HomeMy WebLinkAbout2004-P07721 - plumbing CITY OF ORONO PERMIT
2750 Kelley Parkway - PO Box 66 Permit Number: Po��2i
Crystal Bay, Minnesota 55323 Permit Type: FiX�ureS
(952) 249-4600 Date Issued: ��i9�2oo4
SITE ADDRESS: 266o Fox st
WAYZATA,MN 55391
P I D: 04-117-23-42-0001
DESCRI PTION:
Proposed Use: Kesidential
Pernut Class: Plumbing
Permit Type: Fixtures Pernlit Sub-type(s): Water Heater
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 15.00 Valuation: $ 0.00
State Surcharge Fee: $ 0.50
Misc.Fee: $ 1.50
TOTAL FEE: $ 17.00
APPLICANT: H.P.Pipeworks OWNER: ROGER V DANE ETAL
3670 Dodd Road Suite 100 2660 FOX ST
Eagan,MN 55123 WAYZATA MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE TI�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 S[GNATURE SSUED k3Y SIGNATURE
Copies: 1-File(SiQnitures Required), 1-Applicant. 1-Monthlv Reports, 1-Assessine. 1-Finance Page 1
• d��i-u�-tuu[ lz:5opm From-CITY QF ORONO +9622494618 T-580 P.001/QQ2 F-T30
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C�Y lJF 01201V'O A'�PI,�CA�'TON�(JR 1'L�.TMB�T� PE�2.MTT
Bax 66 (2750 Kell�y �arkway}
�ry�tal �a�, N�N 55323
G�NF�RAL iNFn,�lA7'ION'
1. Yau may lpply for pItu�bi.ng permits by mai] or in persan at the Clry offiCe:�.
�. P�rmit cards will be sent�y return mai.�after a review is cp�pletad. PER.lb1ITS A.12E 1vTC1T VALIA UNT1T..
`Y01[J'12LCEiVE A F�RMI'T'. 'WDRK,�,F^�T NQ'�'B�Cr,�.tl'�'1'IL.THE PERibIT �T�IS PQSTET)C1hT
TNE JOB S�'I`E.
3. Flur�bix�g�erm'sts may 8e issued ONL'Y ta 1ip�rised plumbing cont�actars an�d rr�propez�y awners resid9ug
in the dw�llin.g.
4. When any new coustx�ction or remodeling is involved, � separate bui2di�g pertnit muet be oht&.iAed.
5. A1�work must be done in aCGordance wxrb tkts State�ode requiremerns,
6. All wor1� mug[ be insp�ctad and air c�sted before 1t is aovez�ed. Ca11 (�S2) ?49-46f,?0. 2�-haux x�pti�e
xeq�ir�r�.
Tnsf,ruc�ions Goz�'iplet� �.11 items o�Yhi.s appLicatfon, �om�ute th�permit fee. �ign an.d da�� �ki,e
c�rtifi�a'�on. IN��MP�.ETE A��'LICATTONS WI�,L 1'�'(�T BF P�,CICFSS��'!. If you have
question�, call (9S2) 249-�FQQ.
Pleas� check on�: N'�w �_�, Addixi4zz Repf►zr �I�e�►lace
��2.esiden�Ci�1 Cou�mercial
ros��r�; ���� �o� �- �7p� s� ��%�
Or�vner's Name:���� - --'�elephone`�Tun�ber:pSa-�� —7�c��3.
1Vlailing Addre�s: Ka-r��. City:�'��+-r,��.. ��p:��q
G��t�racta�r's Narnc: `� � _.��}�-t:��� �'elephone T�'um��r:�5/-��-!� ,��
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iViailin�Address: .��/� �-�- eu�-�, �,�_ ���J'��s�)�iF. r�?,5��3
PY.'CJ'1�IBING Fi�'��.T1tL S�'�F�ULIi.,T
�IXT�;R� BSMT �S'� ZND 0'fi-��Fc FI�TUR� BS12T 1ST 2� OT�ER
���, FL �L T'YFE PL ��
Wat�r Closet Flaa�br�ins
Lavato Sawer E'ectoz
Barhzub L�un TtA
Shor�vex Waskter
Kitchen Sink Waccr I��ater
Dis os�l Water 5of�en�r
Dishvt+asber VVet$ar
Siilcacks Misc �ist)
`�1 ���'�d
� :ul-R3�Z002 12:50pm Fra�-GlTY OF ORONO +9�22494616 T-59a P.002/002 F-78Q
PE�T �E CA�. YJI,ATICIN�,�)
�UO2,Sta�i� Stakute Y�s, This Sect�on A�aglies
T.�e replac�;q��nt af a �Pqiden�i�,l fixture t�r„ a,�„p�ian�e tt��t meez� all th,�ee o� the �'�llbwir�g
r�quireme�,[s:
7.) Dses nat require mo��catia� to elecr�x�al or gas serv�c�.
2) Has a o al ast o��SO(�.QO �r l�ss; exclu '�ii the cost Qf tta� fxtuX� pr appliance:
and
3) Is irnproved, �ris#alled oz�repla�ed �y th� hom�aWner or licenced cont�actor.
Skip ne�x seGtfon; Cost af p�rmit $ _ 15.Q�J ,
�X�t�: Surcharge $ —,�-�-_���
Mail I�.Fee $ 1.,5p
If above dQ�s not ap�Iy, foliow �uxdelines helaw:
1. Contract Fr�+�e* is ,UX25 % of jab wi[h, � ��nit�um Y+'ee af . 3S 0
. �: .0125 $ ,
(conu;�cti pri��} (minimiun�35.00)
2. �ta� Surc}�a�ss *fi Adtl xhe State �uiIding Cc�de T7ivi�iozz a (1V,�inirntu� �'ee Q�$ .�0}
x .OQQS �►
(contraGt prf ce) (mini�uni$ .5Q}
3. Past�e anc� Handl�n$ (�nly rn�il-�n �gplic�tic�ns) � _ 1.SQ
4. '�'C1TA�PERM��'�'EE (Add Iine$ ��3 abov�) �
* CdN7'ItACT PRICE oz JQB �Q�T means tk��accual ar eatima�ted dollar aznouz�t charg�d far tha��rznitted
wor�i�c�udin�materials,labar, prafit,asi�i ather#�xe�costs, �t is the a�nount to be ci�r�ed co t�Ze custom�r
fQr the work do�e, IY any mater�al, equipme�iG, labor, or i��taltation asa furnished by the owner, ceaant�x
�ny ather pa�y the reasona�I� markee v�.lue of sueh it�ms�ust bc added to the e�umat�d cast �r contract
price for pe�nit fe�purpos�s. In the event th�t cb�re is a disput�on the amdunt af rlae jab cas�,the C!ry may
requess the subm,ission of s sigz�ad copy oF th� acma�comuact.
�� The STATE�LTRGI�A�2.GB is .QOC15 of tiie eQnuaGc prics u.xzder$1,�OCI,OOQ ar $.5(l-whiChever is greater.
��,r valuations aver�1,Opb,QQO call the D�partment of Inspectia� servxces for th�price.
The und�rsi�ned hereby a�plies t4 the City far issuane� of a Flumbing Perrnit, agree� t�a d.+� alI
work in stri�t ac�ordanGe with th� �ar�.in,ances o� the Cit�r �nd the z��gulat�o�s �o#' the Stat� Q�
Mumesota, ��1 Gerti�es t�aat all st�i�rlaents m�de C�n this applfcati4z� are compl.ex�, t�ue �.n.d
correct.
?-� � ' L?ate; ;7�`�
Applicant's Sig�latu.re: Q� -,��,�-c-L-r-�t� —