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HomeMy WebLinkAbout2000-P02140 - plumbing � ► ! ., � 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. `'''' "'" �._____ APPLICAN"I'/PERMITEE SIGNATURE ISS ED BY: SIGNATURE � . ' . , a.. 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) � � 1t , . t 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 $1,000,000 call the Department of Inspectional Services for the price. The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all work in strict accordance with the ordinances of the City and the regulations of the State of Minnesota, and certifies that all statements made on this application are complete, true and correct. , �Applicant s Signature: � - �'Vl'�-z'J Date: 2/O 1/0 0 �auo�ss���o� '�Lo�lpW �� ue� u�lpaH lp�uawuo� �nu3 �o uo�s�n�Q �o��a� �Q �ua�6Woo18 �b pL�l��pd ���55 NW d�N013NNIW ---���..,o,�� � ,t� �--�1"'_`�" OdO� ���d8 b00� �� ` � �NIBWfIId �3l �3l � S3l�b'H� �W eMol � sp�de� .�epa� �'uedWo� �'��ense� �g a,� �� pa��u� LZI��T-S5 �ON ON08 �o suo�s�no,�d a � �8L6I) 0��9Z� uo���as ' sa�.n�p�s e�osauu�W U�- l��LM a�Ulp,�OJ�2 u� OOOZ �pa�' au� .�o� 666I 'bT �aqu�a�aQ uo a�p�S �0 �'��'�a��2S 2U�- l��LM puoq 000 5z$ p pa L �� seu 6u�qwn�d aa� 6u��uasa,�da,� 99Z�OOWd �oN asua��� .�aqu�n�d .�a�.sew aa� �� sa�.�pu� �pU� ��. ��..�a� o� s� s�ul 31d�I�Ilb3� ON09 - H11t/3H �0 1N3Wlbdd34 b'lOS3NNIW � — i �tA�Q Df �il�I�e�Ot� �tate of �tinne�ota �i�ne�ota �e�arttt�ent of �eart�j S'�I�nPL�U2�BING�UNIT,mBOX 649�75d1t�J 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 i _ EFFECTIVE DATE EXPIRATION DATE ' 01/01/2000 12/31/2000 I . �