HomeMy WebLinkAbout2003-P06773 - laundry tray CITY' OF ORONO PERMIT
27�0 Kelley Parkway- PO Box 66 Permit Number: Po6��3
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued: 9/17/2003
SITE ADDRESS: 3264 North Shore Dr
Wayzata,MN 55391
PID: 08-117-23-44-0001
DESCRIPTION:
Proposed Use: Kesidenriai
Pernut Class: Plumbing
Permit Type: Fixtures Pemut Sub-type(s): ��dry Tray
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: Pemut Fee: $ 35.00 Valuation: $ 2,650.00
State Surcharge Fee: $ 133
Misc.Fee: $ 1.50
TOTAL F'EE: $ 37.83
APPLICANT' Wenzel Plumbing&Heating Inc. OWNER: Russell Norum
� 1710 Alexander Rd 3264 North Shore Dr
Eagan,MN 55121 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
NIINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMITEE SIGNATURE SUED BY SIGNATURE
• 1-File(SiQnitures Required), 1-Avplicant, 1-Monthlv Renorts, 1-Assessin¢, 1-Finance Page 1
RECEIVED
.
. S�p 1 � 2003
G1,�Y OF ORONO
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 �y 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 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 conuactors and to property owners residing
in the dwelling.
4. When any new construction or remodeling is involved, a separate 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 cavered. Call 473-7357. 24-hour notice required.
Instructions Complete all 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 STTE: 32 � �l� 2 Zip:
Owner's Name: v TeIephone Number:
Mailing Addcess: 32 . Gy2� Q City: Di11b Zip:
Contractor'sName: (., �V/ TelephoneNumber: /_ g5'Z-�sb�
MailingAddress: /D i}-IV E�2, City: E� Zip: ��s/Z/
PLUMBING FIXTLTRE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
ti4'at�_ �lose: F�QOF Drai�.s
Lavatory � Sew�r Ejector
Bathtub Laundry Tray �
s
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Siilcocks Misc (list}
PERMIT FEE CALCULATION �
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
2�so. oo X .oi2s $ 3S.00
(contract price)
2. State Surchar�e. ** Add the State Building Code Division
Surcharge to each permit. �050. �O x .0005 $ �, 33
, (contract price)
or $.50, whichever is greater
3. Posta�e and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ �7, $'3
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged 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 material, equipment, labor, or installation are furnished by the owner,
tenant or any other party the reasonable mazket value of such items must be added to the estimated cost
u��c;��cract�r:ce fo:Fi�:iiui i���'iGi�'iv5c.u. iIl i�'i�eVeIIi:itlai�}1ZIe iS a�1S�tii�Ou C�.IC aII'iOUIli vf if12 jOt'i COSi,
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 $1,000,000 call the Department of Inspectional Services for the price.
The undersigned hereby applies to the Ciry 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
correct.
Applicant's Signature: Date: � /'S� �