HomeMy WebLinkAbout1998-011059 - plumbing �. �'ERMI��
CITY OF ORONO PERMIT TYPE: - �
� 2750 Kelley Parkway- P.O. Box 66 Permit Number: ;;'�-'-��'��"��{��i�:
Crystal Bay, Minnesota 55323 : � �'.`::'-�..�.
(612)473-7357 Date Issued: €.��,�i i�^:��_-sr;
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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APPLICANT PERMITEE SIGNATURE ISSUED BY:SIGNATURE
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CITY OF UIt.ONO APPLICATION FOR PLUMBING P�RMIT
1toY 66 (27�0 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
POSTF.D 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. A11 wo:k must be inspected and air tested be;ore it is covered. Ca11 473-7357. 24-hour notice required.
Instructioi�,� 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 Commercial
JOB SI'TE: e Y �n G�Ic;�E ��. �. Zip:
Owner'sName: v� L..o a� �eiephoneivumber: y� -� � °�a� �
CUSTOM PLUMBING INC. City: Zip:
2105 Daniels St. TelephoneNumber:� `�- p 1 "7
P.O. Box 694 City: Zip:
Long Lake, MN 55356-0694
ri.uivi�ii�.J FIXTURE SCHEDULE
FIXTURI: BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
VJater Closet Fioor Drains
Lavatory Sewer Ejector
Bathtub Laundry Tray
Shower Washer
Kitchen Sink ater Heater �
Dispos�il Water Softener
Dishw.�sher Wet Bar
Sillcocks Misc (list)
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PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Mi 'mum Fee ($35.00) ..� 4*Z'"
, � ? x .0125 $ �� .
� (contract price)
2. State Surcharge. ** Add the State Building Code Division �
Surcharge to each permit. x .0005 $ , s
(contract price)
or $.50, whichever is greater
3. Postage and Handlin� (Only mail-in applications) $ �
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 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 permit fee purposes. In the event that therc 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: r� 1 �
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