HomeMy WebLinkAbout1997-009779 - plumbing PERMIT
CITY�iF ORONO PERMIT TYPE:
275U Kelley Parkway- P.O. Box 66
Crystal Bay, Minnesota 55323 Permit Number:
(612) 473-7357 Date Issued:
SITE ADDRESS:
DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: . - OWNER:
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APPLICANTiPERMITEE SIGNATURE ISSUED BY:SIGNATUAE
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CITY OF URONO APPLICATION FOR PLUMBING P�RMIT
���x 66 (27�0 Kelley Parkway)
Crystal Sap, 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 O1VLY 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. Ali work must be done :.. accc:dance wich the State Ccde requir�r.ier�ts.
6. All work must be inspected and air tested before it is covered. Call 473-7357. 24-hour notice required.
Instructioi�,� Co:nplete all items on this application. Compute the permit fee. Sign and date
the certificatiaii. INC01�9PLET� APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call 473-7357.
Please check one: New Addition Repair � Replace
�--Residential Commercial
VALITON, RICH/SALLY
J�B S�E: 2135 COUNTY ROAD 6 Zlp:
Owner's 111ame: ORONO, MN 55356 lephone Number:
Mailing Address: (612)473-1401 ity• Zip•
Contractr�r'sName NORBLOM PLUMBING CO. Tele honeNumber:•
�SA VENTCO/APPLIANCE INSTA�LEFi� _ P
MailingA.ddress: t612) 827-4ius3 �;ity: Zip:
$�6ARFf�"L6�AV�Sva��
�LUMBIN�G' �,IXTURE SCHEDULE
FIXTUR.F BSMT 1ST 21VD OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
Lavatory Sewer Ejector
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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 $
(contract price)
2. State Surcharge. ** Add the State Building Code Division
;• Surcharge to each permit. x .0005 $ _
(contract price)
or $.50, whichever is greater
3. Posta�e and Handlin� (Only mail-in applications) $ 1.50
� 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ �7. C� �
�� * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted
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w�rk inclu�in; ma±eriai_s, 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 furnished by the owner,
tenant or any other party the reasonable mazket value of such items must be added to the estimated cost
or contract price for pemut fee purposes. In the event that there is a dispute on the amount of the job cost, �
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the Ci[y 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
correct.
Applicant'sSignature: �L-�Z- '� - Date: ���- `