HomeMy WebLinkAbout2001-P04272 - sewer disconnect CITY QF OR NO P�RMIT
2750`,'.elley Parkwa -OPO Box 66 Permit Number: Po42�2
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Crystal Bay, Minnesota 55323 Pet'mit Type: Sewer and Water Permit
(952) 249-4600 Date Issued: si3oi2oo�
SITE ADDRESS: 1520 Bohns Point Rd
Wayzata,NW 55391
PID: 09-117-23-33-0006
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Sewer and Water Permit Permit Sub-type(s): Sewer Disconnect
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 800.00
State Surcharge Fee: $ 0.50
Misc. Fee: $ 1.50
TOTAL FEE: $ 37.00
APPLICANT: Vogt Heating&Air Conditioning OWNER: Douglas Kirchner Etal
3260 Gorham Ave 1520 Bohns Point Rd
St. Louis Park,MN 55426 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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APPLICANT PERMITEE SIGNATURE ISSUED Y SIGNATURE
Copies: 1-File(SiQnitures Repuired), 1-Applicant, 1-Monthlv Reoorts, 1-Assessine, 1-Finance Page 1
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PERMIT TEE CALCULATION '
1. 1.25% of Contract Price* or Minimum Fee ($35.00) ��,
���: c,'�Z'> x .0125 $ �<--� ,, G�O
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. ���: i» x �.0005 $ � � �
(contract price)
or $.50, whichever is greater
3. Postage and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ � �. L'�j
* CONTRACT PRICE or JQB COST means the actual or estimated dollar amount chazged 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 par[y ine reasonaoie market value of suci3 items must be added to the estimaied cost
or contrac[price for permit fee purposes. In the event that there is a dispute on the amount of the job cost,
the Ciiy 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 Jnspectional 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.
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