HomeMy WebLinkAbout2001-P04331 - plumbing GITY nF ORONO PERMIT
2750 KeII�yYParkway - PO Box 66 Permit Number: Po4331
Crystal Bay, Minnesota 55323 _ Permit Type: F�Xtures
(952) 249-4600 Date Issued: 9n2i2oo�
SITE ADDRESS: 75 Ferndale Rd N
Wayzata,MN 55391
PID: 36-118-23-44-0006
DESCRIPTION:
Proposed Use: Kesidential
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Plumbing Undefined
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 467.37
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 35.50
APPLICANT: McGuire& Sons OWNER: Johathan&Jennifer Havice
605 12th Avenue S 75 Ferndale Rd N
Hopkins, MN 55343 Wayzata, MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPL[ANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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A PLICANTP ITEESIGNATURE SSUEDBY IGNATURE � ./
Cooies: 1-File(Sienitures Requiredl. 1-Aoplicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
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CITY OF ORONO APPLICATION FOR PLUMBLtiG PERIVITT
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 o�ces.
2. Pemut cards will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTII, THE PER�fIT CARD IS
POSTED ON THE JOB SITE.
3. Plumbing percniu may be issued ONLY to licensed plumbing contractors and to property owners residing
in the dwelling. �
4. When any new construction or remodeling is involved, a separate buildin� 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 249-4600. 24-hour notice required. �
Instructions Complete all items on this application. Compute the permit fee. Si�n and date �
the certification. INCONIPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call 249-4600.
Please check one: New Addition Repair � Replace
� Residential Commercial
JOB SITE: �5 �'�D��°t% �%��' Zip:
Owner's Name: Telephone Number:
�Iailing Address: City: Zip:
Contractor's Name: � � • Telephone Number: �j S� �3!-`�'6?(P,
1�lailing Address: •` `` City: Zip: '
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PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BS;�1T 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
L.avator,� Sewer Ejector
Bathtub Laundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Misc (list) 1
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PERMIT FEE CALCULATION � •
1. 1.25% of Contract Price* or Minimum Fee ($35.00) ,
t.�b'f, ?� x .0125 $
(contract price)
� 2. State Surchar� ** Add the State Building Code Division
Surcharge to each permit. x .0005 $
(contract price)
or $.50, whichever is greater
3. Posta�e and Handlin� (Only mail-in applications) $
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ �5.
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged 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,
tenan[ or any other party the reasonable market value of such items mus[ be added to the estimated cost
or contract price for pernut fee purposes. In the event that there is a dispute on the amount of the job cost,
the Cicy 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 Inspectional 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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Applicant s Signature: Date: