HomeMy WebLinkAbout2005-P09345 (plumbing- fixtures) PERMIT
CITY OF ORONO Permit ►vumber:
2750 KEiley Parkway- PO Box 66 Po9345
C'rystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued: l0/25/2005
SITE ADDRESS: 3700 Casco Ave Unit#
Wayzata,MN 55391
P��� 20-117-23-31-0040
DESCRIPTION:
Proposed Use: Residential
Permit Class: Plumbing
Permit Type:
Fixtures Permit Sub-type(s): Floor Drains
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 35.00 valuation: $ 795.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 35.50
APPLICANT: City View Plumbing&Heating OWNER: Mr. &Mrs. Dongoske
1880 B Wayzata Blvd W. 3700 Casco Ave
P.O.Box 150 Wayzata MN 55391
Long Lake,MN 55356
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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APPL[CANT P R I�E SIGNATURE ISSUED BY S[GNATURE
Copies: 1-File(Signatures Required), ]-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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CITY OF ORONO—PLUMBING PERMIT
(A!1 Commercial pertnits must be approved by the Bu�7ding Of�icial or Inapector)
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1. You may apgly for plumbing perniits by mail or in person at ttte City afltices. A�plications wiil be
reviewed and a permit will be iss�ed within ewo working days.
2. Pernut cards will be sent by retum mail af3er a review is completed. PF:RMiTS ARE NOT
VALID UNI'IL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTII.THE
PERNIIT CARD LS POSTED ON THE JO$SITE.
3. Plumbing pennits may be issued ONLY to licensed plumbing contractors and to property owners
resicling in the dwelling.
4. When any new construction or remodeling is involved,a separate building permit most be
obtained.
5. All work must be done in accordance with State Code requirements.
6. AIl work must be inspected aad air tested before ii is covereci. Call(952}249-4600.
(24-4t3 hour notice required)
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�Residential ❑Commercial(Approval Required)
❑New ❑Additional _ ❑Repairs ❑Replace
❑ In Accessory StivcGu�e?
*You wil!need prio�an�rova!and may need�.(Per Omno City Code,Chapter 78,Article IV)
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Site Address: �'� . - _ -�[„`�— � ����_� �l S �.(� ' ;l�.
Qwner:� m d%�.��tir.��c% Mailing Address: �c y��Z._
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City: r��t'I✓`,� Zip: 5 � 3 r� v�—
�ome Phone: Alternate Phone: ��I�- �� J��J
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Contractor: ���U'��� ����� �", Contact Person: �v ,� ►� n � �<'�<I r�;t C��
Address: ���� � ��•W�v2��1�"����� State Bond#:
City: �`'�^���-�� �L Zip:55�`��'Expiration Date:
Phone: �15,��r��3��f� �7 Alternate Phone: �1�- ���`> �-��i �
❑ insurance—Current:
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I�IXTUI� E3SMT' 1 2 OTHFR FIXTURE BSMT 1 2 O"fHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains �
Lavatory Sewer Ejector
Bathroom Laundry Tray
Shower W8S�
Kitchen Sink Water Heater
Disposal Water 3oftener
Dishwasher Wet Bar
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❑ Yes,ihis section appiies
The repiacement af a Residential fixture or appliance that meets all three of the following requirements:
1. Does not require modification to electrical or gas service.
2. Has a total cost of$500.04 or Iess;excludinQ the cost of the fixture or appliance:and
3. Is improved,instalied or replaced by the homeowner or licensed contractor.
Skip ne�ct section,if ttris applies; Cost of Permit $ �5•�
State Surcharge $ .50
Mail-In Fee(If Apglicable) $ 1.5�
Total Permit;;�ee $
(Permit Fees Continued On Neat Page)
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If above daes not appiy;follow guidelines below:
1. CONTRACT PRICE *is 125%of contract price with a(Minimum Fee of$35.00)
—7�
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/ •I � -`—`- x AI25$
(coniract�ice) (minimum 535.00)
2. STATE SURCHARGE "'Add ihe State Blsig Cade Div. Surcharge{Minimum Fee of S.SO)
x.0005 S
(contract price) (minimum$ .50)
3. PC�STAGE&HANDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL PERNIIT FEE(Add Lines 1-3 Above) S
• " 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. Tt is the amount to be charged
to the customer tor the work done. If any material,equigment,labor or installations are fumished by
the owner,tenant or any otber party,ihe 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 ttie job cost,the City may request the submission of a signed copy of the actual contract.
■ '� The STATE SURCF3ARGE is_OOt)5 of the contract price under$1,000,000 or$_50—wluchever is
greates. For valuations over$1,000,000 call the Building Department at(952)249-4600 for the price.
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The undersigned hereby applies ta the City for issuance of a Plumbing Pernut, agrees to do all
work in strict accordance with the ordinances of the City and the regulations of tiie State of
Minnesota, and certifies that all statements made on this application are complete, true and
correct. n
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Applicant's Signature: % � t i'-J Date: t . , i•� �--_.
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