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HomeMy WebLinkAbout2000-P02614 - plumbing �` PERMIT CtTY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: Po26ia Crystal Bay, Minnesota 55323 Permit Type: FiXtures (612) 249-4600 Date Issued: 6i29i2oo SITE ADDRESS: 3420 North Shore Dr WAYZATA,MN 55391 P I D: 08-117-23-43-0018 DESCRIPTION: _.,_._.�_, PfOpOS2a US2: nc�iucu�iai Permit Class: Plumbing Permit Sub-type(s): Single Family Permit Type: Fixtures DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 70.00 Valuation: $ 5,600.00 State Surcharge Fee: $ 2.80 Misc.Fee: $ 1.50 TOTAL FEE: $ 74.30 APPLICANT: SOUTHTOWN PLUMBING OWNER: A A KIViJS ET AL W/L EST 6636 PENN Ave S 3420 NORTH SHORE DR MINNEAPOLIS,MN 55423 WAYZATA MN 55391 THE UNDERSIGNID HEREBY REQUESTS PERMISSION TO MAKE TI�REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCFS AND STATE OF MINNESOTA BUII,DING CODE REQUIREMENTS. %�� � ���y�'L�L�t/ /� �i 'LT E �N T 1IL� SSUED BY SIGNATURE Copies:City,Applicant,Assessor,Finance Page 1 ��' � � C� CITY OF URONO APPLICATION FOR PLUMBING PERMIT Box 66 (2750 Kelley Parkway) Crystal Say, MN 55323 .. GENERAL INFORMATION 1. You may apply for plumbing permits by mail or in person at the City offices. 2. Permit cazds 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. 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 473-7357. 24-hour notice required. Instructiou� Complete all items on this application. Compute the permit fee. Sign and date the certification. INCOA�?LETE APPLICATIONS WII.L NOT BE PROCESSED. If you have questions, ca11473-7357. Please check one: New Addition Repair � Replace �Residential Commercial JOB SI1'E: ����d i7d,� .S�id�e�. E'�2 Zip: Owner's Name: Telephone Number: Mailing Address: City: Zip: Contractor'sName:��•,u.�,��,��, �,�,�«�r 7-,,sTelephoneNumber;��;�g�--7 Mailing A.ddress:(D����n,,� q� S�-� City: c� Zip���{a� PLUMBING FIXTURE SCHEDULE FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER TYPE FL FL TYPE FL FL Water Closet E Floor Drains Lavatory � ( Sewer Ejector Bathtub � Laundry Tray Shower Washer Kitchen Sink i Water Heater Disposal � Water Softener Dishws�sher � Wet Bar Sillcocks Misc (list) PERMIT FEE CALCULATION 1. 1.25% of Contract Price* or Minimum Fee ($35.00) ,��Q'j`�' x .0125 $ �(��G7� (contract price) 2. State Surcharge. ** Add the State Building Code Division Surcharge to each permit. �(DC��� x .0005 $ a��'� (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) $ ?�! � * CONTRACT PRICE or JOB COST means the actual or estunated dollaz amount chazged 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 are furnishal by the owner, tenant or any other 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 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 $1,000,000 call the Department of Inspectional Services for the price. The undersigned hereby applies to the City for issuance of a Plwnbing 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. r Applicant's Signature: � Date: