HomeMy WebLinkAbout2008-P12156 (plumbing-fixtures) . , w
PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: p12156
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued:
6/24/2008
SITE ADDRESS: 3277 Casco Cir Unit#
Wayzata,MN 55391
PID: 20-117-23-43-0042
DESCRIPTION:
Proposed Use: Residential
Permit Class: Plumbing
Permit Type:
Fixtures Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 35.00 valuation: $ 1,070.00
State Surcharge Fee: $ 0.54
Misc. Fee: $ 1.46
TOTAL FEE: $ 37.00
APPLICANT: Owner/Self OWNER: Daniel Cox
MN 3277 Casco Cir
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.
�G��� ��
APPLICANT PERMITEE SI ATURE ISSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
FOR CITY USE ONLY
A. Cit,y of Orono
O4O`yO P.O.F3ox 66 Date Received: Permit kt Z/S
------- �----
. 27501�elley Parl:way
a , y } Crystal Bay.!�iN 5532.+ �PP�oved B}': ---- Amount S 37�a—
s� "` ',,. �� (952)249-4(i011 - --
4t�pe.y
CITY OF ORONO—PLUMBING PERMIT
(�VI Commcrcial pa�mitx munt be approved by the Building O$icial or Inspcxtor)
GENERAL INFORMATION
I. You may appl�� for plumbing pcnnits by mail or in person at the City oftices. Applications will be
re��ie��ed ana a perniit�vill be issued�vithin h��o worl:ing da��s.
2. Pen��it cards�vill be sent b��return mail atter a review is completed. PF�RNIITS ARE NOT
VAL(U UNTIL YOU KI�;CI',[Vl:A Pt?[ZMIT. WORK MUST NOT BEGIN UNTTL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Plumbing pc;nnits ma� bc issuecl ONLY to licensed plwnbing contractors and to property owners
rc�icling in the d��clling.
4. When an_y ne�v construction or remcxleling is involved,a separate building pemiit must be
obtained.
5. All�rork must be done in accordance with Sk�te Cocle reyuirements.
6. All work must be inspected and air tested bc;fore it is covered. Call(952)249-4600.
(2�-18 hour noticc requircd)
TYPE OF PERMIT
(Check All That A lv)
Q Resiclential ❑C'ommerci�l(Approval Keyuired)
❑New ❑Additional Q Repairs Q✓ Keplace
❑ In Accesson Structure'?
"You will nced nrior annroval an�l mav need CI��I'.(Per Orono City Code,Chapter 78,Article IV)
Job Site/Owner Information:
3277('asco('irck Orono,Mn 55391
Site Address:
Uaniel I I.('ox 3277 Casco('irdr
Owner: Mailing Address:
Orono.Mn 55391
City: Zip:
Home Phonc: �`�5`�471-0GG4 Alternate Phone: �76��a�s-E�S� �'
Contractor Information:
owner
Contractor: Contact Person:
Address: State Bond#:
Orono,Mn
Cit��: Zip: Expiration Datc:
Phone: Alternate Phone:
❑ Insurance—Current:
1
� . .
PLUMBING FIXTURES BEING INSTALLED ;
FIX"I'[JIt�' BSMT 1 2� O"fI-IEK FIXI�URE BSMT 1' 2�� OTHER
"TI'PI; FL FI, TYPE FL. FL
Water Closet I Floor Drains
Lavatory 1 Sewer Ejector
Bathroom Laundry Tray
Shower 1 Washer �
Kitchen Sinl: t Water Heater I
Disposal � Water Softener
Dishwasher � Wet Bar
Sillcocks Miscellaneous
PERMIT FEE CALCULATION(S)
BASED OFF -2002 STATE STATUE
Q Yes,this section applies
The replacement of'a Residential ti�ture or appliance that meets all three of the Yollowing requirements:
I. Uoes not reyuire mociitication to electrical or gas service.
2. f Ias a total cost of$5(X).fX)or less:excluciine the cost of the fisture or appliance:and
3. Is improved,installed or replaced by the homeo�vner or licensed contractor.
Skip nest section,if this applies; Cost of Perniit $ 15.00
State Surcharge $ .�0
Mail-In Fee(If Applicable) x 1.�0
Total Permit Fee � 17.00
(Permit Fees Continued On Next Page)
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. . �
PERMIT FEE CALCULATION S -JOBS OVER$500.00
If above does not apply;follo�v guidelines beloH�:
1. CONTRACT PRICE " is 1.25°/u<�f contract price with a(Minimum Fee of�35.00)
� �1v _�o s.o12s$ 35•C�fl
(contracK price) (minimum S35A0)
2. STATE SURCHARGE ""Add the State Blcig Code Uiv. Surcharge(hlinimum Fee of�.50)
s.fXX)� $ • 'S a
(contract price) (minimum S .50)
3. POS'1'A(iE&HANI�LING(Only on Mail-In Applications) $ 1.50
=t. TOTAL PERMIT FEE(Acl�l I.ines I-3 Above) � 31• �a
■ * CON'fRACT YRICI; or JOB COST tneans the actual or estimateJ dollar antount charged Yor the
perniittecl work inelucling materials, labor,profit,anci other tixecl eosts. It is the amount to be ehargecl
to the customer for the work done. If any material, equipment, labor or installations are fumished b�
the owner, tenant or any other purt`�. the reasonable market value of such items must be added to the
estimated a�st or contract price fc�r pennit fee piu-poses. In the event that there is a dispute on the
amount of the job cost, the City ntay reyuest the submission of a signeci cop�� of the actual contract.
■ '�* The STATF, SURCHARUE is .0(X)5 of the contract}�rice under$1,000,000 or$.50—whichever is
greater. For valuations over$1,(x)O,fXN)call the Ruilding Department at(952)249-461"�fi>r the price.
PLUMBING PERMIT APPLICATION AGREEMENT
The undersigned hereby applies to the Cit�� for issuance of a Plumbing Pennit, 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 sta[ements made on tlus application are complete. true and
correct.
�//�.�����w/f OS/30/08
Applicant's Signature: _ �"' •'�" Date:
Reset Form
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