HomeMy WebLinkAbout2004-P07356 (plumbing) � PERMIT
C I TY O F O RO N O Permit Number:
2750 Kelley Parkway - PO Box 66 P07356 '
Crystal Bay, Minnesota 55323 Permit Type: FiX�ures
(952) 249-4600 Date Issued: 4�2�2004
SITE ADDRESS: 1525 Bay Ridge Rd
Wayzata,MN 55391
PI D: 10-117-23-34-0009
DESCRIPTION:
Proposed Use: xesidentiai
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 1,000.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 35.50
APPLICANT: Owner/Self OWNER: Bob Mack
� 314 Buchanan NE
Minneapolis,MN 55413
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.
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APPLICANT PERMITEE SIGNATURE I UED BY SIGNATURE �
Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports. 1-Assessine, 1-Finance Page 1
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PERMIT FEE CALCULATION(S)
2002 State Statute ❑ Yes, This Section Apgties
The replacement of a Residential fixture or appliancx 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; exch�din� 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 Surcharge $ .50
Ziail In Fee $ 1.50
If above does not apply, follow guidelines below:
�
1. Contract Price* is .0125 % of job with a vlin�um Fee of ($35.00)
� 66
�_�_�a— x .0125 $
(contract price) (minimum$35.00)
2. State Surcharge. ** Add the State Buildina Cc�e Division a (Minimum Fee of$ .50)
x .0005 $
(concract price) (minimum$ .50)
3. Posta�e and Handling (Only mail-in applicarions) $ 1.50
4. TOTAL PER��IIT FEE (Add lines 1-3 abo�-�) $
* CONTRACT PRICE or JOB COST means the actual or e�samated dollar amount charged for the permitted
work including materials, labor, profit,and other fued co�. It is the amount to be charged to the customer
for the work done. If any material, equipment, labor, or nstallation are fumished by the owner, tenant or
any other party the reasonable market�-alue of such item� must be added to the estimated cost or contract
price for permit fee purposes. In the e�-ent that there is a�.3pute on the amount of the job cost,the City may
request the submission of a signed cop��of the actual con�—act.
** The STATE SURCHARGE is .0005 of che contract price�der$1,000,000 or $.50 - whichever is greater.
For valuations over $1,000,000 call the Department of I��ection Services for the price.
The undersigned hereby applies to the City for issuanc� of a Plumbing Permit, agrees to do all
wark in strict accordance with the ordinances of the City and the regulations of the State of
Minnesota, and certifies that all statements made on rhis application are complete, true and
conect.
Applicant's Signature: ��'v"- ���� Date: �-�—O