HomeMy WebLinkAbout1998-010512 - plumbing PERMIT
CITY OF ORONO PERMIT TYPE: - �
�7S.r,�K.elley Parkway- P.O. Box 66 ��T`-'��'=.�`�`�'
��rys�al Bay, Minnesota 55323 Permit Number: _��_f�_ i; .
Date Issued: t�f:'�`f�':'�`�
;612) 473-7357
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� I SUED BY:SIGNATURE
APPLICANT-PERMITEE SIGNATURE S �
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CITY OF UR.ONO APPLICATION FOR PLUMBING P�RMIT -
u��s 66 (27�0 Kelley Parkway)
Crystal Sav, MN 55323
GENERAL INFORMATION
1. You may apply for plumbing permits by mail or in person at the City offices.
2. Pernut 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 pernuts 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.
Instructioii� Co:npletP all items on this application. Compute the permit fee. Sign and date
the certificatioii. INCOMPLET� APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, ca11473-7357.
Please check one: New �ddition Repair Replace
✓Residential Commercial
JOB SITl;: /yD �c,f6��� Zip:
O�vner's 111ame: / �;�/enc e Telephone Number:
MailingAddress: /yo /�ac/Sber�y t-l:�l City: o,-a�� Zip:
Contractr�r'sName: C��.b.,a Pr6 .z�.,� TelephoneNumber: ��b• 39S/
MailingA.ddress: �y�� �7e�'�,�,� .r� _City:�� �2•�:�s Zip: SSy33
PLUMBING FIXTURE SCHEDULE
FIXTURk: BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Wate� Closet ! Floor Drains
Lavatory f Sewer Ejector
Bathtub / Laundry Tray / /
Shower / Washer !
Kitchen Sink � Water Heater
Disposal / Water Softener
Dishw��sher / Wet Bar
Sillcocks Misc (list)
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PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
�j c' c_^ �'�-� 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 Handling (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 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 Ciry may request the submission of a signed copy of the actual contract.
** T'he 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.
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Applicant s Signature: /" /'�- Date: