HomeMy WebLinkAbout2005-P08421 - plumbing ,� �
PERMIT
ClTY OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 Pog42i
Crystal Bay, Minnesota 55323 Permit Type: FiXcures
(952) 249-4600 Date Issued: 2igi2oos
SITE ADDRESS: 2220 French Creek Cir
WAYZATA,MN 55391
PID: 10-117-23-32-0004
DESCRIPTION:
Proposed Use: Kesidenhai
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 137.50 Valuation: $ ll,000.00
State Surcharge Fee: $ 5.50
TOTAL FEE: $ 143.00
APPLICANT: West Side Plumbing,Inc. OWNER: 7eanne Fayfield
9735 Shady Oak Drive 2220 French Creek Cir
Chaska,MN 55318 MN
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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P ICANT PGRMITEIi SIGNATURE ISSUED BY SIGNATURE
Conies: 1-File(SiQnitur•es Required), 1-Applicant, 1-Monthlv Reports, 1-Assessing, 1-Finance Page 1
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CITY OF ORONO APPLICAT[ON FOR PLUMBING PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMAT[ON
1. You may apply for plumbing permits by mail or in person at the City oKices.
2. Permit cards �vill be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNT[L YOU
RECENE A PERMIT. WORK MUST NOT BEGW UNTIL THE PERMIT CARD IS POSTED ON THE IOB
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 remodelinb is involved, a separate building pennit 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 notice required.
Instructions Complete all items on this application. Compute the permit fee. Sign and date the
certification. [NCOMPLETE APPL[CATIONS WILL NOT BE PROCESSED. [f you have questions,
call (952) 249-4600.
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Please check one: New �!Addition Repair �Replace
/ Residential Commercial
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JOB SITE: ���-l� ��z��,,t�� ���, �� ,�`� Zip:
Owner's Name: �l��/�;'�� l�J l/f/��-1� Telephone Number:
Mailing Address: City: Zip:
Contractor's Name: ,,,�.�T S/��r i'��6 Telephone Number:�����G `�
Mailing Address: i'T�S S`,(//��;� r��'�l /J�2 City: C'�;j'�//.�i Zip: ��y�$
PLUMB[NG FIXTURE SCHEDULE
FIXTURE BSMT 1 ST 2ND OTHER FIXTURE BSM 1 S 2ND OTHER
TYPE FL FL TYPE T T FL
FL
� �- Floor Drains
Water Closet �.
Lavator � ? Sewer E'ector
Bathtub � c / Laundry Tra
Shower Washer
Kitchen Sink � Water Heater
Dis osal l Water Softener
Dishwasher Wet Bar
Sillcocks Misc list
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PERMIT FEE CALCULATION(S)
2002 State Statute ❑ Yes, This Section Applies
The replacement of a Residential fixture 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.
Slcip next section; Cost of Permit $ 15.00
State Surcharge $ .50
Mail In Fee $ 1 .50
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If above does not apply, follow guidelines below:
1. Contract Price* is .0125 % of job with a Minimum Fee of ($35.00�
��5
� i� OUC� x .0125 $
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(contract price) (minimum $35.00)
2. State Surcharge. ** Add the State Building Code Division a (Minimum Fee of $ .50)
x .0005 $
(contract price) (minimum� .50)
3. Postage and Handlin� (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. li 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 to the estimated cost or contract price for permit fee
purposes. ln 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 $.50-whichever is greater.
For valuations over$l,000,000 call the Department of lnspection 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:
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