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HomeMy WebLinkAbout2008-P11992 - plumbing PERMIT CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: P11992 Crystal Bay, Minnesota 55323 Permit Type: Fixtures (952) 249-4600 Date Issued: 4/22/2008 SITE ADDRESS: 1300 French Creek Dr Unit# Wayzata,MN 55391 PID: 10-117-23-32-0015 DESCRIPTION: Proposed Use: Residential 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: $ 35.00 valuation: $ 2,000.00 State Surcharge Fee: $ 1.00 Misc. Fee: $ 1.50 TOTAL FEE: $ 37.50 APPLICANT: Stewart Plumbing, Inc. OWNER: Bernard&Victoria Nann 13025 George Weber Dr. Suite#1 1300 French Creek Dr Rogers,MN 55374 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 BU[LDING CODE REQUIREMENTS. "(�YL� APPLICANT PERMITF,E SIGNATURE S ED BY SIGNATURI; - Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, l-Septic) Page 1 FOR CTTY USE ONLY O,�p O City of Orono P.O.Box 66 Date Received: Permit t� �j,,,,ti 2750 Kelley Parkway � !'��� t Crystal Bay,MN 55323 :�pproved By: Amount$: �,'��Yo��b� (952)249-4600 CITY OF ORONO—PLUMBING PERMIT (All Commercial permits must be approvcd by the Duilding Ufficial or(nspector) GENERAL INFORMATION l. You may apply for plumbing permits by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two working days. 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. �. All work must be done in accordance with State Code requirements. 6. All work must be inspected and air tested before it is covered. Call (952)249-4b00. (24-48 hour notice required) TYPE OF PERMIT Check All That A 1 �Residential ❑Commercial(Approval Required) � ❑ New ❑Additional ❑Repairs �Replace ❑ In Accessory Structure? *You will need prior aaaroval and may need CLJP. (Per Orono City Code,Chapter 78, Article IV) Job Site/Owner Information: Site Address: ti � "��°�_' ���i i �� 1� �, 1:� �� � ���r���'� � � �, T�� Owner: �>��, I�Vtr;�� W��, �C� �,���C�, ��'�11i1 Mailing Address: ����Lil'�� � City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: ��Pl,v�,�lti� 1���wml����'�;�,y�,ContactPerson: ��G4'7� �k,�Y" Address: 1 z-�L`�_-� '�'t����Y �,�)el-;�'r J�'��} State Bond #: (����,21r� E�l�}`} ��" City: ` � _ Zip:s�`'�=' y Expiration Date: I L-�?,i �[�(� Phone: �(L'��j� �)Z�5- �`'��,�> Alternate Phone: ❑ Insurance—Current: 1 � ,� �, a� ry' ! �1���I�������', FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet l 1 Floor Drains Lavatory i 1 Sewer Ejector 1 Bathrt�et�i�:'�` Laundry Tray ` Shower 1 Washer Kitchen Sink I Water Heater Disposal Water Softener Dishwasher ; Wet Bar , Sillcocks Miscellaneous p3 ����;3,�'� Y '' ,'��� t��'' PERMIT FEE CALCULATIQN(S) � ������� '��' ` �'''�w '�� BASBD OFF - 2002�STATE STATUE� ��� � �s�d ts��i,� � i.'� ❑ 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;excludine the cost of the fixture or appliance: and :i. Is improveq, instaiied or repfaced'by the homeowner or licensed contractor. Skip next section,if this app(ies; Cost of Permit $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 1.50 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 . ,, �,�,,� �,.� � �i,� �, If above does not apply; follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00) 1�%�� :' � ���� xA125 $��`��.(� i_ (contract price) (minimum$35.00) 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) �t���-� Ll i •`�� x.0005 $ I •� � (contract price) (minimwn$ .50) 3. POSTAGE&HANDLING(Onfy on Mail-In Applications) $ 1.50 r' --� 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ' � � , _i( .� • * CONTRACT PRICE or JOB COST means the lctual or estimated dollar amount charged for the perrrtitted work including materials, labor, profit, and other fixed costs. [t is the amount to be charged to the customer for the work done. If any material, equipment, labor or installations are fumished by the owner, tenant or any other party, the reasonabie market value of such items must be added to 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 Building Department at(952)249-4600 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 comp(ete, true and correct. A licant s Si nature: r ?�, � � � PP ' g �'�,`�'l '�� �_� �=-�����— Date: `� ��'� ..;��, a . . ' '�` r������'-- Rese�Foi-m� 3