HomeMy WebLinkAbout2007-P10659 - plumbing PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P10659
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued: 1/2/2007
SITE ADDRESS: 105 Orono Orchard Rd N Unit#
Long Lake,MN 55356
PID: 35-118-23-33-0003
DESCRIPTION:
Proposed Use: Residenti 1
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Plumbing Undefined
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS: •
Iron filter
FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 1,500.00
State Surcharge Fee: $ 0.75
TOTAL FEE: $ 35.75
APPLICANT: Clearwater Systems OWNER: James Rowland Lowe III
1519 148th Avenue NW 105 Orono Orchard Rd N
Andover, i 55304 Long Lake,MN 55356
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES 0 DO ALL WO' IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESO • :UILDING COD: REQUIREMENTS.
7/ �� - �.E. I—'4A RE SUED BY SIGNATURE
Copies: 1-File(Signatures Requi •d), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
• FOR CITY USE ONLY
o City of O>(ono
�' '• P.O.Box 66I Date Received: Permit#
4"t-,`r 2750 Kelley Parkway
$ Crystal Bay,;MN 55323 Approved By: Amount$:
V. "; oho (952)249-400
Ckenmoo
ITY OF ORONO-PLUMBING PERMIT
(All Commercial permits must be approved by the Building Official or Inspector)
GENERAL INFORMATION
1. You may apply ffr 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 wiltbe sent by return mail after a review is completed. PERMITS ARE NOT
VALID UNTIL OU 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 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 a done in accordance with State Code requirements.
6. All work must e inspected and air tested before it is covered. Call(952)249-4600.
(24-48 hour notice required)
TYPE OF PERMIT
II (Check All That Apply)
AI Residential ❑ Commercial(Approval Required)
❑ New 1:4 Additional ❑Repairs 0 Replace
❑ In Accessory Stricture?
*You will need :orior approval and may need CUP.(Per Orono City Code,Chapter 78,Article IV)
Job Site/Owner ormation:;'
Site Address: / ..5-- ti -,5"112"-� ,.
/'
Owner/y /Zt-..) LI Mailing Address: S/c4 '
City: Zip:
Horne Phone: Alternate Phone:
Contractor Info ation:
rd� S -_ J Contact Person: 1 r� d-1,..)\---
Contractor: c., 4
5/e_
Address: I ‘, //00 c1
it... State Bond#: Lc-e__ 373
City: , i e07L- Zip: of Expiration Date: 401/3/(07
7
Phone: 33- 771-z344' S Alternate Phone:
Insurance-Current:
11 1
FIXTURE BSMT ls' 2ND OTHER FIXTURE BSMT 1s 2N" OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
Lavatory Sewer Ejector
Bathtub Laundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Miscellaneous
} ".„if.` a , C , ✓%�k]?,f '[A]/ IEj 1441 1 (17la .7! i�,'' 9r`' f� x
j�HN Xl !- \, { d �i' NSy;. i •
r �t�
❑ 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;excluding 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 $
(Permit Fees Continued On Next Page)
2
` ,:, :PERMIT1FEECALCULATION(S) JOBS.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$35.00)
\ 400 x.0125$ Q� s�
p
(contract price) minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
x.0005 $ , ?3
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $
/! .rte
4. TOTAL PERMIT EE(Add Lines 1-3 Above) $! ------"`
■ * CONTRACT PRICE orJ)B COST means the actual or estimated dollar amount charged for the
permitted work including m 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 purposes. In the event that there is a dispute on the
amount of the job cost, the Pity may request the submission of a signed copy of the actual contract.
i
• **The STATE SURCHARG is .0005 of the contract price under$1,000,000 or$.50—whichever is
greater. For valuations over$,000,000 call the Building Department at(952)249-4600 for the price.
..lr r... W,9 L BIZEIV1:. r:,1 1ViP .F!11.IATIO,NAQl\'E iNT 1 T
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 atements made on this application are complete, true and
correct.
Applicant's Signature. , // ���i
Dat-'-' ' 7,;/4' 2
,, ,
I
3