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HomeMy WebLinkAbout2003-P05956 - plumbing IT F N PERMIT �' Y 0 �RD � Permit Number: 275Q.Kelle'y Parkway - PO Box 66 P05956 Crystal Bay, Minnesota 55323 Permit Type: FiXtures (952) 249-4600 Date Issued: iii3i2oo3 SITE ADDRESS: 1550 North Arm Dr Mound,MN 55364 P I D: 08-117-23-3 3-0074 DESCRI PTION: Proposed Use: Kesidenriai Perxnit Class: Plumbing Permit Type: Fixhues Permit Sub-type(s): Plumbing Undefined DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 500.00 State Surcharge Fee: $ 0.50 Misc.Fee: $ 1.50 TOTAL FEE: $ 37.00 APPLICANT: Center Point Energy Minnegasco(See Con OWNER: Margaret Peltola 1240 West River Parkway 1550 North Arm Dr Minneapolis,MN 55454 Mound MN 55364 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 BUILDING CODE REQUIREMENTS. � �� �� � APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Conies: 1-File(SiQnitures Reauired), 1-Avnlicant, 1-Monthlv Renorts, 1-AssessinQ, 1-Finance Page 1 ♦ CITY OF ORONO APPLICATION FOR PLLT�iBING PERII�ITT Box 66 (2750 Kelley Parkway) Crystal Bay, I�IN 55323 GEi�'ER.AL 1NFOR`LaTION 1. You may apply for plumbing permits by mail or in person at the City o�ces. 2. Permit cards will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTII., THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Plumbing permits may be issued O�1LY to licensed plumbing contractors and to property owners residing in the dwelling. 4. When any new construction or remodeling is involved, a separate buildin� permi[ 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 i[ is covered. Call 249-4G00. 24-hour no[ice required. Instructions Complete all items on this application. Compute the permit fee. Sign and date the certification. INCO\�LETE APPLICATTONS WILL NOT BE PROCESSED. If you have questions, call 249-4600. � Please check one: New Addition Repair � Replace � Residential Commercial JOB STTE: �J� -� ��' � ' ZiP: �����I O�mer's �'ame: /'� ��,�f- ' ,�j�� Telephone l�Tumber: ;� �._ �� " l�Iailin� Address: �;.,. City:�;%%� G Zip: �{3 '�� Contractor's I�ame:�'�� .�•,����,� ,��,�, ��,�;;��;�-,s,r Telephone I�umber:�, ; -�� -- ������ I�Sailing Address: %��>� ��;,����.�'„��i,� City: �";/,� Zip; �'< �<� � � PLL7vIBING FIXTURE SCHEDULE FIXTURE I BS�iT =ST 2ND OTHER I FIXTURE BS;�iT iST 2ND I OTHER TY�-E � L FL • TYPE FL FL Water Closet Floor Drains Lava[ory Sewer Ejector . Bathtub Laundry Tray Shower Washer Kitche❑ Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Silicocks Misc (list) �.b�a,_.... _ ...':;� T<�_,::; ,:� .z�.�,._�,��W_� iri;r ;� � '- f ci��Yuz� ,,J�! 2 2 �"� '' GI(Y UF UHONO PERMIT TEE CALCULATION � 1. 1.25% of Contract Price* or Minimum Fee ($35.00) ��C�U - x .0125 $ �..���. �C.: (contract price) 2. State Surchar�e. ** Add the State Building Code Division � Surcharge to each permit. � x .0005 $ _ , �-� (contract price) or $.50, whichever is greater 3. Postaae and Handlina (Only mail-in applications) $ 1.50 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ '`' � �,-� i ,�� * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the perm.itted work including materials, labor, profit, and other fized costs. It is the amount to be charged to the customer for[he work done. If any material, equipment, labor, or installation are fumished by the owner, tenant or any ocher 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 tha[there is a dispute on the amount of che job cost, the Ciiy may request che 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 Min.nesota, and certifies that all statements made on this application are complete, true and conect. i Applicant's Signature:; � � . Date: /il/-��J�` .