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Home My WebLink About2000-P02779 (plumbing- fixtures) PERMIT CITY OF ORONO `2750 Kelley Parkway - PO Box 66 Permit Number: Po2��9 Crystal Bay, Minnesota 55323 Permit Type: FiXtures (612) 249-4600 Date Issued: g�3�2o00 SITE ADDRESS: 3237 Casco Cir WAYZATA,MN 55391 PID: 20-117-23-43-0013 DESCRIPTION: �,__.�_, Pl'OpOSOCi USO: �c�iucuuai Permit Class: Plumbing Permit Type: Fixtures Permit Sub-type(s): Single Family DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 700.00 State Surcharge Fee: $ 0.50 Misc. Fee: $ 1.50 TOTAL FEE: $ 37.00 APPLICANT: LEorr DUDa Pr.uMBirr� OWNER: JEFF BRow�R 208 17TH AVE NORTH 3237 CASCO CIR HOPKINS, MN 55343 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 BLTILDING CODE REQUIREMENTS. `�� PPLIC T I SIGNATURE IS D BY SIGNATURE Copies: City,Applicant,Assessor,Finance Page 1 � ' ,p��!r"�:�, E_,�, �' r,r 1 / ��/ d �� ' 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 retum 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 pemuts 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 pemut 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 Addition Repair Replace Residential Commercial JOB SITE: �a ��f� ��,P, Zip: Owner's Name: ��=i' ��L, P ,� Telephone Number: �7/- �� o � Mailing Address: 3�3� �ia-�t o C�� City: ��E,.� � Zip: Contractor's Name: ��,� �:-�dC Telephone Number: %33�-S6�,� Mailing Address: �� 7''' ,�� , City: �.� Zip: ,�S3�t.3 PLUMBING FIXTURE SCHEDULE FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower W asher Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Misc (list) �� i!` �"CS'�" � <-�'�-S �>� c � ,��.��-� �,,��1,�c e ��-' rr.�Ca-1-G c"/s� ��.�h 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, whichever is greater 3. Posta�e and Handlin� (Only mail-in applications) $ �-�-5@�` 4. TOTAL PERMIT FE� (Add lines 1-3 above) � '-' �i * 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 pazty 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 Cicy 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 Inspectional Services for the price. The undersigned hereby applies to 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 the State of Minnesota, and certifies that all statements made on this application are complete, true and correct. Applicant's Signature: Date: