HomeMy WebLinkAbout1998-010659 - plumbing � P�RMIT
- C��`Y �F ORONO PERMIT TYPE: � �
2750 Kelley Parkway- P.O. Box 66 �;`�=��t`����,3���
Permit Number: i:i i_°r,��.:
Crystal Bay, Minnesota 55323 Date Issued: i i;�:�;���;':=::=�
(612)473-7357
SITE ADDRESS:
,�;��i�. 4���:��:_��� �=°�_►i t,:�T r�:�,
_:H
�' T i;3 -'t)—i i --:;::;—=.1—i ii i:�t j.
DESCRIPTION:
f � y,�i, I l_i y,� 7'
}'�.�E_���i�i�l�� E���~fi��. i• l �}�l,�-�� I Sr;.�t{{°.t--j-' T 'j' �(
f'��i 1(}'Ei':�j�� �i_i3'!�. 4 �'�sY Ly,��"'�y�,4—�Z..•� _!�.S•��t i�VSTi
�. �4;f-�E`!=ti i 1�#-1�i..i�`
REMARKS:
FEE SUMMARY:
4��-?�_l f�-'s��s�_��,� �•si Pi i
r `.�` Ci.�
��;��:� I'r'� :t_;� ,t!t_J t'��'�.�� 's�� �.�_._��_.__. -�"°_t!!�)
_�3�1'��E"E d?'`�� ....._.._��__... `� �i i !��t�.%#.L ��r' �'-�' • - -
`,:1{!,,t.,_1�.:a j, ^� ��.'ri_i
CONTRACTOR: — �F�c�� �=ri�-�}� — OWNER:
�v��;�°�;��=E�•� F'�_°!�����T t�:� 3:,w: �._�?�.:;:;:�� ����°�r°_���;:�:a ��s=��°3�°�
�"-r`i:?� i�i�;tyl- T��,i r F;Y��. _ -„_r�� (:�;°��i�:E i 4`tvi f'..`'J j
�f�4v�vr�;y`'s!i_.�`�; �1l� `�:+i�i_; f_!!ii_fj`.ji,i � !f��
;;i=.�_°�� _... —i:i_3:=::�: .��.,!�—;��'# ,,'
�
r-•,-,.;�T� s;i;i}la #�;�'i ` ; 1 t-!y (;�F-1!
�.-3�" =f`i�j!```�;;=1'v"�9y.`..� i!.=i:.f.=.L,;�� i'.+�.�:,{4'J=, ! •'_ `'i_t� _ _ .��i�;'�.� . ..
-�}�_(;`},E-��I;� r-t;t;l s , ,_.`r L'_ 1 i,,l i�{_i �-;# E �.ti ,;�S �: i f:.j, . ! �F_�F°•E-'�_ i I'-€3`.%:i- �
� ;. ; .. r �.i:` t � ; ;-l+it
s�� �{if,�i=! ���:;!����t�;i��#�___; i-}�v�} :=TrT! k� _. i}i, ,C�sF'.A;?p€.;_f� i� _t i?_'!T, ._ ._i_s;��s_ .._:
L . .
,� - .��, �
� �
APPLICANT-PERMITEE SIGNATURE ISSUF
� �
- • �60�
� � �
C1TY OF UItONO APPLICATION FOR PLUMBING P�RMIT
�os fib (27�0 Kelley Parkway)
Crystal Bav, 1VIN 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. Plumbing pemuts 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.
;
instructiou.� Co:nplete all items on this application. Compute the permit fee. Sign and date
the certificatioii. INCOM?LET� APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call 473-7357.
Please check one: New Addition Repair � Replace
Residential Commercial
JOB SITE: �� I`��.�`�-�c-�' �F'�„vr �-�� Zip: 5 � ��1
O��ner's ltilame: � �c_,r�-55 w� +�n.� Telephone Number: �7�-•7 2/7
MailingAddress: 791� C-�=FSe-c ��►��" f�� City: n��;�� Zip: �� :�`� f
Contractc►r'sName: NORBL4NI PLUMBINa C0. TelephoneNumber: �Z 7-7/Q�3
MailingAddress: �' ra+�� 827�e{033 ` City: Zip:
29M5 (�ARFIELD AVE. 50i."T�'� $
� �'���1��,�� SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
�Vater Closet Floor Drains
Lavatory Se�.�er Ejector
Bathtub Laundry Tray
Shower Washer
Kitchen Sink Wa[er Heater
Disposal Water Softener
Dishw�sher Wet Bar
Sillcocks Misc (list)
:
G
� � i ♦
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
-��jd 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) $ `�? c���
* 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 aze furnished by the owner,
tcnant or aay other party tiie reasonaoie market v;ilue of such itenis 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 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.
� Applicant's Signature: Date: �' / ��