HomeMy WebLinkAbout2003-P06524 - plumbing PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 P06524
Crystal Bay, Minnesota 55323 Permit Type: FiXcures
(952) 249-4600 Date Issued: ��9�2003
SITE ADDRESS: 2715 Caroline Ave
Wayzata,IVII�I 55391
P I D: 20-117-23-24-0007
DESCRIPTION:
Proposed Use: Kesidentiai
Pernut Class: Plumbing
Permit Type: Fixtures Pernut Sub-type(s): Multiple Fixtures
DE�AILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
demo d/w/vent kitchen,bath,new lav&faucet
FEE SUMMARY: Pernut Fee: $ 58.75 Valuation: $ 4,700.00
State Surcharge Fee: $ 235
TOTAL FEE: $ 61.10
APPLICANT: Plymouth Plumbing&Heating OWNER: Mr. &Mrs. Rejzer
6909 Winnetka Avenue N 2715 Caroline Ave
Brooklyn Park,MN 55428 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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CANT PERM SI NAT E [SSUED BY SIGNATURE
Cooies: 1-File(SiQnitures Required), 1-Anplicant, 1-Monthlv Renorts, 1-Assessine, 1-Finance Page 1
CI'I'Y QF ORQNQ APPLICATIO�T FOR P�,�JMBING PERI�IT
Bo� 6C (27�0 Kelley Parkway)
Crystal �ay, MN 5�323
GEIYERAL INF'ORI�IATION
1. You may apply for plumbin� permits bv mail or in person at the City offices.
?. Permit cards will be sent by re[um 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. Plumbina pernuts may be issued ONLY ro licensed plumbing contractors and to property owners residing
in the dwellin�.
4. Vdl:er. any new construc[ion o: remodelin� is involved, a segarate building pe:-mit 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 certitication. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call 249-4600.
Please check one: New �ddition Repair Replace
r/`�esidential Commerciai
,.-,
JOB SI�'E: � � J s �i :
'� P
Owner's Name: � ' -�..' � Teiephone i�rumber:
Mailing Address: City: Zip:
Contractor's Name: �— Telephone Number:
Maiiing Address: � �� City: �ip:
P�,UI�BING F�XTLTRE SC�IEDUL�
FIXTURE BSMT 1ST ZND OTHER FIkTURE BSMT 1ST 2ND C�THER
T�'PE FL FL TYPE FL FL
�Vater Closet f Floor Drains
La��ator� Sewer Ejector
Bathtub Laundry Tr���
`�JIIOW'c7- � � � Wast-ier � �
Kitchen Sink � Water Heater
Disposal � Water Softener
Dishwasher � � ��'et Bar � I
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Jui�OCn� i i i i i iViiSC (iiSii I I
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�'ERll�I:' �''EE C�`L.��TI.��'IQ�
;. 1.25% cf �ontract Price* or Minimu�n Fee ($3�.00)
x .012� $
(contract price)
2. State SurcharQe. ��� _�dd the State Buildina Code Division
Surcharge to each permit. x .0005 $
(contract price)
or $.50, whichever is areater
3. Posta�e and HandlinQ � (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $
Cviv;:.:,�T PRICE or JOB COST mi;a�is the a��uai c�estimated dol:ar amcun: cl�arRed 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 Ci�v may request the submission of a si�ned cop,y of the actual contract.
�='� The STATE SURCIIARGE is .0005 of th� contract price under ai,000,000 or $.50 - whichever is
greater. For valua[ions over $1,000,000 call the Departmen[ of Inspectional Services for the price.
The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all
�vork 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
C Q?"?"eC C.
Applicant's Signature: Date: �