HomeMy WebLinkAbout1998-010327 - plumbing � �` PERMIT
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CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 �°i i ii��;:;;�i�
Crystal Bay, Minnesota 55323 Permit Number: t;�{;�;��;
(612) 473-7357 Date Issued: i ii=�f��_74 i:;_;:�;
SITE ADDRESS:
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REMARKS:
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APPLICANT/PERMITEE SIGNATURE � ISSUED BY:SIGNATURE
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CITY OF URONO 'APPLICATION FOR PLUMBING PERMTT
�lox h6 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMATION
1. You may apply for plumbing permits by mail o�in person at t2ie 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. WORKrMUST NOT BEGIN UNTIL THE PERMIT CARD IS
. POSTCD 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 rcmodeling 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. Ca11473-7357.: 24-hour notice.required.
Instruction,� Coaiplete all items on this appli ation. Compute the permit fee. Sign and date
INCOM�LET� APPLICATI�NS WILL NOT BE PROCE:SSED. If you have
the certificatiaii. ,
questions, call 473-7357. �
Please check one: New tt�ddition Repair Replace
_�/Residential Commercial
JOB SIT'E: . �P�
Owner's Name: � Telephone Number:
Mailing Address: , City: Zip:
Contractar'sName: '.: elephoneN ber: t��7 �cj ZZ�
MailingA:ddress: City: Zipi S 5:��'l�
PLUMBING N'I�TURE SCHEDULE
,,
FIXTUR.B BSMT 1ST 2ND. OTH�R FIXTURE BSMT 1ST 2ND °OTHER '
TYPE FL FL ; TYPE FL FL �
, _ _
Water Closet ; F1oor Drains .
Lavatory ; Sewer Ejector
Bathtub Laundry Tray
Shower � Washer
Kitchen Sink Water Heat�r
Disposal Water Softener
Dishw.sher ,� Wet Bar ' �
Sillcocks Misc pist)
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PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00) ��
x .0125 $ /, �O� -
(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. Postage and HandlinQ (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines l-3 above) $
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount chaazged for the permitted
work including materials, labor, profit, and othe; 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 pernut fee purposes. In the event that there is a dispute on the amount of the job cosc,
the City may request the submission-of a signed copy of the actual contract.
** The STATE SURCHARGE is .0005 of the contract price under $1,00O,OOU 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 Pemut, agrees to do all
work in strict accordance with the ordinances of the City and the regulations of the State of
Mi.nnesota,- and certifies that all statements made on tlus application are complete, true` and
correct.
� �� Date: � '�
APPlicant s Signature: ,