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Home My WebLink About2004-P07635 (Plumbing) PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway - PO Box 66 P07635 Crystal Bay, Minnesota 55323 Permit Type: FiX�ures (952) 249-4600 Date Issued: 6i2a�2oo4 SITE ADDRESS: 1396 Baldur Park Rd Wayzata,MN 55391 PID: 08-117-23-31-0002 DESCRIPTION: Proposed Use: Kesidentiai Pernut Class: Plumbing Permit Type: Fixtures Permit Sub-type(s): Plumbing Undefined DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: Installed dryer w/flex line and shut off valve FEE SUMMARY: Pernut 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: Mike Schroeder 13562 Central Avenue NE 1396 Baldur Park Rd Anoka,MN 55304 Wayzata,MN 55391 THE UNDERSIGNED HEREBY REQUESTS 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. � `� ��-�-C ��vl. APPLICANT PERMITEE SIGNATURE UED BY SIGNATURE Cooies: 1-File(SiQnitures Required). 1-Apvlicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 CITY OF ORONO APPLICATION FOR PLU1-SBI'i�tG PERMTT BoY 66 (2750 Kelley Parkway) Crystal Bay, l�IN 55323 GENERAL INFOR�L�TION 1. You may apply for plumbing permits by mail or in person at the City o�ces. 2. Permit cards wili be sent by retum mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECENE A PERMIT. �VORK MUST NOT BEGIN UNTII. THE PERI�IIT CARD IS POSTED ON THE JOB SITE. 3. Plumbing perm.iu may be issued ONLY to licensed plumbin� contractors and to property owners residing in the dwelling. 4. When any new construction or remodelin� is involved, a separate buildin� permit must be obtained. 5. All work must be done in accordance wich the State Code requirements. 6: All work mtist be inspected and air tested before it is covered. Cail 249�600. 24-hour notice required. Instructions Complete all items on this application. Compute the permit fee. Si?n and date the cer[ification. I�i tCOi�'LETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 249-4600. Please check one: New Addition r� Repair Replace � Residential Commercial JOB srrE: /�3 rlv 13��c�'�� r�� l��l z� • >>�3�/ Oi�ner's �'ame: �,� /`�/ ��;��l�l Telephone Number: �,j��,�Jy 1�7� I�Iailin� Address: 6;�.� City: Zip: Contractor's l�ame: ' �i '"� � i�, ;r.-��.:"�' Telephone �umber: /�.� ��.�--��%o' Nlailing Address: %J�L � �-/�, 1 �,�,/, Cit3':,' 1 r'G/ r Zip: PLUNIBING FIXTURE SCHEDULE FIXTURE BS�1T 1ST 2ND OTHER FIXTURE BS�1T 1ST 2ND OTHER TYPE FL FL TYPE FL FL Wacer Closet Floor Drains Lavatory Sewer Ejector . Bathtub Laundry Tray Shower Washer Kitchen Sink Water Heater Disposal �Vater Softener Dishwasher Wet Bar Sillcocks Misc (list) t � ,,/ , �1;��h��C'' (�/' ��,/��;� l�%2� �✓�(:' C.J�'l� �i �� Vl!Cti� PERMIT TEE CALCULATION � 1. 1.25% of Contract Price* or Minimum Fee ($35.00) x .0125 $ (contract price) 2. State Surchar�e. ** Add the State Building Code Division Surcharge to each permit. x .0005 $ (contract price) or $.50, wh.ichever is greater 3. PostaQe 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 ocher fized 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, tenan[ or any other party the reasonable market value of such items must be added to the estiinated cost or contract price for permit fee purposes. In the event that there is a dispute on the amount of the job cost, the Ciiy 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 51,000,000 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. Applicant's Signature: Date: