HomeMy WebLinkAboutPlumbing Permit Fee ...i_- ..1. i'k_*" ri.uVA."INU ri;sfri'11T
Box 66 (1335 Brown Road South )
Crystal Bay, MN 55323
General Information
1. You may apply for plumbing permits by mail or in person at the City offices.
2. Mailed in application are subject to the postage and handling fees shown below. Permit Cards will
be sent by return mail the same day the application is received.
3. Permits are not valid until you receive a permit card.
4. Work must not begin until the permit card is posted on the job site.
5. Plumbing permits may be issued to state-licensed plumbers or to homeowner/occnts who intend to
actually perform their own work in their home.
6. When any new construction or remodeling is involved, a separate building perm fntt.7. All work must be done in accordance with the State Building Code Require !itVl r
8. All work must be inspected before it is covered. Call for inspections 2 ; hours in advance t.
(473-7357). e nn
Instructions. Complete all items on this application. Compute the permit fee)(. Sign and dat A
certification. Incomplete applications will not be processed. If you have fly questions:, ca
473-7357.
WALK-IN PERMITS--Apply at City Offices, 1335 Brown Road So. (County Rd 146)
MAIL-IN PERMITS--Enclose Fee--Mail to: P.O. Box 66, Crystal Bay, MN 55323
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JOB SITE ADDRESS 3505 Wayzata Blvd.
Occupancy Type : x Residential Commercial
Work to be Performed by: x Licensed Contractor Owner/Occupant
OWNER'S NAME Brian Fulmer Telephone No. 473-9026
Mailing Address 3505 Wayzata Blvd.
PLUMBER'S COMPANY NAMEKlamm Mechanical Contractors, InBusiness No. 890-4868
Mailing Address 12409 County Road #11, Burnsville, Minn. 55337
en i_ng
Master Plumber ' s State License No. 0599 City Cert. No.
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PLUMBING FIXTURE SCHEDULE
(Show Number of Fixtures of Each Type on Each Floor )
FIXTURE TYPE BSMT. lst Floor 12nd Floor Other Floors FIXTURE TYPE BSMT. lst Floor 2nd Floor Other Floors
Water Closet 1 2 Laundry Tra _
Lavatory _ _ Washer
Bathtub 1 Water neater 1
Shower _ 1 Water Softner 1
Kitchen Sink _ _ 1 Misc. Fixtures: Bidet
Disposal _ � (List)
Dishwasher _
Wet Bar --
Sillcocks Exit. _
Floor Drains Exit.
Sump Puma
Sewer Eiector TOTAL NUMBER OF FIXTURES
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PERMIT FEE CALCULATION
1 . Fixture Fee. The minimum permit fee is $25 . 00 .
Compute number of fixtures 17 x $4/fixture $ 68.00
2 . State Surcharge $ . 50
3 . Postage and Handling (Only for Mail-in applications ) $ 1. 50
4 . TOTAL Permit Fee (Add lines 1-3 above ) $ 70.00
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The undersigned hereby applies to the City of Orono for issuance of a PLUMBING PERMIT, agrees to do all
work in strict accordance with the ordina of the City and the regulations of the Minnesota state
Buildin Code, a certifies that all s ate nts made on this application are complete, true and
c c / f
May 27, 1986
ignature of Appill6a-ne Date
Edward R. Klamm Sr.