HomeMy WebLinkAbout2000-P02140 - plumbing � ►
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PERMIT
CITY OF ORONO PERMIT TYPE: Plumbing
2750 Kelley Parkway - P.O. Box 66 Permit Number : t� D a.l� �
Crystal Bay, Minnesota 55323 Date Issued: 02/O1/00
(612) 249-4600
SITE ADDRESS: 1510 Green Trees Road
Orono, MN 55391
H.N.B.
11-117-23 23 0015
DESCRIPTION: 4 Plumbing
REMARKS:
FEE SUMMARY: Valuation $3,500
Base Fee $ 43.75
Surcharge 1.75
Total $ 45.50
CONTRACTOR: Standard Plumbing & Appliance OWNER: George Danko
8015 Minnetonka Blvd.
St. Louis Park, MN
� THE UNDERSIGNED HEREBY REQUEST PERMISSION TO MAKE THE REAL IMPROVEMEN��TS SPECIFIED AND
AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCGS AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS. `''''
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APPLICAN"I'/PERMITEE SIGNATURE ISS ED BY: SIGNATURE
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C1TY OF UR.ONO APPLICATION FOR PLUMBING P�RMIT
Box 6b (27�0 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMATION
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 the State Code requirements.
6. All work must be inspected and air tested before it is covered. Call 473-7357. 24-hour notice required.
Instructioq,� Co:nplete all items on this application. Compute the permit fee. Sign and date
the certification. INC01�9PLETE APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call 473-7357.
Please check one: New X Addition Repair Replace
X Residential Commercial
JOB SITL: 1510 Greentrees Road Zip:
Owner's Name: G e o r a e D a n k o Telephone Number:
Mailing Address: 1510 G r e e n t r e e s R o a d City: 0 r o n o Zip:
_ Contractor'sName: STANDARD PLUMB ING & APPL I ANCE TelephoneNumber: 9 3 8-3 5 8 9
MailingAddress: g015 Minnetonka Blvd . City:St. �ouis Pa�p� 55426-3092
PLUMBING FIXTURE SCHEDULE
FIXTURt: BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet 1 Floor Drains
Lavatory 1 Sewer Ejector
Bathtub Laundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishw.,sher � Wet Bar 1
Sillcocks Misc (list)
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PERMIT FEE CALCULATION
l. 1.25% of Contract Price* or Minimum Fee ($35.00)
3 , 500 . 00 x .0125 $ 43 . 75
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. 3 , 5 0 0 . 0 0 x .0005 $ 1 . 7 5
(contract price)
or $.50, whichever is greater
3. Posta�e and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ 4 5 . 5 0
* 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 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 Department of Inspectional 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: � - �'Vl'�-z'J Date: 2/O 1/0 0
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PLUMBING UNIT, BOX 64975
121 EAST SEVENTH PLACE, ST. PAUL, IYW 55164-097 5 121 EAS as�EVENTH�PLP►CE icense A�/ �
Master Plumber License
LICENSE NO 004266PM LICENSE NO 004266PM
��: ��� Charles R. Lee
Charles R. Lee EXPIRATION DATE
4004 Baker Road EfFECTIVE DATE
Minnetonka, MN 55305- 01/01/2000 12/31/2000
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EFFECTIVE DATE EXPIRATION DATE '
01/01/2000 12/31/2000
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