HomeMy WebLinkAbout2000-P03053 - water heater PERMIT
C I�Y t�F O RO N O Permit Number:
2750 Kelley Parkway - PO Box 66 P03053
Crystal Bay, Minnesota 55323 Permit Type: FlX�res
(612) 249-4600 Date Issued: a�29i2oo
SITE ADDRESS: 480 Deborah Dr
MAPLE PLAIN,MN 55359
PID: 31-118-23-23-0007
DESCRIPTION:
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PPOpOSed USC: nc��ucii�ia�
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Water Heater
DETAILS:
Approved per resolution#:
Sepa:ate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 400.00
State Surcharge Fee: $ 0.50
Misc. Fee: $ 1.50
TOTAL FEE: $ 37.00
APPLICANT: Norblom Plumbing Co OWNER: � L HOFFMAN& S L HOFFMAN
2905 Garfield Ave South 480 DEBORAH DR
Minneapolis, MN 55408 MAPLE PLAIN MN 55359
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIF�D
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 IS ED BY SIGNATURE v
Copies: City,Applicant,Assessor,Finance Page 1
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PERMIT I+'EE CALCULATION
1. 1.25% of Contract Price* or Minunum Fee ($35.00)
�-`= x .0125 $ � S
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. �� �`� x .0005 $ � SZ�
(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) $ ;3�7 . � .,
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted
work including materials, labor, profit, and other fized 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,
teciant or any other party the reasonable mazket 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[y 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 lnspectional 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.
A licant's Si nature: Date: 9/Z Z��
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