HomeMy WebLinkAbout1998-011046 - kitchen sink � . PERMIT
CITY OF ORONO PERMIT TYPE: �:�_�_��,;�;f��t�.
2750 Kelley Parkway- P.O. Box 66
Crystal Bay, Minnesota 55323 Permit Number: {;;� �t_:=:�,;�,
(612)473-7357 Date Issued: t�;=t;�:;��;;_;
SITE ADDRESS:
1 T;�;_' ('�1�?-�:�`'� {-ii�i� t.,`i r
;�-�-j
. . � . ��I. . i i?-1 �i;`—�_—.��,—i it;!�„-.
DESCRIPTION:
�., �j:�Ti it�t::�;
+`�i���1 E r�t 7��'-� ��?'�+a'f3�],i'. �i�+,'���'_; E— �,�,�f_���`_�
F�'j,f.itfF_'1�,i7�:i �tli i k'}:; � �;':�� :=;�)�i���I_3(•y
i t�-.T'{"i�t�r t.j _;��,i���. �. ���_��'�±,''�`.� �;i�`.�-i Y
REMARKS:
FEE SUMMARY:
, r;f �_3i`��� �I_1:y �i:�:�1i,:
��.��� ��':� �s:;� , {j{.:
`�-:
��E.i�=i�"�cai'���' ._�....._..�_� � .�
�•`i'����, �trFs T��``L'���ti
CONTRACTOR: - ���,=�1. i��nt� - OWNER:
_`� �'__i 31'��:��.?�i� ::,;�.�_;;�?�,i;i 7 i=:'r''!i�:s`:I�� t:�-;3:'t:::
�.t�si�d.++ �it=a�;.C�`. �'.+} - ;i_s ��4,#'t?�2�1. i-��:�1 ':�+:�
�::-..-.
:�,[f°,lj�,:;-, E i�i�'S!{�:.:-: �'*i�,� =�'_�i�3=, ��El;'i�t('`�s t �'''jt'S z�!W-�_;1=.:3.
S. <<L.�.� _ _ ,�i..�'W�ti _
, � � ._... . ...:._._ --— '� . ,; .._ _.
E �.i �1[,t�i P�i= �t°,��i i ��!':'�.'' F, ( �_'=T:= s- i°'i 1� i;{ p!- �:'' �•}'��' `'`�,�ti ��`!�#-iw:t �x t.,�'�'=:
� .c.. _. �. ._�.�_�.L__. �'r��___. Y .�_ _. _ __, . .L _ ..�:s _ . _ . �.�•:�.. . . . .--- . . =4.,_3 .
`_:�"•�,�:!'.P`a��' :-i"�'1 i=��,t�'.i.�`W !►,s �}_�+#-i�...iw !}�;�f;�`;:, F�,� �;�:;�t=:s t _g"F`'%..�r-±�4t_�.._�'.. .;i '�'L.E � �,�('Y �_is:
't„I�e�_f��_� '_s�'i��i� t-t4`s(:�._� '-1��L� .'���-it� t#t- s'�;.�',t�' !-.=1_€ . �-! �' _�_'7_a.•'•�:`w(�: t:{,li..�. �.%_Ea?�_'�?'•`r�.t",�J , -;
� �
.� � �� �
APPUCANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE G�C�
� ��o`��
CITY OF URONO APPLICATION FOR PLUMBING PERMIT �
}SoY bb (2750 Kelley Parkway) - �
Crystal Bav, NIN 55323
GENERAL INFORMATION � _ '
L You�maY aPP1Y for plumbing permits by mail or in person at the City offices. �' ` ` . -
2. Permit cazds will be sent by return mail after a review is completed. P�RMITS ARE NOT VALID
UNTIL YOU RECENE A P$RMIT. 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 must be inspected and air tested before it is covered. Ca11473-7357. 24-hour notice required:
Instruction� Co�p1�tP atl items on this applicaiion: Compute the permit fee. Sign and date
the certification. INCOIVJPLET�'APPLICATIONS WILL NOT BE PROCESSED. If you h�ve
questions, call 473-7357.
Please check one: New � Addition Re�air Replace
Residential Commercial
JOB SITE: . 3 �4 _ /V ° �7/Lv�, Zip:
Owner's Name: ` Telephone Number:` `
Mailing Address: City: Zip:'
Contract�ir'sName; �e�, ' TelephoneNumber:���-75�
MailingA.ddress: 1 � City: , . :Zip: 5"�S,3cg 5
: PLUMBING-F�TURE SCHEDUI�E ' :
FIXTURF BSMT 1ST 2ND ' OTHER > -FIXTURE BSMT 15T 2ND OTH�R
TYPE FL FL TYPE FL FL
� � � ` �Vater�Gloset�� � � ��� Floor Drains _ � � �� ; �
; _ .. _ _
Lavatory Sewer Ejector
Bathtub � Laun�ry Tray `, ,�.,,,,�- ',
Shower Washer
Kitchen Sink " � Water:Heater
Disposal Water Softener
Dishw��sher . Wet Bar
Sillcocks Misc (list)
PERMIT FEE CALCULATION . �
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
S�'��Y'�. �C''� x .0125 $
(contract price)
2. State Surcharge. ** Add the State Building Gode Division-
� � :, Surcharge to each permit.. x :.0005 $ �
� � (conuact price)
� or $.50, whichever is greater
�. Postage and Handling (Only mail-in applications) $ 1.50
#: TOTAL PERMIT FEE (Add lines 1-3 above) $
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount chazged for the permitted
work including materials, labor, profit, and other fixed costs. It is the amount to be chazged xo 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 permit fee purposes. In the event that there is a dispute on the amount of the job cost,
the Ciry 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 Inspecfional Services for the price.
The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all
work in strict accordance 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.
;
. �, ,(��"'
,� l�cant's Si nature: Date: � �/!
. rr s