HomeMy WebLinkAbout1996-007671 (plumbing-fixtures) � PERMIT
�CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66
Crystal Bay, Minnesota 55323 Permit Number: .:
Date Issued: �`'' �� � '
(612) 473-7357 ;:i i,f�.'-:;,''=�-":
SITE ADDRESS:
_: :
i
_,. :. _. . _.
; __; � :_._ _�>_n��_
DESCRIPTION:
. �-`ii;�;,1".j."�,� ,-�,rrt;� f. {�kF..i�:� i=,j z.'il;^;,;_�
„-. :_ ._._ .
�I l.�:� f':_: ".t .y�:.� . . ....... . Z . � ���;:.. ". .f .. ....__ F. . . �_.. �. .. _.� t
' .-:v S : i e.':1"' i .i.L..j S l f�-i •:! L `�3�I.�?�'?'�r
.._ �� � 4 Jf �..i :"1�_; Li{i i�- r.� ���.��t- � i i�'(�. 1
_ ... . . __. . ... __ ._. 1 ... , . _ ._. _ .... . . . ��
�`:�-� .. �E(� :T`��`. . {. �'i;,-_;�-;�=ti":_,i-'�=F�;: i. ��:���P�E.^. !
�
I
I
I
Il
�
'I�
�I
REMARKS:
FEE SUMMARY:
������:.� ;�--r:.:x- . _ _ . ,:;�.;
"'��'Z-.-��i-:•i CiE-� ' :F
... _... �.. ... . _.._ �_.�.�.�. .�_
�i F.. �P:��'.:. _� j.�1 ��.
I
�
�
,�
CONTRACTOR: OWNER: ` `
'-_ ... . . . . �.�r-(._���3 • �'`. . ... �
.' F ±`-.t _ ''I'
.._.. . . . .. ... . r _ _
� �.. i � ...� '. � I . ' . . i. . I� � � � �� � i � r � . . . . '�s '
. .,: . � . �� '� , . . . ,.. . .... . . . . . .
3� .
_
_ ;
•
... "�i.,s. � _� .j .�' _,, : { . �. . . ' . ., . .. }.
. ^' ^° �:. ' ;�-� �.�. . . . _.,.....f�1 ..;}r
s_,
. . . ..�.� .�. � •r,
"r ;,
:�- +,v, .. i ' C r - , ._�� 'y{ g ,,T4.' i .k_ ..if ! t
_ . �
_ : ,
L _. . . . . . .� � � .•.�-�� , ., ..: _. �. . . ._ . : _ �.._ .. °_: �. _.._ ._ . . _ . ,. . _. . �
\, i ��/
PPLICANT' ITEE SIGNATURE ISSUED BY:SIGNATURE
, � � /
�
C1TY OF OItONO APPLICATION FOR PLUMBING PERMIT
Box 66 (2750 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
POSTED ON THE JOB SITE.
3. F'lumbing pcnnits may be issucd ONLY to licensed plumbing contractors and to property owncrs 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 i[ is covered. Call 473-73�7. 24-hour notice required.
Instructions Complete all items on this application. Compute the permit fee. Sign and date
tl�e certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call 473-7357.
Please check one: New � Addition Repair Replace
� Residential Commercial
JOB SI'I'E: `' a � Co �'��'��. Zip: '� ����
Owner's Name: Z �o Telephone Number: � �7� - 8 i � �
Mailing Address: ';� �a5 Cws�_o ��f�_� City:c�u�z�, Zip: S S3�;�
Contractor'sName:�j�T�.� ,,,„��-F-_ Dc.e.,r.R,. Telephone umber: �t-�� _ g , �.�
MailingAddress: `?,�.�5 C�co Cd�9� City:w��Z.��� Zip:��'��
PLUMBING 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 x Laundry Tray
Shower X Washer
Kitchen Sink Water Heater -
Disposal , Water Softener
Dishwasher Wet Bar
Sillcocks Misc (list)
P�RMI'� F�E CALCULATION
1. 1.25%o of Contract Price* or Miuiinum Fee ($35.Qa)
x .0125 $
(contract price)
2. State Surcharge. ** Add the State Building Co�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) $
* 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 acnount 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 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 reqaest the submission of a signed copy of the actu�l 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 [he Department of Inspectional Services for the price.
The undersigcied hereby applies to the City for issuance of a Plumbing Permit, agrees to do all
work in strict accorclance with the ordinances of the City and the regulacions of the State of
Minnesola, and cerlifies that all statemelits made on this applicali�n ace cotnpletc, true �lnci
correct.
Applicant's Signature: � Date: ��� � � ��