HomeMy WebLinkAbout2000-P02079 - plumbing y � V
PERMIT
CITY OF ORONO PERMIT TYPE: Plumbing
2750 Kelley Parkway - P.O. Box 66 Permit Number :`�C�a►6�°�
Crystal Bay, Minnesota 55323 Date Issued: O1/18/00
(612) 249-4600
SITE ADDRESS: 1650 Shadywood Road
Orono, MN 55391
H.N.B.
17-117-23 21 0014
DESCRIPTION: Plumbing 1
1 Water Heater
REMARKS:
FEE SUMMARY: Valuation $850
Base Fee $ 35.00 MAIL IN FEE $1.50
Surcharge $0.50 Total Fee $ 37.00
$ 35.50
CONTRACTOR McGuire & Sons OWNER: Ken Nash
605 12t'' Avenue South
Hopkins, MN 55343
THE UNDERSIGNED HEKEBY REQUEST PERMIS�ION TO MAKE THE REAL 1MPROV�MENTS SPECIFIED AND
AGREES TO DO ALL WORK [N STRICT�COMPL[ANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE��OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT/PERMITEE SI ATURE ISSUED BY: SIGNATURE �
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�'�'i3`�S
CITY OF OI�.ONO APPLICATION FOR PLUMBING PERMIT
�laY b6 (27�0 Kelley Parkway)
` Crystal Bay, MN 55323
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 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
POST�D 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 certi�catioii. INCO:��PLET� APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call 473-7357.
Please check one: New Addition Repair � Replace
Residential Commercial
JOB SITE: I1�-,5U SI-�r�i�t�sc:� �i� Zip: �3`� I
Owner's Name: jc:� JU 1�Si-� Telephone Number: r.��/ -��Z�
Mailing Address: �i,�J S�-i��..��.i� City: c�e=�.i�,::: Zip: SS3��
Contractor'sName: TelephoneNumber: ��'3 j-{�6`7�
MailingA.ddress:_�������,,,a c,,,,+h City: Zip:
� H�p��a,s c,�►u 5���3
PLUMB�IG FIXTURE SCHEDULE
FIXTURE 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 Bar
Sillcocks Misc (list)
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PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
�.� — x .0125 $ �
J, �
(contract price)
2. State Surchar�e. ** Add the State Building Code Division '
Surcharge to each permit. x .0005 $ � �
(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) $ ���]; �L:
* 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, labor, or installation are fumished by the owner,
teu3rit er any oth�r party the �easonable r�arket 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 Ciry 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 lnspectional 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
correct.
° "� Date: � �3 J��
Applicant s Signature: