HomeMy WebLinkAbout2004-P07194 - plumbing `-��Y OF ORONO PERMIT
2750 Kelley Parkway- PO Box 66 Permit Number: Po�194
Crystal Bay, Minnesota 55323 Permit Type: FiXtures
(952) 249-4600 Date Issued: i�2s�2ooa
SITE ADDRESS: 1491 Shoreline Dr
Wayzata,MN 55391
PID: 11-117-23-23-0008
DESCRIPTION:
Proposed Use: Kesidential
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Plumbing Undefined
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
Dryer w/1/2"copper, stainless flex line&connected venting
FEE SUMMARY: Permit Fee: $ 35.00
Valuation: $ 0.00
State Surcharge Fee: $ 0.50
Misc.Fee: $ 1.50
TOTAL FEE: $ 37.00
APPLICANT: Center Point Energy Minnegasco OWNER: Richard&Janet Krier
13562 Central Avenue NE 1491 Shoreline Dr
Anoka,MN 55304 Wayzata,MN 55391
THE UNDERSIGNED HEREBY REQUESf S 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
Conies: 1-File(SiQnitures Required), 1-Annlicant, 1-Monthlv Renorts. 1-Assessin¢, 1-Finance Page 1
, .�+
R�CEIVED
JAN L � 2004
G�r Y ur�RONO
CITY OF ORONO APPLICATION FOR PLLJMBING PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, I�IN 55323
GENER�I, Pi lF'OR�Lr�,TION
1. You may apply for plumbing permits by mail or in person at the City o�ces.
2. Permit cards will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECENE 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 dwellin;.
4. When any new construction or remodeling is involved, a separate buildina permit must be obtained.
5. All work must be done in accordance wi[h the Sta[e Code requirements. �
6: All work must be inspected and air tested before it is covered. Call 249-4600. 24-hour notice required.
Instructions Complete all items on this application. Compute the pemut fee. Si�n and date
the certification. INCOI�LETE APPLICATIONS `VILL NOT BE PROCESSED. If you have
questions, call 249-4600.
Please check one: New Addition � Repair Replace
Residential Commercial
JOB SITE• � � `� � i)� Zip: ,��
Owner's i�'ame: — � Telephone Number: r�J� �/�,�,3C�,J3
I�Iaili.n� Address: City: Zip:
Contractor's l�ame:���,���%;,� �e,��, �;,,-�1�,����� Telephone I�umber: �����;J���%�-'
l�lailing Address: ;���ov ��-f��s��'��' f�'��ty: �r,�,��, Zip: .�3�i;,
PLUNIBING FIXTURE SCHEDULE '
FIXTURE BS�1T 1ST 2ND OTHER FIXTURE BS�iT 1ST 2ND 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 Nlisc (list)
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PER1l�1IT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
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. PostaQe and HandlinQ (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ _ �j w
* CONTRACT PRICE or JOB COST means the actual or estimated doilar amount charged for the permitted
work including materials, labor, profit, and ocher fized costs. It is the amount to be charged to the
customer for[he work done. If any materiai, equipment, labor, or installation 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 Cicy 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
conect.
Applicant's Signature: � �i� Date: ��,J i
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