HomeMy WebLinkAbout1993-005065 - plumbing n
PEI�MIT
� �ITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway • P.O. Box 815 �`Lt��'��1��i L�
Orono, Minnesota 55356-0815 Permit Number: ��{��_;�:�
(612) 473-7357 Date Issued: �y�f;�,�;,':`;
SITE ADDRESS:
1=;��i� FiE'=;T �`T C:I i=�:
r:H
F�' . I . �`�! . . t}.—i �?—�=:=:—:�;:�—i�_:�_:�
DESCRIPTION:
�; �j5��'li�;�'�;
�='luri�tfi�-tg �'�7�r„it. T���c �,��i"E� t�EtEF;
�'i sar�EC�lt��� �;13���}; 1 y��E_ C�E�'L{�C':E �?�I::�Ittit�
:�' �,�r�TEh C:I_i�=�ET � ��;�1f��i���ahY 1 E=i��T#�?!�E�
REMARKS:
u�F?' U� �;T�v;4'v
FEE SUMMARY: , ..� ��44 u� � ,��
�,:1�"��:��;;;;� �
��=±��f's��i�_��i �.t�1 �t-3�-� i%i vLei! �J.Vii j�
y^ litLL�1f�V VyY !'IS
�C(�F+ �'�'+Y �._t_'1 , ���„1 Vl VL11� LfLY
-• �-y_. ;�h,.j .—, —• $. : r
���I..�I� ICl E�'��= __...___..«__Sd�.L3sF� L•�L!i� !L uu�f.
�t�t'�.ct�, FC'C �::F� , ',�f J iiii:t�.ii��e�rhn'�e�1 e�ir�
di�•�Fii::`'!rr t•r!ii 7'i Tr�7, r
n:.i vvvv t,vL.t �SNv� �V i ��.1
, v�'ai�l�i���
CONTRACTOR: - f�����I i c�nt. - OWNER:
_T���Y�:;� �`L_i it•�E,�.���;, T�,I�.: ;�f��y�i�#.���� �;:::�t E.'=: C�RV I D
�.:����� �3�����:C���E �i'v'� : �.:;�,�:} RE=�T �`T t��I�;
EC?�'t�F� t?�� ���.'�`a {:i�f_��i�a ��,� cc:�,F,d
. =:1 i;'_:? ':�::�`�--'_'._=�;`_ �f�'y—�,7:�'_�
_...c_F:. (_I�'�L_. "_�I�:��'��i=_�? '?�:Y°r;�'*' -:�=.'•,!_1�'_� F '= �`;��°�'sT:��'_�I��JI'� TF_� ��i��'�::� i�:-;_ �;°:'�;! T��;�:•r��;_:'•,•'�.'�__.('�. � �_
�: .__ )���= } t i�'J`�::
_,_:r-{_ j (�l El i� --y:� -{i-i �i;`�i i � �E�� � E -i �_. [_.{ i y'�'()�}-i. i y'' T-t.� :'i i (_E"E`�., �_�r'
.,, ;._ :'t f- EG �#� H•��t;:=;.._._; , ` v :�:�._:_.. ::��.:.;��•. I ta °�;T1�.I �T
._ _��1 L�t{'���_.... ��lL . . . i9�_u.. ( i
� � ;�il=ilf 11 I_8 'i}it �t�',, :�s��ii�- – ;�' �:C� – ='t h:�i--'-'I�iz,r; �:�t 3 :�;�i '!_!i�'t I:'�i;r�}t:sp�',:i.:;,t?_
�� _ _.�_ .f'L _.t`�.'t. .L���:� e-i :_. _ . :� � .., _ . . .�.�'�,�t_..•_;_. � !-3 _ ��..� �I l..• . �. . __, _.. . ,. .__.:K : : . �
� V
APPLICANT/PERMITEE A RE ISSUED BY:SIGNATURE .G/�
i
_�C�S
,
CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMATION
1. You may apply for plumbing pernuts by mail or in person at the Ciry 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 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.
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 SITE• � �� j% ��c� 5� �v���w�- (�`��
, Zip:
Owner's Name: 13 � � � s- /� « v ; ��( Telephone Number: y 7� - S '� 3 i
Mailing Address: 5- �� City: Zip:
Contractor'sName: c; � � c• / ���, � `�� :1,,. - TelephoneNumber: ��3 �� y 9 ��7 5
MailingAddress: y 3 �/Z G��,�a,(„ (F� I �., 5 City: -� �,1�'�-� Zip: �5 y ? y
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1 ST 2ND OTHER FIXTURE BSMT 1 ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet � � Sewer Ejector
Lavatory ( ' Laundry Tray
Bathtub I Washer
Shower Water Heater
Kitchen Sink Water Softener
Disposal Wet Bar
Dishwasher Floor Drains
Sillcocks Misc (list)
.
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
2 �/C�� `:= x 1.25 $
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $
(contract price)
3. Posta�e and Handlin� (Only mail-in applications) $ ---�—
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ _ � (G •.z�'
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the pemutted
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 fumished 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
conect.
,
A licant's Signature: � �� _ ,�� Date: y � /j �- % 3
PP �