HomeMy WebLinkAbout1999-012179 - plumbing PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kel!A� Parkway - P.O. Box 66 Pi U'Mp;TfKJ'f-' i
;-.
Permit Number: . . . y
Crystal Bay, Minnesota 55323
(612p249-4600 Date Issued:
SITE ADDRESS:
DESCRIPTION:
+
L t'.ri"I ED 111,7 4 t I In
c.
F-I wd-i r1a 1x11: io: —
REMARKS:
FEE SUMMARY:
T i I It i C
DT-
o c' r A13:.
CQdTRAITQR:
C7
W
-;F L,
M, 5�1
THE UNDERSIGNED HEREV REQUESTS ;ERM I EQ-6. 1'-,J�N T"'Crl MrAK*t',,�,,74 �-RE`,
- A-REES T 0 00 ,AQ�. ,WO 'JXIO�XANCE W:' "Ir L' t"ITY",""'O'
SPECIFIED AND RK I N RIQJ
0RONO ORDINAKES AND STATE f-if M I NNESOTA EJII�-,D 'N '0bE
MG C�
L
APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
i
CITY OF ORONO 6122494616 11/16/99 10:32 [5 :02/03 NO:828
CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
Box 66 (2750 Kelley Parkway) ;s�O
Crystal Bay, MY 55323
?
GENEMdL WORMATIOwN N0o� 2 1949
1. You may apply for plumbing permits by mail or in person at the City offices. CITY ter- i.hk-)17 t0
2. Permit cods will be sent by rewra trail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECEIVE A PERMIT. WOU :!MUST,NOT BEGIN UNTIL THE PERMfr CARD15
POSTED ON THE 10B SITE.
3. Plumbing perms may be issued ONLY to licensed plumbing contractors and to property owners msiding
in the dwel)tug.
4. When my new cowtrucdou 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 ingwed and air tested before it is covered. Call 249-4600. 244hour notice required.
Instructions C=plete all items on this application. Compute the permit fee. Sign and date
the certification. INCONPLM APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call 249-4600.
Please check one: New Addition Repair Replace
Residential Commercial
JOB SM. &:11 7v � �" zip;
Ownetr'&Name: Telephone Number:
Mauling Address: City: Zip:
ContratcOr'sName: r. Telephone Number: 612-780-0555
1Viatillatg Address:915 5W Service Dr City: Blaine Zip: 55449
PL12=9 EUMM SCEED
l;1XTURE BSMT IST 2ND OMR FIXTURE BSMT IST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Draim
Lavatory Sewer Ejector
Bathtub lAundry Tray
Shower Washer
Kitchen.Sink water Heater
Disposal Wlter Softener X
Dishwasher Wet Bar
Siltcocts Mise(list)
« ClTY OF ORONO 6122494616 11/16/99 10:32 [5 :03/03 NO:828
HE CALCULATION
1. 1.25% of Contract Price* or NUnIMUM Fee (05-00)
,2z!a-a `' ` x .0125 $
(caauact price)
2. Site Surcharge. ** Add the State Building Code Division
Surcharge to each permit. ` `' x .0005 $ I �
or $.50, whichever is greater
3. eggAge and Handl U (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add limes 1-3 above) $ 7. 76;
* CONTRACT PRICE or 708 COST means the actual or estimated dollar amount charged for the permitted
work including materials, labor, profit, aril other fixed costs. It is the amount to be charged to the
customer for the work done. it any material, equipment,labor,or installation are furnished by the owner,
tn=t or any other party the reasonable marittx value of such itean must be Added to the estimated cost
or contract price for permit .'ec pi rposes. In the event that there is a dispute on the amount of the job coat,
the City may request the submission of a signed copy of the actual contract.
The STATE SURCHARGE is .0005 of the cootract price under $1,000,000 or S.50 - whichever is
greater. For valuatlotit over $1,000,000 call the Depanmenc of Inspectional 5crviCt:a 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
Miu rsota, and certifies that all statements made on this application are complete, true and
correct.
Applicant's Signature, Date: ��j