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.
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APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Conies: 1-File(SiQnitures Reauired), 1-Avnlicant, 1-Monthlv Renorts, 1-AssessinQ, 1-Finance Page 1
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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.
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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; �'< �<�
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� 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)
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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) $ '`' �
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* 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.
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Applicant's Signature:; � � . Date: /il/-��J�`
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