HomeMy WebLinkAbout1998-010374 - plumbing � PERMIT
CITY OF ORONO PERMIT TYPE: �,} i f;�;�,.�t�v�_
2�5v Ke��ev parkway- P.O. Box 66 Permit Number: ;_�,�i^�:_,�,;�
Crystal Bay, Minnesota 55323
(612) 473-7357 Date Issued: ;+;�„� �:,:;_�_;
SITE ADDRESS:
�si_�t! i'��!�4 i�'it f'`�t�— -
;'j.1
�`. j . t�. . �r.—� i,� �_—=:i—iitii��
DESCRIPTION:
_.�.. ?=j;#T'E i�;;�=�_:
`'!.��til'3��11��� i`:='1'Ri i�• �',r���W �' �;�t t_'i';�•`=;
�'l t�i�t��j 1 i'�� LJ��,��t:; �y�.:� h:�':;�.�'iF���t:�'
� �s��i��'-i i=i_���`�:�T �, ��i���Tx Ei=t°'r` .— ��t���-�T!{E;
� '_�,;_E:.��Ft �. ��::?�t:�-;�:;°� �;I�+€t::: � �_?�:��°�_�:w;�;�.
1 i��I:,_�-�+,�r�:=�l-i�F .�. _:I Ll_E��=s��:t�::'=� .� F�_►���=�h' ��:i=j I P�'=;
i �..f-�l1�,i[,�`u I�?�?'�' i 1�:��=;'��f—i�� f !�J{:;��F° i—��{::�7�'�+
� f?}�=t�Flt+(i�u
REMARKS:
FEE SUMMARY:
4;�:'•f (�F•,�('T'1�11 ��'1 :1()i_3
. S'9..__ "S L L a". F
�;.�,sr' l"'�'ti �.:_'` . ��J ��f��� .lr�3 ...._.__......_ _�.�s.`,f)
'_�t.�j'ti�'}.�)'=.�s_+ _.___..__ �.3.`..n.�j.�t�! ?�!,��••_tt t ��' '�.;+:''� .�l,l
:��i_,(t_F�.i t'�._� ���_;'!._ , tfli
CONTRACTOR: — �;���=1 =}c��-��. — OWNER:
.-,._:..
i i-i;it1F"=;�=r;�! �'�_�,�� -:::;_ - , :'i 7 _�`r�t-��vi1 ��;�•��°_�
��t_ii 71 �i�t�t�;=�f��4i��f:;� ?��f�:i i��;T r;�; �,i s�: �-it i�vT�;�° �'t;`=�::
i•ilfi�tv��'��i:�;:::ii =��`� - - =��:i.; =r;;s��3���i 4�ft� �c•_�.:��
f F�l •-;�'7 — —�'r 1 i
'���� �:I'•s�i�!k`:-�i_;;,ii j,,,'s f-i1-i:`;-._-:`Y �c`c�..:;�:s�-`._�(�'._� i`�,E:`:`:I '._�`��;!_!i`.� i!rl f°i:-:�;.!,�- 'j-ii- !,'+.�..i=�i... ��`'lE�-'�ii,f4!i'.T'��.:°,!j:-
'_�+``���1` 1l,=11 i-it ;; r-;4'�il,`.'�`_ i�_; �'':� fj':_;__ �aff_!. .(��:, i i:�l =�I`1 t;_:� t;;rl�'�i`�i=j�`•�it:3� �v� � i`E i-?L� _:j,T`y ;i;=
I f�;'i._i�.�l�! :_It-ii i t i�i-;(t�t:�`.�: �=`zj:ti i �;�,'y�' 3 � :_.iF- �'r�3`uj`sC,:':1�3 i�?�-i ��:_•��''J�i`,;!� !:t_l�,.•'•�'. `i`ds`�f�i-s;�,:°�%:�`�(� `•_ . I
� J
��� � ������
APPLICANTrPEFMITEE SIGNATURE � ISSUED BY:SIGNATURE'
C
,� Io3��
�1�� OF t�Il.Ol�dO A��1�..ICA��Ole1 FOIt�F�.�TIi�Il�G PE�IVIIT
�B�x 66 (2750 Kelley Parkway)
�rystal Say, NIN 55323
GENERAL INFORMAT'ION
1. You may apply'for plumbing permits by mail or in person at the Ciry offices.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMTT 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 sepazate 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. Cai1473-7357. 24-hour notice required.
Instructioii, Coa�plete all items on this application. Compute the permit_fee. Sign and date
the certificatioii. INC011�PLET�AFPLIGATIONS WILL NOTBE PROCESSED. If you have
questions, call 473-7357.
Please check one: � New Addition Repair Replace
� Residential Commercial
3�B SITE:_� . �,v�.��e�-��'�1 Zip;
Ow�er'sName:��,�,�,� {��>.�.�-.- TelephaneNumber:`
Mailing Address��;�mr�{,��,,,�. c�. City: Zi ._� �
P' � ]
Contract�ir'sNam . �- , Teleph eNumber: q��-�7��
MailingA:ddress:t�ue�(�c�.'�,��,.s�-a��;�.d,. CrtY:�, Zip:-���>�
,
P�.�JMBING �IXTURE SCHEDULE
FIXTUR.E 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 �
Disposai ( Water Softener
Dishw.,sher � W�t Bar
Sillcocks Misc (list)
, � t-ic�r,�t�n
�' �`��,���►ns
PERIV�T �+�+L+ CL��.��T�.�'TI�31�1
1. 1.25% of �Contract Price* or t�° iinu�n �'�� tS35.Ofl)
r r.`' x .0125 $ e�tv�� �
� � . � � . � `�.��Y`''-.l:� .. ..
(contract price).
2. State Surcharge. ** Add the Staxe Building Code Division
Sureharge to each permit. ���,_:x�:;�"' x .0005 $ I �► '-�Z;�
(contract price)
or $.50, whichever is gr$ater 1.50
3. Posia�e and Handlin� (Only rnail-in applications) $
4. TOTAL PERMIT FEE (Add lines 1-3 above) �
* CONTRA�T PRICE or JOB COST means the actual or estimated dollar amount chazged for the permitted
work including materials, labor, profit, and other fued costs. 'It is the amount to be chazged to the
cusioner for t�ae w�ork done. If any materiat, ec�uipment; labor,or installation are furnished by che owner,
tenant or any other party tfie reasonable market value of such items must be added to the esti�nated 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 und�rsigned hereby applies to the City for issuance of a Plumbing Pemut, agrees to do all
work in strict accordance with the ordinances of the City and the regulations of the 5tate of
l0�iinnesota, and certifies that all statements made on tlus application are complete, true and
correct.
„ �.. ,
Applicant's Signature:���^�*���"� Date: ��,�