HomeMy WebLinkAbout2005-P08396 - plumbing fixtures PERMIT
CtT��OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 P08396
Crystal Bay, Minnesota 55323 Permit Type: FiX�es
(952) 249-4600 Date Issued: i�3ii2oos
SITE ADDRESS: 1435 Park Dr
Mound,MN 55364
P I D: 07-117-23-42-0020
DESCRIPTION:
Proposed Use:
Permit Class: Plumbing
Pernrit Type: Fixhues Permit Sub-type(s): Mulriple Fixtures
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 15.00 Valuation: $ 0.00
State Surcharge Fee: $ 0.50
Misc.Fee: $ 1.50
TOTAL FEE: $ 17.00
APPLICANT: Haferman Water Conditioning,Inc. OWNER: James Martinson
12142 12th Ave. S. 1435 Park Dr
Burnsville,MN 55337 Mound,MN 55364
THE UNDERSIGNED HEREBY REQUESI'S PERMISSION TO MAKE THE REAL IMPROVEMENT'S SPECIFIED
AND AGREES TO DO ALL WORK IN SI'RICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMITEE SIGNATURE SUED BY SIGNATURE
Copies: 1-File(SiQnitures Required). 1-Aunlicant, 1-Monthlv Renorts, 1-Assessin�, 1-Finance Page 1
CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL 1NFORMATION
1. You may apply for plumbin�permits by mail or in person at the City offices.
2. Permit cards will be sent by return naail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU
RECEIVE A PERMIT. WORK MUS'I' NOT BEGIN UM'IL Tt-!E 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 be done in accordance with the State Code requirements.
G. All work must be inspected and air tested before it is covered. Call (952) 249-4600. 24-hour notice required.
Instructions Complete all items on this application. Compute the permit fee. Sign and date the
certification. INCOMPLETE APPLlCAT10NS WILL NOT BE PROCESSED. [f you have questions,
call (952) 249-4600. , ,
Please check one: �New Addition Repair Replace
��Residential Commercial
JOB SITE: � �r 1— O nV'�. rOYl� Zip: iJ 5.�10`t'
Owner's Name: i v '�r-� Telephone Number: �(� = �O�- 7•
Mailing Address: I a r�. Y i City: (�f0�(1(7 Zip:
Contractor's Name: � Te hone Nui ber. '�-t��-l�
Mailing Address: 'Z. City: I�1� ip:
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1 ST 2ND OTHER FIXTURE BSM I S 2ND OTHER
TYPE FL FL TYPE T T FL
FL
Water Closet Floor Drains
Lavato Sewer E'ector
Bathtub Laund Tra
Shower Washer
Kitchen Sink Water Heater
Dis osal ; Water Softener ✓ ,
Dish�vasher Wet Bar
Sillrocks Misc list '�
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PERMIT FEE CALCULATION(S)
2002 State Statute ❑ Yes, This Section Applies
The replacement of a Residential fixture or ap�liance that meets all three of the following requirements:
1) Does not require modification tc�e(ectrical or gas service.
2) Has a total cost of $500.00 or less; excludin the cost of the fixture or appliance: and
3) Is improved, installed or replaced by the homeowner or licenced contractor.
Skip next section; Cost of Permit $ 15.00
State Surcharge $ .50
Mail In Fee $ 1.50
tf above does not apply, follow guidelines below:
1. Contract Price* is .0125 �/o of job with a Minimum Fee of ($35.00�
x .0125 $ �
(contract price) (minimum$35.00)
2. State Surcharge. **Add the State Building Code Division a (Minimum Fee of$ .50)
x .0005 $
(contract price) (minimum$ .50)
3. Postage and Handling (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $
* CONTRACT PRICE or JOB COST means the adual or estimated dollar amount charged for the permitted work
including materials, labor, profit, and other fixed costs. lt is the amount to be charged to the customer for the work
done. If any material, equipment, labor, or iitstallation 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 ihere 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 Department of Inspectiun 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 statements made on this application are complete, true and correct.
Applicant's Signature: , �-� Date: �' a`� '�5
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