HomeMy WebLinkAbout2000-P03462 - shower PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Po3462
Crystal Bay, Minnesota 55323 Permit Type: F�Xtures
(612) 249-4600 Date Issued: iii6i2oo��
SITE ADDRESS: 2497 Kelly Ave
EXCELSIOR,MN 55331
PID: 2o-i i�-23-i2-oosi
DESCRIPTION:
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Pl'OpOSeCI USe: �c�iuc�ivai
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Shower
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 500.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 35.50
APPUCANT: CHERRY PLUMBING& HEATING OWNER: A H EVANS&D EVANS
P.O. BOX 4261 2497 KELLY AVE
HOPKINS, MN 55343 EXCELSIOR MN 55331
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK]N STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND
STATE OF MINNESOTA BUILDING CODE REQUIREMENTS.
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APP� ITEE SI NATURE ISS D BY SIGNATURE
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�C pies: City,Applicant,Assessor, Finance Page 1
�I'�'�' E�� OI��I�1� �P�.�CtS�"II�11`T �'OR 1��,Wl�IN� �E��'
�ox CC (2750 Kelley Parkway)
�rys$afi �ay, 1VII� 55323
GENE��. INFO�TION
1. You may apply.for plumbing permits by mail or in person at the City offices.
2. Permit cards will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID
UIVTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTII., 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 sepazate 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 249-460J. 24-hour notice required.
�rr�ctions Complete aIl items on this application. Compute the peimit fee. Sign and date
the certification. INCOT�F�.,EEFE APPI.�CATIOI�S �VILL NO'F BE PROCESSEI3. If you have
questions, call 249-4600.
Please check one: New Addition Repair Replace
� Residential Commercial
1'�'� ��: � � ���- , �i�:
�wner's I�Ta�a�e: �S �-�".�, �',r�,,.� Teiephane Number: � y�/�ee��.
l�Y�ng E4.cidres�° g�.— -` City: �ipe
Co�tr�ctor's l�dame: (�.�rr ��� �- �-c,, Teieg�io�e i�umber: �«--�-�5�SS%
I�vEEa�lir�g �cidress: �CS.�ox ya�� T�3'� � � � Z�g: 55.3�3
�T..�I�T� 1��'tJRE SC�iEEB�TL.E
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BS�iT 1ST 2NU OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
Lavatory Sewer Ejector
. . Bathtub Laundry Tray
Shower Washer
Kitchen Sink Water I�eater
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Misc (list)
PEh�L� �� ���T�J�..A,'fi'F�I�
1. 1.25% of �antract Price* or T�vF�i�mr� �'e� (S�S•QQ�
�� x .0125 $
(contract price)
2. State Surchar�e. ** Add the State Building Code Bivision
Surcharge to each permit. x .0005 �
(contract price)
or $.50, whichever is greater
�. Postage and �andlinQ (Orily mail-in applications) $ 1.50
4. TOTAL �EItMIT FEE (Add lines 1-3 above) $
* COPITRACT P1tICE 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 ue furnished by the owner,
tenant or any other party the reasonable market value of such items muse 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 Ciiy 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 Flumbing Permit, agrees to do all
work in strict accordance vvith the ordinances of the City and the regulations of the State of
�innesota, and certifies that all statements made on this applic�tion are coanplete, true and
correct.
Applicant's Signature: Date: /�--/�-�/