HomeMy WebLinkAbout1998-010641 - water heater - PERMIT
" CIT'Y OF ORONO PERMIT TYPE: -.
2750 Kelley Parkway- P.O. Box 66 E'�-�'�{'��'f��-
Crystal Bay, Minnesota 55323 Permit Number: ;^F�;_;;�„��
(612) 473-7357 Date Issued: f;i;j� ;vi;•r;;.;
SITE ADDRESS:
�.�,_✓ �/�f �;€_� ► I tv�. �i i C+:.��
;�.�
° .� � •:��—� f�— .'��—t)£::7tY�
DESCRIPTION:
i �!�;�_� F��€,i�L�
't=`li��t'i�iit��� F'�=i�r��i�• Tt(=�� ��=i?��=i i1i�T�s;
�`�E�IFfI�.�lSl� �F?i_tt'�:; ��Cat� rt;�����l.�k.�t.�
1 �'�i�ti ��Fa E��°
REMARKS:
FEE SUMMARY:
�:'r':l_�.1r=;T��t��u �: , t ii=ri i
,-. - _ _, .�, r �� cii
E�i.iS� �-�� �.Yi.ti , a�it_s �,,-i�� �d`d —________�.����.
`_:��f�"{!'1ctl,;�Y __...____ _�j.�i�) 3t�F..��, �=r?a �:i: .:!i��
°�;3��;�.ri fi..��.Y ^.'�,�:=�.� , �i�i
CONTRACTOR: — �:;c=�=1 i ���-tt. — OWNER: _
i�9l�i��i 6_it•! �'i ilj��:T#.i#,� �:�_'r �._.w,��.:3'� �; r�;`T��;�:.'��i i�`; :�ri��`'�;
- - � � 3- �'��! �.! 'it)i- '=; i �. � �(„li:�_ �._#�`�!�. �'.=���_�.
':`_-.tt?. l�!-��+. �__._ ''"•y-- `
�`t���sy���=`E�l�s`=� (*il'+.j _��#,(,j�_ !_)j,`i�'s;�,}i-1 p•;�`� _ _ w'�'''
s:f=,_i:; _?;—�.�1_:�
'�'�..�C (Vj�'.ff"='_G�'" ; �,;:�vt-, ! �!t��'e`I^� , !-i'i-.i�.t_i^ . � �'- . i I„.ii { i I a'� �`:,f ! ¢ _ �i{?. , .._ _. . . �
.� t .'- — `
_ .; �.» -� r. .r- . . ..._..� ._ .�. . _f
T� ,. f� �'"�" . } f--�'1-�fµ° �� k'v 4 ..
�t_ �i i��� S-j4�#! �*:3�"i�p�_ `'_3 ,i�_= ��'_._�._ E � . s.� s � _ ! f I 'i r- : �� _ i�� { -1 ;-i{` f�tl'
f Ert��,;�t:1_! 3_I�i��f�1-ift�{.��_ s�-ti'v�f _� !{-! :�� S,_{� i�l... . _.._i 1 i ' �":S` ' ___' # � _ __._. 1'....{! f..�".x"'rif"'_� . .
L� �
�/ v �
APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
, ��� � �f
��
C1TY OF URONO APPLICATION FOR PLUMBING P�RMIT
}Sox b6 (2750 Kelley Parkway)
Crystal'Say, NIN 55323
GENERAL INFORMATION
L You may apply for plumbing permits by mail or in person at the City offices.
2. Permit cazds will be sent by retum 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 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. Ca11473-7357. 24=hour notice required.
Instruttion3 'Coalplete all items on this application. Compute the permit fee. Sign and date
th�certificatioii. INCOMPLET� APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, ca11473-7357. �
Please check one: New Addition Repair �Replace
� Residential Commercial
JOB STI'E: � J�f (� , . 7.ips S�J 3,��
Owner's Name: G�1 GSdI�.� ��elephone.Nurnber: 7Z- /Q79
Mailing Address: S�t� Gity: Zip:
Contractnr'sName: �1 o p�BLor� �u,c�►gi�� TelephoneNumber: �3 Z,7 - �0 33
MailingA.ddxess; �90 5 ��rz.F��c.n ��S City: t,s Zip: �5.,�_ o,�
PLUMBING �'II�TLFRE SCHEDULE `
FIXTUR.F BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST �2ND �THER
TYPE FL FL , TYPE , ; �L FL
Water �loset Floor D.rains
- . Lavatory Sewer Ejector'
Bathhib Laundry Tray.`:
Shower Washer ,
Kitche� Sink Water Heater ' ,� `
Disposal Water'Softener
`Dishws�sher Wet Bar
Sillcocks , Misc (list)
PERMIT FEE CALCULATION
1. 1.25% of Gontract Price* ar Minimum Fee ($35.001 2
x .0125 $ ✓�� _
(contract price)
2: State Surcharge. ** Add the State Building Code Division _
Surcharge to each permit. x .0005 ` $ � �
. (contract price)'.
or $.50, wluchever.is'greater
3. Posta.ge and Handline (Only.mail-in applications) $ 1.50
4. TOTAL PERMIT FE� (Add lines 1-3 above) $ .4�
* CONTRAGT PRICE or JOB COST means the actual or estimated dollaz amount charged for the permitted
work including materials, labor, profit, and other fixed costs: It is,the amount to be chazged to the
,. .
customer for the work done. If any material, equipment,labor,or installation are furnished by the owner,
i�nant'or any other�arty ihe reasonat�le 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 cosi,
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,OOb or $:50 - wlu¢hever. is
greater. �For valuations over $1,00O,OOQ call the Department of insgectional Services for the price.
The undersigned her�by applies to the City for issuanee of a;Flumbing Perrnit,;agrees to do all
work in strict accordance witiz the ordinances of the City and the regulations of t�e State of
Minnesota, and certifes that all statements made on ttiis application are complete, true .�and
correct. .
Applicant's Signature: Date: � �d .1�