HomeMy WebLinkAbout2000-P02518 - plumbing PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: P02518
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(612) 249-4600 Date Issued: 6/5/00
SITE ADDRESS: 685 Old Crystal Bay Rd N
LONG LAKE, MN 55356
PID: 33-118-23-21-0002
DESCRIPTION:
Proposed Use: Iintitutioiiai
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Kitchen Sink
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 59.83 Valuation: $ 4,786.00
State Surcharge Fee: $ 2.39
TOTAL FEE: $ 62.22
APPLICANT: MINNETONKA PLUMBING CO OWNER: SCHOOL DIST NO 11
9255 INDIAN HILL ROAD 765 OLD CRYSTAL BAY RD N
MAPLE PLAIN,MN 55359 LONG LAKE MN 55356
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.
•f Y \.
APPLICANT PERMITEE SIGNATURE SUED BY SIGNATURE
Copies: City,Applicant,Assessor,Finance Page 1
MAY-30-2000 TUE 02: 16 PM P, 004
t..L1 T V!' VKVNV IN 0ICC4Y40I0 V?/'IG/VV 'IV: to Ly :V4/V, NV: r r
• CITY OF ORONO APPLICATION FOR PLUMING P AMIT
Box.66 ( 7'5O Kelley Parkway)
COWL! Bay, MN 55323
•1; Yon may apply for plumbing permits by mei or in person at the City offices.
2. Permit cards will be sent by return mai after a review is deleted. PERMITS ARE NOT VALID
UNTIL YOU RactivE A PERMIT, Wtlr.8X . ai BigaiatILL T K. 9
3. Plumbing permits may be issued ONLY to licensed*dieing contractors and to property owners residing
' in the dwelling.
•4, When anY new construction or remodeling it involved, a separate building permit must be obtained.
S; All work'inns: be done in accordance with ti ' State Code requirements.
6.. .All weds moa be inspected acd lir Muted befpre It is covered. Call 249.4600. 24-hour notice required.
jrisernethwe Coiaplete all items on this appxicadon. Compute the permit fee. Sign and date
the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have
clueetitms, call 249-4600,
Please check ane: New Addition RRepair _ ,. . Replace
Reeldeutlal _ Cotnntercial
,JOB Ste: '1)nm mote Nproz, 1MS n q tis . ?-4 ZIP: 4. /p
•Owner's Na><ite: tea, Telephone Number:
Mia Address: ,fir V c ears ac 11, City: 0 a.on t Zip:
Contrashor'S Name: . i4.04 „p alanom_ sapa Telephone Numbar: G
Mss res: 2,11,6244 -1 7J s 6t.,1%9
T1=1141 iCjEPUL
FIXTURE BSMT 1ST 2ND " 011173R FIXTURE UNIT 1ST 2ND OTHER
' TYPE FL FL TYPE FL FL
Water Closet ; ' Floor Drains
Lavatory ; Sewer Ejector
•
Bathtub' • I. Laundry Tray
r rwr rnr r��
• • Shower Wer
kitchen obi xa"t"
Water Heater
Disposal • Water Softener
Dishwasher . Wet Bar
Silicocks MisC (list)
MAY-30-2000 TUE 02: 17 PM P. 005
VirI 1 yr vcw,w • oiccirwroJO u. i iciuu iu: io LT :Unit.) Ply: r;r
• Vagina=VAI. UI,4TIIN
1.'• 1.25% of. optrac; Vie* or
la• x .0125 $
• ••
(coalract price)
2, $rasp'Surprge. ** Add the State Building Code Division
' Amharic to oath permit. ..1-ti .a t�' x .0005 $
• • , (conirtiet price)
or $. 4. whicevvr is mater
.3. Pda$01.41480tWas (Only mail-inn applications) $ +-M-
.
4. ' TOTAL PERMIT (Add lines,14 above) , $ CQ2.•�. .
• CONTRACT PRICE or.JOB COST means the actual ar'estirsued dollar an oust charged for the permitted
• work including materials, labor, profit, and ether filed costs, it is the amount to be charged to the
' ettatoraer for the war1C dote. If any material, equipment,labor,or Installation are furnished by the owner,
tenant•of any other party the reasonable atarkatt value of such items must be added to the estimercd cast
or eeturact 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 STATS SURCHARGE is .0005 of the contract price under 51.000,000 or 5,50 fiver Is
Realer. Per vaittations over 31.000,000'call the Department of Inspe tional Services for the price.
The unsigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all
work in strict accordance with the ordinate of the City and the regulations of the State of
.btiutssgta,'.and certifies*that all statements made on this application are complete, true and
correct.
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• • 'Applicant`s Signantre; // _ .;- &t-2) ' / Date;•
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