HomeMy WebLinkAbout1996-007745 - plumbing PERMIT
C�TY OF ORONO PERMIT TYPE: �
. 2750 Kelley Parkway- P.O. Box 66 �°I i 9E���;�t���;
Crystal Bay, Minnesota 55323 Permit Number. `#�}.��3�� , �
(612) 473-7357 Date Issued: : _.
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REMARKS:
FEE SUMMARY:
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LICANT/PERMITEE SIGN TURE ISSUED BY:SIGNATURE
C1TY OF ORONO APPLICATION FOR PLUMBING P�RMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMATION
1. You may apply for plumUing permits by mail or in person at thc City officcs.
2. Pennit cards wiil be sent by return mail after a review is completcd. PERMITS ARE NOT VAL[D
UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT 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 cons[ruction 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.
Instructions Complete all items on this application. Compute the permit fee. Sign and date
tl�e certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call 473-7357.
Please check one: .�! New Addition Repair Replace
Residential Commercial
JOB SITE: �'��l�i�� Zip:
Owner's Name• �� r�u _� Telephone Number:
Mailing Address: City: Zip:
Contractor'sName: � ��,o <�_ G ��,.5 _ TelephoneNumber: —��
MailingAddress:��� /;lp�/�<-, ,c..�,��.�� City.,�,_�v�r� Zip:5�,3��_
PLUMRING FIX'I'URE SCH�DULE
FIXTURE BSMT 1 ST 2ND OTNER FIXTURE BSMT 1 ST 2ND OTHER
TYPE FL FL TYI'E FL FL
Water Closet Floor Drains
Lavatory Sewer Fjector
Ba[htub Laundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener /
Dishwasher Wet Bar
Sillcocks Misc (list)
. .
P�RMIT F�E CALCULATION
1. 1.25% of Contract Price* or MinimurYi Fee ($35.00)
�o��' 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. Postage and Handlin� (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 mus[ be added to the estimated cost
or contract price for permit fee purposes. In the event that there is a dispute on the amonnt 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 accordaiice 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'sSignature• ��� Datea��