HomeMy WebLinkAbout2002-P05848 - plumbing PERMIT
CITI��OF ORONO
27:�0 Kelley Parkway - PO Box 66 Permit Number: Possas
Crystal Bay, Minnesota 55323 Permit Type: FiXtures
(952) 249-4600 Date Issued: iiilsi2oo2
SITE ADDRESS: 1025 Heritage La
Wayzata,MN 55391
PID: 10-117-23-13-0008
DESCRIPTION:
Proposed Use: Kesidential
Permit Class: Plumbing
Permit Sub-type(s): Mulriple Fixtures
Permit Type: Fixtures
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 38.70
Valuation: $ 3,095.60
State Surcharge Fee: $ 1.55
Misc. Fee: $ 1.50
TOTAL FEE: $ 41.75
APPLICANT: Bredahl Plumbing Inc. OWNER: Dean Patterson
7916 73rd Ave N 1025 Heritage La
Brooklyn Park,MN 55428 Wayzata MN 55391
��E LINDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVENIENTS 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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APPLICANT PERMITEE SIGNATURE [SSliED BY SIGNATURE
Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
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C1TY OF UIZ.ONO APPLICATION FOR PLUMBING P�RMIT
�ioY b6 (27�0 Kelley Parkway)
Crystal Say, 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
POST�D ON THE JOB SITE.
3. Plumbing pemuts 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.
Instriiction,� Co:npletP all item5 on this application. Compute the permit fee. Sign and date
the certificatioii. INCOT9PLET� APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call 473-7357.
Please check one: I�Tew Addition Repair Replace
✓Residential Commercial
JOB SIT�;: /DZy �,G�T-�I-�G�it/� Zip:
Owner's Name: Telephone Number:
Mailing Address: City: Zip:
Contractc►r'sName: ,�p�ip��E-_ /�vc. TelephoneNumber: �63. ya� 26Y,�
MailingA.ddress: /�l� �3��i�/i�-�/. City: pJ' Zip: Ss �
P9�/G-
PLUMBING FIXTURE SCHEDULE
FIXTURf: BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL f
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Water Closet Floor Drains �
� Lavatory Sewer Ejector �
Bathtub f Laundry Tray �
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishw��sher Wet Bar
Sillcocks Misc (list) �
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PERMIT FEE CALCULATION ' II
1. 1.25% of Contract Price* or Minimum Fee ($35.00) ��
�a 9s� G o x .0125 $ 3� . 70
(contract price)
- 2. State Surcharge. ** Add the State Building Code Division
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Surcharge to each permit. ,�o y5- i x .0005 $ / - 5S '
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(contract price)
or $.50, whichever is greater I
3. Posta e and Handlin� (Only mail-in applications) $ 1.50 I
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ �f, �
* 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 fumished by the owner,
tenant or any other party the reasonable market value oi such items must be added to tfle estimated cost i
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.
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** 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: Date: / • .o v
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