HomeMy WebLinkAbout2001-P04722 - plumbing PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 Po4�22
Crystal Bay, Minnesota 55323 Permit Type: F�X�res
(952) 249-4600 Date Issued: i2ii3i2ooi
SITE ADDRESS: 3120 North Shore Dr
Wayzata,IvII�155391
P I D: 09-l 17-23-3 2-0007
DESCRIPTION:
Proposed Use: xesidentiai
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate permits required: Other-(1 hand sink)
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 2,500.00
State Surcharge Fee: $ 1.25
TOTAL FEE: $ 36.25
APPLICANT: P�umbing Services Inc. OWNER: Mark&Nancy Cree
1628 Highway ]0 NE 3120 North Shore Dr
Spring Lake Park, MN 55432 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 BUILDING CODE REQUIREMENTS.
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APPLICANT PERMITEE SIGNATURE I ED BY SIGNATURE
Copies: 1-Fi1e(Sienitures Reauired). 1-Apolicant, 1-Monthlv Reports, 1-Assessine. 1-Finance Page I
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CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMATION
1. You may apply for plumbing permits by mait 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
UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL 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. Atl work must be done in accordance with the Siate Code requirements.
6. All work must be inspected and air tested before it is covered. Call 473-7357. 24-hour notice required.
Instructions Complete alI items on this application. Compute the permit fee. Sign and date
the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call 473-7357.
Please check one: New � Addition Repair Replace
� Residential Commercial
JOB SI1'E: � � �.�' IJ• �h�v�� �J►'�U�. Zip:
Owner's Name: TeIep6one Number:
Mailing Address: City: Zip:
Contractor'sName: - I�.,`��Ili;,'i�:, �_ 4�v�ci t�t�S , C r�� TelephoneNumber. �i�%� �;-�i�, ; �'1C'�C�
MailingAddress: I���, f�_� I t� h-� City: /' l���i`, ZiP: �i 5�� ',d,
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet Fioar Drains
Lavatory Sewer Ejector
Bathtub Laundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Silicocks Misc (list) I ��/}ti'(�;Iji I�;
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PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.(}0) � �. .
1����� �.:,_ x .0125 $ � � ��,
(contract price)
2. State Surcharge. ** Add the State Building_Code Division �_
Surcharge to each permit. ��.`iz`t. i-'`� x .OQOS $ l �d ��
(contract price)
or $.50, whichever is greater
3. Posta�e and Handling (Oniy mail-in applications) $ j�-
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ ��- .��?>
* CONTRACT PRICE or JOB COST means the actual or estimated dollaz amount chazged for the permitted
work including materials, labor, profit, and other fued costs. It is the amount to be charged to the
customer for the work done. if any matecial, equipment, labor, or installation are furnished by the owner,
tenant or any other party the reasonable market value of such items mast 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 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 valuations over $1,OOO,d00 call the Department of Insgectional Services for the grice.
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
eor��ct.
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Applicant'sSignature: �`-�-�`�- l�� Date: