HomeMy WebLinkAbout2001-P03492 - plumbing PERMIT
C I�Y O F O RO N O Permit Number:
2750 Kelley Parkway- PO Box 66 P03492
Cqistal Bay, Minnesota 55323 Permit Type: F�res
(612) 249-4600 Date Issued: 1i26i2ooi
SITE ADDRESS: 4345 North Shore Dr
MOiJND,MN 55364
P ID: 07-117-23-43-0030
DESCRIPTION:
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Proposed Use: 1�G51LLGllL1[ll
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Fixtures>3
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 168.75 Valuation: $ 13,500.00
State Surchazge Fee: $ 6.75
Misc.Fee: $ 1.50
TOTAL FEE: $ 177.00
APPLICANT: Steinla�aus Plumbing Inc OWNER: �ROLD&MARILYN CHRISTENSEN
1$00 Lake Lucy Road 4345 NORTH SHORE DR
Excelsior,MN 55331 MOUND,MN 55364
TF�UNDERSIGNID HEREBY REQUESTS PERMISSION TO MAKE TI�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 REQUIRIMENTS.
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A�LY T PE TE NATURE IS �S�D BY SIGNATURE ��
Copies:City,Applicant,Assessor,Finance Page 1
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� CITY OF ORONO APPLICATION FOR PI:LTIVIBING�TPERMIT �
Boz 66 (2750 Kelley Parkway) � � �
Crystal Bay, NIN 55323 . �.,�� � � �'�� �0 3�y�
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GENERAL INFORMATION �
1. You may apply for plumbing permits by mail or in person az the City offices.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMTT CARD IS
POSTED ON THE JOB SITE.
3. Plumbing permits�ay 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 249-4600. 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 249-4600.
Please check one: _� New Addition Repair Replace
Residential Commercial �
JOB SITE:L��-�"jN�(-�1�(YSYIZ�jV� �P�
Owner's Name: �jStiQ� . V C� i-Y�0 Telephone Nwnber:
TVla�ing Addres.s: : City: �('�_ Zip:
Contractor's Name: Telephone Number: QcjZ-4�10-12L1g
Mailing Address: �S� ���co���v�nad City: Zip: �J5331
Ex S�or
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet 2, � Floor Drains
Lavatory 3 Sewer Ejector
Bathrub � � ��, Laundry Tray �
Shower � Washer
Kitchen Sink � Water Heater
Disposal � Water Softener
Dishwasher � ---� Wet Bar
Sillcocks `. -� _�- -- - Misc.(list)
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PERMTr I'EE CALCULATION '
1. 1.25% of Contracf Price* or Minimum Fee ($35.00) � �
. _ I_ .c��b,U� x .0125 . $. l�Og.,s . .
(contract price) .
2. Staxe Surchar�e. ** Add the State Building Code Division
Surcharge to each permit. 13,�_�C�C�.� x .0005 $ (p,�S
r
� � . . (contract price) -
' or $.50, whichever is greater
3. Posta�e and Handlin� (Only mail-in applications) $ - 1.SOO
4. TOTAL PERNIIT FEE (Add lines 1-3 above) $ 1'�l-1.
�' CONTRACT PRICE or JOB COST means the actual or estimated dollu 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,.labor,or installation�re furnished by the owner,
tenant or any other pariy the reasonable market valae 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 Ciiy may request the submission of a signed copy of the actual contract.
** The STATE SURCHARGE is .0005 of the contract price under $1,000,� or $.50 - whichever is
greater. For valuations over$1,0�,000 call the Department of Jnspectional Services for the price.
The undersigned hereby applies to the City for issuance of a Plumbing Pernut, agrees to do all �
work in strict accordance with the ordinances of the Ciry 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: 5 �o 00
STEINKRAUS PLUMBING� INC. �RMINNETONKA MN'5345KS 16687
�'1800 LAKE LUCY ROAD i/�4��
EXCELSIOR,MN 55331 �
� PH.(952)470-1208 75-1445/910 �
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City ofOrono '"'"177.00 �
�TO THE
ORDOne Hundred Seventy-Seven and OO 100 s ::s �
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City of Oiono �� . �
Box 66
Crystal Bay,MN. �5323 B
4345 North Shore I1ri�e
MEMO AUTHORIZED SIGNATURE �'
�i'0 �66B7ii' �:09 LO L4458�:0 0 2 535 ���' '
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STEINKR���.��MBINu, ��vC. ��
5520•Permits:Permits Plumbing peimit for 4345 North Shore Drive j r�'b� �lgl�OQ�
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Checking-Main Account 4345 North Shore Drive 177.00
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