HomeMy WebLinkAbout2004-P08000 - plumbing / - �'
ITY F RONO PERMIT
�' � � Permit Number:
2750 Kelley Parkway - PO Box 66 Pog000
Crystal Bay, Minnesota 55323 Permit Type: FiX�ures
(952) 249-4600 Date Issued: 9�2si2oo4
SITE ADDRESS: 1260 French Creek Dr
Wayzata,MN 55391
PID: 10-117-23-32-0012
DESCRIPTION:
Proposed Use: xesidential
Pernut Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Mulriple Fixtures
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 190.00 Valuation: $ 15,200.00
State Surcharge Fee: $ 7.60
TOTAL FEE: $ 197.60
APPLICANT: Plymouth Plumbing&Heating OWNER: James&Beverely Nyce
12270 43rd Street NE 1260 French Creek Dr
St.Micheal,MN 55376 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.
�.� �C1�--� �-� �-G�-:---��
APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Cooies: 1-File(Si�nitures Reauired), 1-Applicant, 1-Monthlv Reports, 1-Assessing. 1-Finance Page 1
� . .
CITY OF ORONO APPLICATIDN FOR PI_,LJMBING PERMIT
Box 66 (2750 Kelley Parkway)
CrystaI Bay, 1VIN ��323
GENERAL �'ORMATION
1. You may apply for plumbing permits by mail or in person at the City offices.
2. Pernut 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 pernuts may be issued ONLY to licensed plumbing contractors and to property owners residing
in the dwelling.
4. When any new construction or remodeling is invo:ved, a separate building 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. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call 249-4600.
Please check one: /New Addition Repair Replace
��esidential Commercial
�
JOB srrE: I ��� l�`��������'-e�/ z�P:
awner's IVame: ��C�xy �l�_ Teiephone i�lumber:
iVlailing Address: City: Zip:
Contractor's Name: ����J j�-,� Telephone Number:
Mailing Address: j.� � �v -�,i.�="" S� (l� CitY:S�f��t Gc��.1 Zip: S S � y7C�
P�,LTIVIBING FIXTiTRE SCgIEDUI,E
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
La�ator� Sewer Ejector
Bathtub Laundry Tray
Showcr 3 Washer '
Kitchen Sink � Water Heater '
Disposzl ( Water Softener
Dishwasher (? � Wet Bar � � � �
�ii1COCiCS � � i � � �iSC �IiSCj � � �
` • 1
Pu�ll�I'�' �'u� ��,CTJTu�'�'I�lv
1. 1.25% of Contract Price'� or 1l�ini:::�:n FPP $3�.OQ
� ' , r��� X .�I 25 �
(contract price)
2. State SurcharQe. ** Add the State BuildinQ Code Division
Surcharge to each permit. cj vQ--- x .0005 $
(contr ct price)
or $.50, whichever is greater
3. Postaae and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $
� Cviv;�:�,CT PRICE or JOB COST mea��s the ae�ual c:estimated dolia:ameur.t 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 contract price for permit fee purposes. In the even[ that there is a dispute on the amount of the job cost,
the Ci�y may request the submission of a signed copy of the actual contract.
** The STATE SURCHARGE is .000� of the conuact price under �i,000,000 or $.50 - whichever is
greater. For valua[ions over $1,000,000 call the Department of Inspectional Services for the price.
The undersigned hereby applies to the Ciry 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: �J Date: � �- �