HomeMy WebLinkAbout2004-P07878 - plumbing PERMIT
�IT� OF ORONO Permit Number:
750 Kelley Parkway- PO Box 66 P07878
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued: 8/24/2004
SITE ADDRESS: 525 Hunter Pass
Wayzata,MIV 55391
PID: 25-118-23-31-0006
DESCRIPTION:
Proposed Use: Kesicienriai
Perxnit Class: Plumbing
Pernut Type: Fixtures Pernut Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
Hook water&om home to pool house
FEE SUMMARY: Permit Fee: $ 77•50 Valuation: $ 6,200.00
State Surcharge Fee: $ 3.10
TOTAL FEE: $ 80.60
APPLICANT: Roto Rooter Services Co. OWNER: Mark&Susan Stobel
14530 27th Ave.N. 525 Hunter Pass
Minneapolis,MN 55447 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 B ING CODE REQUIREMENTS.
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APP CANT PERMITEE SIGNATURE SUED BY SIGNATURE
Couies: 1-File(SiQnitures Required), 1-Auplicant, 1-Monthlv Reuorts. 1-Assessin¢. 1-Finance Page 1
CITY �F QRE�1V� �6PPI.ICATt�Iii F�I� �'L�JM�IN�a �'El�ll�I'F
�ox 66 (2750 Kelley Parkway)
Crystal �ay, Ml� ��323
E'iENERAL tNFORMATiON
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 UNT1L YOU
RECENE A PERMIT. WORK MUST NOT BEGW UNTIL THE PERMIT CARD 1S 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 buiiding permit must be obtained.
5. All work must be done in accordance with fhe State Code requirements.
G. All work must be inspected and air tested before it is covered. Cali (952) 249-4600. 24-hour notice required.
Instructiotts Complete all items on this application. Compute the permit fee. Sign and date the
certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If yau have questions,
call (952) 249-4600.
Please check one: New � Addition Repair Replace
�_ Residential Commercial
� _
,�0� SITE: �S }���.�v f��s� Zip:
Owner's Narne: ' Q.r' � o� 1 Telephone leiumber: 7l�3-a�`3- o7ya
1V[aijing,�ddress: .mfv- �-sS City: p�o�o �y .
p•
�ontractor's 1V�rne: o�o- ; or�f� Telep one Number: 7�3-��-&r�q/
Mailing,�ddress: /VS3o 7�► � City: f o�l+ Zip: Ss-y�7
PLUMBII\iG FIXTURE SCI-IEDULE�
FIXTURE BSMT t ST 2ND OTHER FIXTURE BSM 1 S 2ND OTHER �
TYPE FL FL TYPE T T FL_ '
FL
Water Closet Floor Drains
E:,avato Ro��i��,� Sewer E'ector
- Bathtub" ' Laund Tra -
Shower . ou Washer
Kitchen Sink Water Heater
bis osal Water Softener
Dishwasher Wet Bar
Silicocks Misc list
f��� c�P `�� �o� G�'� S'�/'!�2-c tT�w, /�.►�ie �, �o/ 15�i,�Sc
b �
PE�21�I�'��E C�:�,��JLt�'�'IOIlilS�
20Q2 Sta#e �ta.tute ❑ Yes, 'Fhis �ection .�pplies
The replacemen# of a Residentiat 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; excludin the cost of the fixture or appliance: and
3) Is improved, installed or replaced by the homeowner or licenced contractor.
Skip next section; Cost of Permit $ 15.00
State Surcharge $ .50
Mail In Fee $ 1.50
If above does not apply, follow guidelines below:
1. Contract Price* is .0125 °rb of job with a l�linimum Fee of (�35.Od�
��Da.00 x .0125 $
contract price) (minimum$35.00)
2. State Surcharge. ** Add the State Building Code Division a (Minimutn Fee of$ .5Q)
x .0005 $
(contract price) (minimum$.50)
3. Pdstage and Handlin� (Only mail-in applications) $ 1.50
4. '['Q�'AL PERIV�IT FEE (Add lines 1-3 above) �
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amounY charged for the permitted work
inciuding materiais, labor, profii, and other fixed costs. It is the amount to be char�ed 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 iee
purposes. ln 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 $.50-whichever is greater.
For vatuations over$I,000,000 call the Department of Inspection Services For the price.
The undersigned hereby applies to th ity for issuance of a Plumbing Permit, agrees to do all work
in strict accordance with the ordina of the City and the regulations of the State of Minnesota, and
certifies that all statements made o , t�cati n re comptete, true and correct.
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Applicant's Signature: � Date: ��Y�
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E�es�fi Form