HomeMy WebLinkAbout2000-P02080 - plumbing T ti ✓
PERMIT
CITY OF ORONO PERMIT TYPE: Plumbing
2750 Kelley Parkway - P.O. Box 66 Permit Number : {�p adgv
Crystal Bay, Minnesota 55323 Date Issued: O1/20/00
(612) 249-4600
SITE ADDRESS: 141 Chevy Chase Drive
Orono, MN 55391
H.N.B.
36-118-23 41 0026
DESCRIPTION: Plumbing 3
Water Closet 1
Lavatory 1
Kitchen Sink 1
REMARKS:
FEE SUMMARY: Valuation $1,240
Base Fee $ 35.00
Surcharge .62
Total Fee $35.62
CONTRACTOR: Plymouth Plumbing OWNER: Homes By Michael Hayes
6909 Winnetka
Brooklyn Park, MN 55428
� THE UNDERSIGNED HEREBY REQUEST PERMISS[ON TO MAKE�THE REAL 11V1PROVEMENTS SPECiFIED AND �
AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL C(TY OF ORONO ORDINANCES AND STATE OF
� ��� MINNESOTA BUILDING CODE REQUIREMENTS. � � �� � �
� �,/� � � , �
;�� � ��,ti� / �- ��rL�.� -c�.� �, �- t..-t� �r--,
APPLICANT/PERMITEE SIGNATURE I UED BY: SIGNATURE
. _2.`
� "IF.
CITY OF URONO APPLICATION FOR PLUMBING PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Say, 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 retum 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 permits 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.
Instruction� Co:nplete all items on this application. Compute the permit fee. Sign and date
the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call 473-7357.
Please check one: New � Addition Repair Replace
� Residential Comm cial
JOB STTE: r�,v\," - �'_ Zip:
Owner's Name: �c,�a� - Telephone Number:
Mailing Address: Gity: Zip:
Contractor'sName: evt, ' Teleph eNumber: - ��J
MailingA.ddress: , City: (� Zip: j{a-
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet I Floor Drains
Lavatory Sewer Ejector
Bathtub Laundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishw.�sher Wet Bar
Sillcocks Misc (list)
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or inimum Fee 35.00
Q.. O� x .0125 $ � �. _ �:�
(contract price)
2. State Surcharge. ** Add the S te Building Code Division
Surcharge to each permit. � . � ' . C�C�' 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) $ �� ` . ��;: r�
* 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 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 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's Signatur • � Date: