HomeMy WebLinkAbout2003-P06323 - mechanical PERMIT
CIT.Y OF ORONO
275(�Kelley Parkway - PO Box 66 Permit Number: Po6323
Crystal Bay, Minnesota 55323 Permit Type: Fix�es
(952) 249-4600 Date Issued: sns�2oo3
SITE ADDRESS: 1695 Fox Street
Wayzata,MN 55391
PID: 03-117-23-44-0003
DESCRI PTION:
Proposed Use: xesidentiai
Pernut Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Mechanical Undefined
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 15.00 Valuation: $ 0.00
State Surcharge Fee: $ 0.50
Misc. Fee: $ 1.50
TOTAL FEE: $ 17.00
APPLICANT: Norblom Plumbing Co. OWNER: Mr. &Mrs. Cathcart
2905 Garfield Avenue S. 1695 Fox Street
Minneapolis,MN 55408 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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APPLICANT PERMITEE SIGNATURE I SUED BY SIGNATURE �
Copies: 1-File(SiQnitures Reouired), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
CITY OF ORONO APPLICATION FOR PLUMBING PERI�IIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORNIATION . �
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 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 permit must be obtained.
5. All work must be done in accordance with [he State Code requiremen[s.
6. All work must be inspected and air tested before it is covered. Call (952) 249-4600. 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 (952) 249-4600.
Please check one: New Addition Repair _� I{eplace
_ �/IZesidential Commercial
CATHCART, RICHARD '
JOB Sj�: 1695 FOX STREET __.,. ;ZIp: '
Owner's Name: . ORONO, MN 55391
�'Telephone Number•
Mdlllllg AC�f]TCSS: ' �952)473-2290 Cltst;.' '•Zi
Contractor's Name: � �' `
� i � TelephoneNumber: � (��z��Z�'y�.�_
Mailing Address: zqOS e,�✓ � .so. City:_�l�p/S Zip:- �Sz/��'
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
� Water Closet Floor Drains
Lavato Sewer E'ector
Bathtub Laund Tra
Shower �Vasher
Kitchen Sink Water Heater
Dis osal Water Softener
Dishwasher .: Wet Bar -
Sillcocks Misc (list)
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PERMIT FEE CALCLJI.ATION(Sl
2002 State Statute � Yes, This Section Applies
The replacement of a Residential fixriire or a�pliance 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 Pern,;t $ 15.0�
State Surcharge $ .5�
Mail In Fee $ _ 1.50
If above does not apply, follo�v guidelines below:
1, Contract Price* is .0125 % of job with a Minimum Fee of ($35.00)
x .0125 $
(contract price) (minimum$35.00)
2. State Surchar�e. ** Add the State Building Code Division a (l�iinimum Fee of $ .50)
x .0005 $
(contract price) (minimum $ .50)
• 3. Posta�e and Handlin� (Only mail-in applications) $ 1.50
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* 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, tenant or
_ any other party the reasonable market value of such items must be added ro 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 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 Inspection 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.
Applicant's Signature: Date: �l ���.�