HomeMy WebLinkAbout2004-P07266 - sewer repair '� � PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Po�266
Crystal Bay, Minnesota 55323 P2r►711t Typ2: Sewer and Water Permit
(952) 249-4600 Date Issued: 2i2�i2oo4
SITE ADDRESS: 90 Ferndale Green
Wayzata,MN 55391
PID: 36-118-23-44-0008
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Sewer and Water Permit Permit Sub-type(s): Sewer Repair
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00
Valuation: $ 1,000.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 35.50
APPLICANT: Thompson Plumbing OWNER: Kris Scherer
15001 Minnetonka Ind. Rd. 90 Ferndale Green
Minnetonka,MN 55345 Wayzata MN 55391
TI�UNDERSIGNm I�:REBY REQUESTS PIItMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
M NESOTA BUII,DING CODE REQUIREMF.NTS.
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PPLICANT PERMITEE SIGNATURE ISSUEDBYSIGNATURE
Cooies: 1-File(SienintresRenuired). 1-Applicant. l-MonthlvReports. 1-Assessing, 1-Finance Page 1
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CITY OF ORONO APPLICATION FOR PLUMBLtiG PERIIIIT
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 return mail after a review is completed. PERMITS ARE NOT�'ALID UI�'TIL
YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON
THE JOB SITE.
3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners resid"mg
in the dwelling.
4. When any new construction or remodeling is involved, a separate building permit 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 (952) 249-4600. 24-hour nodce
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 (952) 249-4600.
Please check one: New Addition �Repair Replace
Residential Commercial
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JOB SITE: � Zip:
Owner's Name: > �C�t l ti. c___ Telephone Number:
Mailing Address: S�� City: Zip•
Contractor's Name• ��� P c.,�w��;.�� ��- Telephone Number:• S�Z 5"T"3 "�"l i�
Mailing Address: \5o0� t��N;���,�;� ir�� !� City: t-v�c�- Zip: ����
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2�'D OT�EIER
TYPE FL FL TYPE FL FL,
Water Closet Floor Drains
Lavato Sewer E�ector
Bathtub Laund Tra
Shower Washer
Kitchen Sink Water Heater
Dis osal Water Softener
Dishwasher Wet Bar
Sillcocks Misc (list) ����L ��L�'
S�nrb�-���1P� '
PERMIT FEE CALCULATION(S)
2002 State Statute ❑ Yes, This Section Applies
The replacement of a Residential fi�ture or appliance that meets all three of the following
requirements:
1) Does not require modification to electrical or gas service.
2) Has a total cost of$500.00 or less; excludin� the cost of the fixture or appliance:
and
3) Is improved, installed or replaced by the homeowner or licenced contractor.
Skip next section; Cost of Permit 5 15.00
State Surcharge S .50
Mail In Fee S 1.50
If above does not apply, follow guidelines below:
1. Contract Price* is .0125 % of job with a Minimum Fee of ($3�.00)
��^� x .0125 S
(contract price) (minimum$35.00)
2. State Surcharge. ** Add the State Building Code Division a (1`iinimum Fee of $ .50)
x .0005 S
(conuact price) (minimum $ .50)
3. Postage and Handling (Onl}� mail-in applications) S 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) S
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted
work including materials, labor, profit,and other fixed cosu. It is the amount to t�charged to the customer
for the work done. If any material, equipment, labor, or installation are furnis��by the owner, tenant or
any other party the reasonable market��alue of such items must be added to the estimated cost or contract
price for permit fee purposes. In the e��ent that there is a dispute on the amount oi the job cost,the City 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 5.�0 - whichever is greater.
For valuations over$1,000,000 call the Department of Inspection Services for t�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 Ciry and the regularions of the State of
Minnesota, and certifie that all statements made on this application are complete, true and
conect.
Applicant's Signature: Date: �� (��