HomeMy WebLinkAbout2000-P02487 - plumbing � " PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: Po248�
Crystal Bay, Minnesota 55323 Permit Type: FiXtures
(612) 249-4600 Date Issued: si23�oo
SITE ADDRESS: 1860 Shoreline Dr
WAYZATA,MN 55391
P ID: 10-117-23-42-0004
DESCRIPTION:
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Proposed Use: �«���
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Plumbing Undefined
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 700.00
State Surcharge Fee: $ 0.50
Misc.Fee: $ 1.50 MAIL IN FEE
TOTAL FEE: $ 37.00
APPLICANT: Custom Plumbing OWNER: PAiTLINE M BOUCHARD
815 Niagara Lane 1860 SHORELINE DR
Plymouth,MN 55447 WAYZATA MN 55391
THE UNDERSIGNED HEREBY REQUFSTS PERNIISSION TO MAKE TI-�REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND
STATE OF MINNESOTA BUII.,DING CODE REQUIREMENTS.
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A L E ISSUED BY SIGNATURE
Copies:City,Applicant,Assessor,Finance Page 1
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CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMATION
1. You may apply for plumbing pemuts by mail or in person at the City offices.
2. Pernut 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
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.
5. A:l work�ust be inspected and ai:tested bef�r� it is covered. Cal: 473-?357. 24-hour notice ree�ui:ed.
Instructions Complete all items on this application. Compute the permit fee. Sign and date
the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call 473-7357.
Please check one: New Addition Repair Replace
� Residential Commercial
JOB SITE• � E;, �1 � v1� � � Zip:
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Owner's Name: a�1;�,� �o����.��.Q Telephone Number: 4 7� - � �`�i
Mailing Addres�• City: Zip:
Contractor'sN; Custom Plumbing TelephoneNumber: y��y - c>f�r�
815 Niagara Lane
MailingAddres p�ymouth, M►v City: Zip:
55447
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPF, FL FL
��Vater �'lose: Sewer Ejector
Lavatory Laundry Tray
Bathtub Washer
Shower Water Heater
Kitchen Sink Water Softener
Disposal Wet Bar
Dishwasher Floor Drains
Sillcocks Misc (list) � C
��t ov� t=�' I�"��
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PERMTT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee 35.00 eL
'Zac ." x 1.25 $ � � .
(contract price)
' 2. State Surcharge. ** Add the State Building Code Division �
Surcharge to each permit. x .0005 $ � �
(contract price)
3. Postage and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ `3`7 ..a �
* 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 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 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 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.
A licant's Signature: Date: S �l7 f d �
PP