HomeMy WebLinkAbout2001-P03476 - plumbing -� PERMIT
C I TY O F O RO N O Permit Number:
2 7 5 0 K e l l e y P a r k w a y - P O B o x 6 6 P 03 4 7 6
Crystal Bay, Minnesota 55323 Permit Type: FiXtures
(612) 249-4600 Date Issued: 1i23i2oo�
SITE ADDRESS: 1465 Fox St
WAYZATA,MN 55391
PID: 02-117-23-33-0002
DESCRIPTION:
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Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Gas Line Inspection
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
2 GAS LINES TO FIREPLACE
FEE SUMMARY: Permit Fee: � 35.00 Valuation: � 629.00
State Surcharge Fee: $ 0.50
Misc. Fee: $ 1.50
TOTAL FEE: $ 37.00
APPLICANT: McGuire& Sons OWNER: K A BIRKELAND/C A BIRKELAND
605 12th Ave South 1465 FOX ST
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 COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND
STATE OF MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICAN'f PF,RMITEE SI NATURE SSUED BY SIGNATURE
Copies: City,Applicant, Assessor,Finance Page I
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CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, NIlv 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 retum 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. Plumbing permits 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 building pernut must be obtained.
5. All work must be done in accordance with the State Code requirements.
�. All wor�:nust be insnected and air tested before it is covered. Call 473-7357. 24-hour notice 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 473-7357.
Please check one: New ►� Addition Repair Replace
�Residential Commercial
JOB SITE: � I`�t�� �� �� Zip:
Owner'sName: g�1zkEt-h�.rD TelephoneNumber: ��
Mailing Address: � City: Zip:_
Contractor'sName: ��� ��}�_����g ,c�i��;�j _ TelephoneNumber: Gj�%-q 7�'0
MailingAddress: 4�nnkin; pON 55;i43 City: Zip:
PLUMBING FIXTURE SCHEDULE
FIXTURE I BSMT I 1ST I 2ND I OTHER I FIXTURE BSMT 1ST 2ND OTHER
TVpF FL FL TYPE FL FL
Water Closet Sewer Ejector
Lavatory Laundry Tray.
Bathtub Washer
Shower Water Heater
Kitchen Sink Water Softener
Disposal Wet Bar
Dishwasher Floor Drains
Sillcocks Misc (list) ��
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PERMIT FEE CALCULATION
1. ' 1.25% of Contract Price* or Minimum Fee ($35.00)
���1 ' x 1.25 � ��'—
(contract price)
2. State Surcharge. ** Add the State Building Code Division „\
Surcharge to each permit. x .0005 $ ' ��
(contract price)
3. Postage and Handling (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ `��,� _
* 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 fumished by the owner,
tenant or any other party the reasonable market value of such items must be added to the estimated cost
or eontracc price far perm:t iee purposes. ui tne event tha�tiiere is a aispute ou ti�c ani�unt oi the job cos�,
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 $.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:
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