HomeMy WebLinkAbout1999-012303 - plumbing . .
PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway - P.O. Box 66 Permit Number:
Crystal Bay, Minnesota 55323
(612) 249-4600 Date Issued:
SITE ADDRESS:
..��f°_._ __ . W� .. . . _ � ,�t��: �_
_ i;�i�
DESCRIPTION:
�� ' : ?::':i`�t � �t _t'.r-r: :....,..._
_. .r _
-�.,..,,::.,- .-;_-� �-;�=,�}f; . � ��F=� �� _ ' _. ._.._.
_ _.-;i��i. . �. .. _ '-�: ��. , W ._.. ...... ._ _. .�.,. . _ . _ . --
1 ..?_a i r'..�. . .__. . . __. .
REMARKS:
FEE SUMMARY:
:=r, '�: _ _
:__{.'_--: , _.._. `��= _ . - -
=�,s��_. .�:�-��:r�-. --_______ .._ :'
r�;.:.:�; :'�-..: ~��.=��T!�,ii
CONTRACTOR: - . ;::;::-:�. :�;!.�,;_. .._ OWNER:
:.: . , , _. - - -
� l � .,..
.i._ < `•- ,.._.. _+ . :t� ,... __ =,L i.._i�. ?% ._.. . _. . � . .._
�; , : , ._ . , ;� . — _
�._.�.. ._._�.. .,. , , � . �� � f`J; �
,:.; —�.—. — .r
.... _.. _.� . .. � .. �. ,. _. " "_ � `.'
, _. .._E _ . . . :
. W��__.� _..._,,— - — —
,� .�,. .. _ , . ..
s. .. �.
.._
"��":� �_���_J�i"R«.l c-��.it-.�.: s �r'�t..� Y �,�.4,'.��. ' - ,�:�'�„'„,�:,�t is`� i��«� �'�'���� ; � '':` _ ' ' . ._
°:����'.��'��'�.� x���=:� ��r���:;� �'�;� ��� �a�%..�.b�������; �"��� �������' �����° �'��r f�'� �. ; ;� .a._�__ {_. } . . �_�
_
�`� ,F 'i �� �',,.-�,� .,i�ri� �=•T �` i� ���"- �'�" °�i,� ���.= �. �.���� ��€M=�_���- <,
�, .
� ` _.�.,. . .�. . . ..� _.�. .�,���_� �. ._ �..r �tT � �1.�. ..,�=�j�� "�r. �.� w .� . .__ _. . _ .-� . < �
�— �
l r �..
APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
r --+�
CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
Box 66 (2750 Kelley Pazkway)
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 recurn mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECENE A PERMIT. WOR� MUST NOT BEGIN UNTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Plumbing permits may be issued ONLY to licen$ed plumbing contractor� and to property owners residing
in the dwelling.
4. Wheu aay new construction or remodeling is�nvolved, a separate building permit must be obtained.
5. All work must be done in accordance with th�State Code requirements.
6: All work must be inspected and air tested befor�it is covered. Call 249-4600. 24-hour notice required.
�nstructions Complete all items on tlus appliication. Compute the permit fee. ;Sign and date
the certification. INCOMPLETE APPLICATIC�NS WII,L NOT BE PROCFSSED: If you.have _
questions, call 249-4600.
Please check one: New Alddition Repair �Replace
t� Residential � Commercial
JOB SITE: - 3�.�e� �,i tii' o�I a v e Zip:
Owner's Name: �a.�av.eLL. , Telephone Number. ;� �,..� �
Mailing Address: : City: Zip: '
Contractor's Name:• a i'? Telephone Number: �� �'J
1Vlailing Address: '�qlS� _ sv�%�ct �c.� .S Crt3'� } ZiP� b�5�✓
PLUMBING FIX�URE SCHEDULE
,
FIXTURE 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 .
t _
Kitchen Sink ; Water Heater
r
Disposal r_ Water Softener
Dishwasher ' Wet Baz
Sillcocks s Misc (list)
PERMIT FEE CALCULATION
L 1.25 9b of Contract Price* or Minimwn Fee ($35.001 �
5..�'�a x .0125 $
(contract price)
2. State Surchar� ** Add the State Building Code Division
� . Surcharge to each permit. � �� x .0005 . $ � �
. � ,(contract price) .
or $.50, wluche�er is greater
3. Posta�e and Handling {Only mail-in applications) : $ 1.50 :
4. TOTAL PERMIT FEE ' (Add lines 1 3 abo�e) $ ,
* CONTRACT PRYCE br JOB COST means the actual or estinnated dollar amount charged for the permitted
work including materials� labor, profit� and,other fixed costs. It is the amount<to be chazged 3o the
customer for the work done. If any material, equipment, labor,or installatioa are furnished by the owaer,
tenant or aay 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 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 Jnspectional Services for tbe 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
Minaesota, and certifies that all statements made on this application aze complete, trite and
CO1TeCt. • . _ , � .
: < ��''�
APplicant's Signature: Date:/i� �