HomeMy WebLinkAbout2000-P02575 - water heater �. PERMIT
�C I TY O F O RO lyl O Permit Nu be�:
2750 Kelley Parkway- P Box 66 Po2s�s
Crystal Bay, Minnesota 5 323 Permit Ty : FiXtures
(612) 248-4600 Date Issu : 6�19i2oo
SITE ADDRESS: 21 5 Shevlin Dr
WAYZATA,MN 55391
P I D: 03-117-23-34-0004
DESCRIPTION:
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PI'oposed Use: nwiucu��ai
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Permit Class: Plumbin�
Permit Type: Fixtures � Permit Sub-type(s): Water Heater
DETAILS: '
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
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FEE SUMMARY: Permi Fee: $ 35.00 Valuation• $ 500.00
State�urcharge Fee: $ 0.50
Misc.Fee: $ 1.50
TOTA�L FEE: $ 37.00
APPLICANT: Kcj Enterpris Inc OWNE ; C A BAKER&S K BAKER
2800 Campus Dr Suite 40 2135 SHEVLIN DR
Plymouth, 55441 WAYZATA MN 55391
THE UNDERSIGNID HEREBY'REQUESTS PERMISSION TO MAKE T REAL IMI'ROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH A L CITY OF ORONO ORDINANCFS AND
STATE OF MINNESOTA BUII.,DING CODE REQUIREMENTS.
�� ��I T UED BY SIGN��
Copies: City,Applicant,Assessor,Finance Page 1
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CITY OF UI�.ONO APPLICATION FOR PLUMBING PERMIT
�aY b6 (27�0 Kelley Parkway)
Crystal Eay, MN 55323
GENERAL INFORMATION
1. You may apply for plumbing permits by mail or in person at the Ciry offices.
2. Permit cards 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
POST�D 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.
6. All work must be inspected and air tested before i[is covered. Call 473-7357. 24-hour notice required.
Instructioii� Co:npletP all items on this application. Compute the permit fee. Sign and date
the certificatioii. INC0�9PLET� APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call 473-7357.
Please check one: New Addition Repair � Replace
Residential Commercial
JOB STTE: :Z/3S� S��✓au✓ �Q_ Zip: r;S3 t/
Owner's1�lame:�j£,,,yvir-��t Y�I�r�uu� TelephoneNumber: �.5t� -d�-�f�
Mailing Address: z�3S- 5��,,��}.•� t��- City: v���r� Zip: �S-��CI/
Contractor'sName: �LT- ��. I �;��Z TelephoneNumber: �;i- u�;�-S�
MailingAddress: Zr.�>c> c".sr.�,pKs t�r�. -r�- Yv City: ��moui�� Zip: S��fY(
PLUMBING FII�TURE SCHEDULE
FIXTURF BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Close[ Floor Drains
Lavatory Sewer Ejector
Bathtub Laundry Tray
Shower Washer
Kitchen Sink Water Heater �
Disposal Water Softener
Dishw;sher Wet Bar
Sillcocks Misc (list)
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PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
r� ct� x .0125 $
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $
(contract price)
or $.50, whichever is greater
3. Posta�e and HandlinQ (Only 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 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 installation aze furnished by the owner,
tenant or any other party the reasonable market value of such items must be add�d to the Pstir�ated cost
or contract price for pemut fee purposes. In the event that there is a dispute on the amount of the job cost,
the Ci�y 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 Inspectional 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.
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A licant's Si nature: �(�� G�� - � z lt-J
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