .10,
APPLICANT PERM ITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(SiQnitures Required). 1-Applicant, 1-Monthly Reports, 1-Assessine. 1-Finance Page 1
CITY OF ORONO APPLI CATHON FOR PTI..UN/tII�1NG FE'
II$=66 (2750 Kelley Parkway)
CryzW Bay, MW 55323
I. You may apply for plumbing permits by mail or in Person at the City offices.
2. Permit cards will be sent by return mail after a review is completed. PERM=ARE NOT VAI.D UNTIL.
YOU RECEIVE A PERMIT. MUST NOT BEGIN IMM THE EPRMr r CARD IS POSTED ON
nm io—fl 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 roust be done in accordm='with,the State Code requirements.
6. All work must be inspected and air tested before it is covered. Call (952) 2494,600. 24-hour notice
required.
Il- undiaw Complete all items on this application. Compute the permit fee. Sika and slag the
certification'. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call (952) 249-4600.
Please check one: New Addition Revair Replace
Residendal Comniercial
8
10>B�sIIo fl ZIP.
air's Name- Telephone Number:
Mdung Addressa city.o UP.—
(Co1Tilt metol,a Nmmw r f elepha�e NumI o 7 p f
�1LII�T(G� �tCffiE�ID>f
FIXTURE BSMT IST 2ND OTHEW FIXTURE , MT 1ST 2ND OTHER
TYPE rL I7I. TYPE FL PL
dater Closet Floor Drains
b,avato ( Sewer
Bathtub Laimdry'dray
Shower Washer
Kitchen Sink Nater heater
D' . sal eater Softener
Dishwasher Wet Bar
Sillcocks Disc t)
PER=FEE CALcCtCMA=0
2032 SWIe 5 ❑ lrez9 TME SeLlIon Appmes
The replacement of a IResidentihl Lh1we or aplsliance that meets all three of the following
requirements:
1) Does mot requre modification to,electrical or gas service.
2) Has a toil cost of$500.00 or less; ogdin the cost of the dare or appliance:
and
3) Is improved, installed or replaced by the homeowner or licenced.contractor.,
Slip next section, Cost of Permit $ 15.40
Mate Surcharge, $ .54
Mail In Fee $ 1:54
If above does not apply, follywr guidelines below
1 � cctt �g is .0 12,5 % of job with a 1
k .4125
( ntract prift): Wnim=$� st t)
Add the ate codei�isid� i i .50)
x . 5
{eoatrad pn ) . (minbnum
3. t{A tE and-B1MOmi (Only ffia&]-fiappdons $
.-
4. TOT,& .PM9,T 34. (Add lines-1-3 above) $
CONTRACT PRICE or IOB COST means the actual or:estimated dollar amount charged for the permitted
Vork including materials,labor,profit ad oft#.r fixed costs. It is the amount to be charged to the ti mer
for the work clone. If any snatorial, ip ,labor,-or installatiora'arefimished y die owner,rant or
any other_party the reasonable market'value of such items must be added to;tbe estimated cost or contract .
price for permit fee purpascs. In the event that dwe'is a dispute o4 ft amount of the job cont,the City may
request the submission of a signed copy of the awl contract.
The STATE SURCHARGEis.WO5 of the contract price under$1;OOO,t�or $�50.whichever is greaat�r:,
For valuations over$1000,000 call the DepaMnent of inspection"Services for the price.
The undersigned hereby applies to the.City for ismmce of a Plumbing Permit, hg s 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 ode on this application are complete, tme and
correct.
Applicant's Signature: Date-