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HomeMy WebLinkAbout2000-P02028 - plumbing PERMIT �' � C I�TY O F O RO N O Permit Number: 2750 Kelley Parkway- PO Box 66 Po2o2s Crystal Bay, Minnesota 55323 Permit Type: FiX�es (612) 249-4600 Date Issued: 2iisioo SITE ADDRESS: 352o North Shore Dr WAYZATA,MN 55391 P ID: 08-117-23-43-0009 DESCRIPTION: T__:.l_._a:_1 PTOPOSed USe: ncaiucii�iai Permit Class: Plumbing Permit Type: Fixtures Permit Sub-type(s): Water Heater DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 300.00 State Surcharge Fee: $ 0.50 MAIL IN FEE � TOTAL FEE: $ 37.00 APPLICANT: Jim Murr Plumbing Inc OWNER: DAVID A SINGER 925 Southview Blvd 3520 NORTH SHORE DR South St.Paul,MN 55075 WAYZATA MN 55391 TI�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 BUII.,DING CODE REQUIREMENTS. � L N SSUED BY SIGNATURE Copies: City,Applicant,Assessor,Finance Page 1 I i - � � � CITY OF URONO APPLICATION FOR PLUMBING PERMIT i �oY 66 (27�0 Kelley Parkway) i Crystal Bay, MN 55323 i � GENERAL INFORMATION � 1. You may apply for plumbing permits by mail 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 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 covered. Call 473-7357. 24-hour notice required. Instructioii,� Co:nplete all items on this application. Compute the permit fee. Sign and date the certificatioii. INCOI���LETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 473-7357. Please check one: New Addition Repair ��Replace / Residential Commercial JOB SIT�;: �5�t� No��L. ��e !-�� . Zip: �53 ��/ ; Owner's l�tame: (�,",� �;s-,a f� Telephone Number: �:�� - y��- �q,�.-- i Mailing A ddress:T 3,�v N�-r�L- 5�^��e 2i. City: ��;����, Zip: 5-53 h/ Contract��r'sName: ����� ���i r �7���,n,,, �:,^�� _ TelephoneNumber: c�5�- `�5�- i 3 3 � MailingA.ddress: '��r� ��. �-h„�.�..: ��i�! City: 5�, :,i ,�a�..l Zip: ��.��� _ . PLUMBING FIXTURE SCHEDULE FIXTUR.E BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sink Water Heater � Disposal Water Softener Dishw��sher Wet Baz Sillcocks Misc (list) 3':� ` . � . : . . . . . .'. , : 'f-:"" .`��:. .. : ,.,... -,..._..».,:.:.�..a.a._��....:a.�+�.Yd++.eK..Sc�..n..Y+. '.�..:._. R �.�s y � :- - .__ . ... ' ��i � �� �'� r i'� �t' � F , - . � .. - � . �. . ' '�y-�.ds�{�; °'�:�i.��`'a`$.,�hs�;#�. �� . . . . , � . -- . . ,rd,�. 3 4�� :�} PERMIT FEE CALCULATION 1. 1.25% of Contract Price* or Minimum Fee ($35.00) ��Q� x .0125 $ _�,5 �� (contract price) 2. State Surcharge. ** Add the State Building Code Division Surcharge to each permit. x .0005 $ - J r� (contract price) or $.50, whichever is greater 3. Postage and Handlin� (Only mail-in applications) $ 1.50 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ 3� �=e- * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged 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, lab�r, or installation are furnished 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 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 corre�t. Applicant's Signature: -� , � =��— Date: � - �� -�u � j � , i � ', • r . � `;i! MINNESOTA DEPARTMENT OF HEALTH - BOND CERTIFICATE . il� � ` This is to certify that James R. Murr master plumber License No. PM003841 ��Ir representing Jim Murr Plumbing Inc. has filed a $25,000 bond with the l;'' Secretary of State on November 22, 1999 for the year 2000 in accordance with - �'' , the provisions of Minnesota Statutes, Section 326.40 (1978) . ��' _. ;: . i;{� . ; �; . ' � �� ��, , � � . �� . � � � � BOND N0. 9330611 � ,' Federate�, Mutual Insurance� C�mpany � f Owatonna,'�'Mi nnesota ;�� �% 4 �; �� � . I,{F MR JAMES R MURR i I�l; JIM MURR PLUMBING INC. ��� � . ��,��a�,.,., �i;; 925 SOUTHV I EW BOULEVARD ��'��� � �� � !: SOUTH ST. PAUL MN 55075 ' . ' '� Patricia A. Bloomgren. Director ��.� Divi'si�on of Environmental Health ;�;� ��I: Jan�K.; Malcolm, Commissioner :: `�I� � ���� I�,� '. �� . j�' i� ; ". � ; ' �� . _. _:_i_'_,j , � � � � �' r , , �.� `�� �> d��,.,.�,�„,.� c�,�,,,�, � � � �i , � �� J� c-�1�-� �c�� �, . _ � . ) 1 r • , � . \\ - -� . �t�te of �ir��e�ota� ' ' , �tate of ,��nnegota �int�egota �e�artrtYent of �eart�j �inne�ota �e�artrnent of �earti� PLUMBING IT, BOX 64975 PLUMBING UN T, BOX 64975 121 EAST SEVENTH PLACE, ST. PAUL, MN 55164-0975 121 EAST SEVENTH PLACE, ST. PAUL, I�'II�T Master Plumber License Master Plumber License ' LICENSE NO 003841PM BF TESTER ID NO 00315T LICENSE NO 003841PM BF TESTER ID NO 00315T ��' James R. Murr ���ames R. Murr 9270 I17V@T GI'OV2 Tr311 EFFECTIVE DATE EXPIRATION DATE � : Inver Grove Heigh�s, MN 55075 01/01/2000 12/31/2000 � ; ! I � EFFECTIVE DATE � EXPIRATION bATE � � 01/01/2000 12/31/2000 � I TRADES COMPETENCY CERTIFICATE OF REGISTRATION I L-114704 This Registration must be renewed Annually and is NOT transferrable CERTIFICATE NUMBER � � � ___�� � �CUT ON OOTTED LINE ANO RETAIN CARDI . ; L-114704 M-0 7 31 � CITY OF MINNEAPOLIS MAIL T0: _ � DEPARTMENT OF INSPECTIONS . • � CERTIFfCATE OF COMPETENCY JAMES R MURR � This is to certify that the Board of 9270 INVER GROVE TRAIL � Examiners has issued Certificate INVER GROVE HTS, MN 55076- ; Number M-0731 to: � ;JAMES R MURR �MASTER PLUM$ER AND GAS�ITTER � De t of Ins 250 So. 4th St M Is MN 55415 � P p• p THIS CERTIFICATE EXPIRES: 1�-fl i -fl f1 �