HomeMy WebLinkAbout1998-010241 - plumbing PERMIT
� CI�'Y OF ORONO PERMIT TYPE:
2;50 Kelley Parkway- P.O. Box 66 �°__i ii�::=��T i;:i;
Crystal Bay, Minnesota 55323 Permit Number: _�t__'��;v
(612) 473-7357 Date Issued: {�«�1 ,_;;,�;`:
SITE ADDRESS:
�b;i_i�,s�� i:i fi_j��j €,ti'C
.T�;
�` � . ��� . . r,='_; #;—�.t—V�—i;i,�i
DESCRIPTION:
�-`{'ii_:;::ri_i=l'!�f ;�,F.'4:�t���! ��:
ii�tfli��lll`� ���'1'fE!1}• j ff-`�� �E.�.��_••`'`-.C��+
i�-'1 i J i S �'s�� i'�i I �t=- �' .�; f�.f�f:
,'��� �,?'_ '��: 1��� .��' _. l�.�i-f i,'t���:_i�7���
i �{�aj�=;F=�yL��
REMARKS:
FEE SUMMARY:
, '-;f._�3�;� ;1_€f'y �;F I�i
-�.�3��_: ���w �•,��e , {��i.�
._�I.{i'I.��i rwi,}��_F i-' }? 3'S i e
I¢�Ff.�{t !-�=�� _'--------- - • �'t-1
CONTRACTOR: -- ;;i�cs� i�.�:�%. — OWNER:
Fv�i—ji.��., {"���it��';: i �.�lyf ysu.y,ui_ii1L�L� i�i Y}i�`� .�.�.5,,,� � �
!
� ��.�:��. t�.;=�ai1 ���� r�� :�_�,; �; _;�;_�r� �:�
�•i•r;�'! � �i?;'i_ttv � f�':".; C�i-,:=�l-,'=: i~ihii�ti•�:I ;�.: C�=�'=`C�f=,
. . _ � . _. _ _. _. _. _ _ �'�. . _. _ _ _
i:r�i',L'.) �',_�i.—;__.::�c,L
� t- �i .k 1�- -� � 4_�`.E�-;1 -:�_;-��,� `a';_..iE.;- - - '`t��.'i i = �� �` �i_f '�'�`'`i- �`—�� �iF}.� � �'�t-`.- .#�I'l#-_t3 1 `.-
. .. _�'` L.__�.'_�_ __ _. . _. . . __ __ . _ . ° 1•_�•_+_ _� a . .t',t••._, i ! . L- - . . ._. . _
_ ' :'C '='L:'..C�_ " ' ". .C' _'_: _ ' " T taii'�._ T . i .
-- �_ �t =��� riI`yt� T"'{�.�i�f._�.-J I E»i ^f'..} ��...L s�S�`_{h,,�, T�'.� _ �{M1,'�.i t_S{3":i`��.i%-1:•,._._ �:�=1 t �- i�?=_'... {.:�. I �1' �iI'"
`G.:s' ;'"s j 7' ,3=• :-""_ "r�•, _';L; .- .�{ 7"j�t':f i,� �.t�� ::C:t t,f �s i i:�:�--- �
:_i,,,_.�iy�_� ��'t�:�?�i�,-t:;��.F'�: �a,;,�: w:�('r';l�'!� _ . C j_I�.i�`�`����_��?=1 ��. L.�. =t•. . _���� . ._.a?'_ �i__. �_. . _ .
�
�,""rt ;%%/iE� (;�%?��I2-
APPUCANT PERMITEE SIGNATURE ISSUED BY:SIGNATURE
�/�� �/
CFTY OF URONO �PLICEITION F�It PL�JM�Il\1�PE1tMIT
�ox bb (2750 Kelley Parkway)
Cry,�tal Sav, MN 55323
GEI�ERAL INF'OxMATION
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 cornpleted. PERMITS ARE NOT VALID
UNTIL YOU RECEIVE A PERMdT. WORK MUST NOT BEGIN UNTIL THE PERMYT CARD IS
POST�D ON T�IE 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 v✓ith the State Code requirements.
6. All work must be inspected and air tested before it is covered. Call 473-7357. 24-hour notice required.
Instructioi�� Co:nplete all items on this application. Compute the permit fee. Sign and date
the certificatioii. INC0119PLET� APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call 473-7357.
Please check one: New �Addition Repair Replace
~� Residential Commercial
JOB SITE: =��%%1� �'��; � ..� . Zip:
Owner's Name: Telephone Number:
Mailing Address: City: Zip:
Contractor'sName: c�c � ;,a; �,� rr� TelephoneNum�er: c,l�y�Si���
MailingA ddress: � ����c� � %. City•���' `� s Zip: ���' ���
PLUIVIBII�G �,I%TLJISEE SCHEDULE
FIXTUR.B BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
Lavatory Sewer Ejector��
Bathtub Laundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishw�sher Wet Bar
Sillcocks Misc (list) ¢` '�`�' �b`�� ���
� �? n
PE1gMIT FEE C�.CLT�.��'IOl�
1. 1.25% of Contract Price* or 1V����sraunn Fee (�35.00)
�� x .0125 $
(contract price)
2. State Surchar�e. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $
(contract price)
or �.50, whichever is greater
3. Posta�e and Handlin� (Oniy mail-in applications) $ 1.50
4. TOTAL P�1�MIT FEE (Add lines 1-3 above) $
* COI�tTRACT 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,
tenant or any other party the reasonable market value of such items must be added to the estimated cost
or contract price for pemut 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.
, � 6/ "�'��r� C C,'
Applicant s Signature: �� �-��7� Date: ��'
. . . . .. . . . _ '4� >�i: . ... .... . . .�v. ... . .,._... , . . . . .