HomeMy WebLinkAbout1997-009587 - plumbing ,
` PERMIT
% CITY OF ORONO
PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66
Crystal Bay, Minnesota 55323 Permit Number:
(612)473-7357 Date Issued:
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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APPLICANT/PER TEE SIGNATURE ISSUED BY:SIGNATURE �,�,�,f �'1,
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C1TY OF URONO APPLICATION FOR PLUMBING PERMIT � `
Bux 65 (2750 Ke11ey Parkway)
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 retuin mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN.UNTIL THE PERMIT CARD IS
POST�D 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 musf be inspected and air tested before it is covered. Ca11473=7357. 24-h.our notice required.
Instruction� Complete all item� on this application. Compute the:permit fee. Sign and date
the certificatioii. INCO1VfPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call 473-7357.
Please check one: New � Addition Repair � Re lace
Residential Commercial � ; t7 \
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JOB SI1'E: 9571 �vy-Z�`i. �'9-r`m --�/c °: �1��n1 CJ Zip:
Owner's Natne: f�I S vitJ ; Telephone Nwnbers . .
Maiting Addresss__ 9S� ��� flr�►+ .�.2 , City: �,�� Zip:
Contract�ir,`'sNaine: ,�j,,,�,��,, �i,,,,z�r�.,, C.� TelephoneNumber: ��73,S7 yr�
MailingA.ddress: ;:.�/� l,fi.�/.'c.,r..�.-� L�I�,�L:. CitY:��� ZiP.._-.�'3"i:z-�,
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PLUMBING FII�LTURE SCHEDULE
FIXTUR.E : BSMT 1ST 2ND OTHER PIXTURE, - B5MT . 1ST 2ND OTHER � `
TYPE ; FL FL TYPE FL FL ,
�Nater Closet�` , F1oor Drains '`, .
. .
� � I;avatory � "7 �� Sewer���Ejector �
`Bathtub � . r Laund�y Tray
, � :
Shower" Washer _
Kitchen;:;Sink 'Water.Heater'
bisposal . ;Water Softener
Di§hw��sher- �k: . .` _ .Wet Bar . ;
Sillcocks Misc (list)
PERMIT.FEE CALCULATION .
1. 1.25% of Contract Price* or Minimum Fee ($35.00) � �
S�7S' x .0125 $ � � � �
: (contract price)` ,
2. ' State Surchar�e:.. ** Add the State:B�tilding�Code Division �
Surcharge to eacfi�permit. �Z�"7=� � x .0045 . $ ..� -
(contract price)
or- $.50, wluchever is greater
3. ..P�isCa se and Handlin� (Qi�y mail-in aPPlications) $ 1.50
4. TOTAL PERIVIIT FEE (Add.lines 1=3 above) $ _��< S�
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* CONTRA�T PRICE or JOB COS'f ineans the actuai or estimated dollar amount chazged for the pernaitted .
wark including materials,:labor,'profit,',and other fixed costs. It is tlie amount to be charged.tq the ,
customer�Por tlie work.done. If any material, equipment,labor,or installation are fumished by the owner,
tenant or aay oth�r party'the reasonable market value of such items must be added to the estimated cost
or cunt�act priee for permit fee gurposes., �n the e��ent that there is a dispute on the aznqunt of-t�e�job eost,
the;,City may request the-submission of a.signed copy of the actual contract.
** Tlfe STATE SURCHARGE is :0005 of the contract �price under $1,000;000 or $.50 - whiehever is
gr�ater. For vatuations over $1;OOb,00U call ttie DeparEment of Jnspection.al=Services for the price.
'The �dersigned hereby applies to the City fQr issuance of a Plumbi�g �erinit, agr`ees.to do all
work i� �trict�.ac�ordance with the ordinances of tlie City and the regulations of the State of
1Vlinme�ota, anid.certifies that all statements made oa this application are conpplete, t�ue and
coirect. -
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, Applicant's Signatu , .. .. � . : �. Date: !tJ �` �'