HomeMy WebLinkAbout2004-P07212 - plumbing Li��� OF ORONO PERMIT
2750 Kelley Parkway- PO Box 66 Permit Number: Po�2i2
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued: 2i6i2ooa
SITE ADDRESS: 3465 Shoreline Dr
Wayzata,NIN 55391
PID: 20-117-23-12-0033
DESCRIPTION:
Proposed Use: xesidentiai
Pernut Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Bathtub
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00
Valuation: $ 850.00
State Surcharge Fee: $ 0.50
Misc.Fee: $ 1.50
TOTAL FEE: $ 37.00
APPLICANT' Tim's Quality Plumbing OWNER: A&I Overson
� P.O.Box 292 3465 Shoreline Dr
Osseo,MN 55369 Wayzata MN 55391
Tf�UNDIItSIGNID HIIZEBY REQUESf S PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPI,IANCE WTI'H ALL CITY OF ORONO ORDINANCES AND SI'ATE OF
MINNESOTA BUII.,DING CODE REQUIRIIv1INTS.
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APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Conies: 1-File(SiAnitures Reauired), 1-Anplicant 1-Monthlv Renorts, 1-Assessine, 1-Finance Page 1
' r
CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMATION
1. You may apply for plumbing permits by mail or in person at the City offices.
2. Permit cards will be sent by return mail after a review is completed. PERMTTS 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 sepazate 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 it is covered. Call (952) 249-4600. 24-hour notice
required.
Instructions Complete all items on this application. Compute the perm.it fee. Sign and date the
certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call (952) 249-4600.
Please check one: New Addition �Repair Replace
Residential Commercial �
JOB SITE: � � ,(��'- Zip:,5�'3cf l
Owner's Name: XX-�c� Telephone Num6er:
Mailing Address: a L.�V /t/ City: Zip: s,���((�
Contractor's Name: ' y� Tele one Number: Z�o3--�a.�(-3a-S�
Mailing Address: � IU City:�e Zip:_,�',�3(y
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
Lavato Sewer E'ector
Bathtub Laun Tra
Shower Washer
Kitchen Sink Water Heater
Dis osal Water Softener
Dishwasher Wet Baz
Sillcocks Misc(list)
PERMIT FEE CALCULATION(Sl
2002 State Statute ❑ Yes, This Section Applies
The replacement of a Residential fixture or an ln iance 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; 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 Surcha.rge � .50
Mail In Fee $ 1.50
If above does not apply, follow guidelines below:
1. Contract Price* is .0125 % of job with a Minimum Fee of($35.00)
85d. �� X .oi2s $ . �35�- 6a
(contract price) (minimum$35.00)
2. State Surcharge. ** Add the State Building Cocle Division a (Minimum Fee of$ .50)
x .0005 $ , � .
(contract price) (minimum$ .50)
3. Postage and Handlin� (Only mail-in applications) $ 1.50
�d
4. TOTAL PERNIIT FEE (Add lines 1-3 above) $ ���
* CONTRACT PRICE or JOB COST means the actual or estimated dollaz amount chazged for the permitted
work including materials,labor,profit,and other fixed costs. It is the amount to be chazged 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 mazket 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 Inspection 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 Signa.ture: Date: '� � (