HomeMy WebLinkAbout2000-P02496 - plumbing � PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Po2496
Crystal Bay, Minnesota 55323 Permit Type: F�Xcures
(612) 249-4600 Date Issued: si26ioo
SITE ADDRESS: 1251 Briar St
WAYZATA,MN 55391
PID: 10-11�-23-3i-o�o2
DESCRIPTION:
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Pl'OpOS0C1 USe: i�c�iuciiifai
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s)� Showery
Kitchen Sink
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SU1I�MARY: Permit Fee: $ 35.00 Valuation: $ 300.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 35.50
APPLICANT: ROBERTA ROTH OWNER: ROBERTA JEAN ROTH
P.O. BOX 159 1251 BRIAR ST
CRYSTAL BAY, MN 55323 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.
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A LICANT PERMI G6 SIGNA URE 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 pernuts by mail or in person at the City offices.
2. Permit 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 pernuts 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.
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 permit fee. Sign and date
the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call 249-4600.
Please check one: New �ddition Repair �Replace
�Residential Commercial �� � � �����
JOB SITE: � �/ � �i C<, � � � �/`-��Zip: �-�..�-�.3
Owner's Name: Telephone Number: �. .3�
Mailing Address: /.� City:��y��i��'�'p: .3
Contractor's Name: Telephone Nur�Cier:
Mailing Address: � City: Zip:
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
�Vater Closet Floor Drains
Lavatory Sewer Ejector
Bathtub Laundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Misc (list)
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PERMIT rEE CALCULATION
1. 1.25% of Contra Price� or Minimum Fee 35.00
���„� � , X .oizs $
(contract price)
2. State Surchar�e. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $
(contract price)
or $.50, whichever is greater
3. Posta�e and Handlin� (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 dollaz 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 Ciry 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 Tnspectional 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: