HomeMy WebLinkAbout2006-permit denied f L2� � c 1(� � � � �� � �� . c�. � - y- �
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City of Orono
��� P.O.Box 66 Date Received: Permit#
��:;;, � 2750 Kelley Parkway
j^�.�,?�'r �. Crystal Bay,MN�5323 - Amount$:
�� -��,����..�o� (9�2)349-4600
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CITY OF ORONO—PLUMBING PERMIT
(All Commercial permits must be approved by tl�e Building Official or Inspector)
GENERA.L INFORMATION
1. You may apply for plumbing permits by mail or in person at the City offices. Applications will be
reviewed and a pernut will be issued witliin rivo working days.
2. Pernut cards will be sent by return mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORIi MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Plumbu�g pemuts may be issued ONLY to licensed plumbing conh•actors and to property owners
residing in the dwelling.
4. When any new construction or remodeling is involved,a separate building peinut must be
obtained.
5. All work must be done in accordance with State Code requuements.
6. All work niust be inspected and air tested before it is covered. Call (952)249-4600.
(2;-43 hour noti:.e rc�uired)
TYPE OF PERMIT
(Check All That Apply)
�Residential ❑ Commercial(Approval Requu�ed)
[� New ❑ Additional ❑Repairs ❑ Replace
❑ In Accessory Structure?
*You will need prior apProvai and may need CUP. (Per Orono City Code,Chapter 78,Article IV)
Job Site/Owner Information:
Site Address: `��-� `� l� o /� s'�� D r I1'1��:�.�( �1�' �> >"3��
Owner:f ,���; �,M �'.�l� Mailing Address: Z��'y S k-.d ;,:�,,u���"
City: ��.� z..��� Zip: �S3>/
Horne Phone: �i/L -�t-3- 5�y 3 L Alternate Phone: `> > Z --Z.� � — LZ��
Contractor Infornzation: � �
Contractor: v� �-�.. Contact Person:
Address: State Bond #:
City: Zip: Expiration Date:
Phone: Alternate Phone:
❑ Insurance— Current:
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FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OT'HER
TYPE FL FL TYPE FL FL
Water Closet Z 1 � Floor Drains Z � �,
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Lavatory 2 1 � Sewer Bjector � G �
1
Bathtub � � � Laundry Tray � 0 �
Shower � � � Washer � d �
Kitchen Sink O � � Water Heater � 0 �
Disposal � � p Water Softener / d b
Dishwasher b Wet Bar e � �
i �
Sillcocks � -L � Miscellaneous o v �
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❑ Yes,this section applies
The replacement of a Residential fixture or appliance that meets all three of the following requirements:
1. Does not require modification to electrical or gas service.
2. Has a total cost of$500.00 or less;excludin�the cost of the fixture or appliance:and
3. Is improved,installed or replaced by the homeowner or licensed contractor.
Slcip next section,if this applies; Cost of Permit $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
(Permit Fees Continued On Next Page)
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,, ���� ,'�.����f�'�E CALCTJLA'�T4N S '=JU��OVE�S5Q! �Q '�`,, . u.,:' i. � ' -�'
If above does not apply;foIlow guidelines below:
1. CONTRACT PRICE *is 1.25%of con�act price with a(Minimum Fee of$35.00)
S C�aG x.0125$ �'z.,sU
(contract price) (minimum$35.00)
2. STATE 5URCHARGE **Add the State Bldg Code Div.Surcharge(Miaimum Fee of$.50)
s`��� X.000s $ 2�5 0
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL PERNIIT FEE(Add Lines 1-3 Above) $ ��v � '�/�
■ * 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 installations are fumished 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 City may request the submission of a signed copy of the actual contract.
■ *�The STATE SURCHARGE is .00QS of the contract price under$1,000,000 or$.50—whichever is
greater. For valuations over$1,040,000 call the Building Department at(952)249-4600 for the price.
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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.
� �� �1 �1��
Applicant's Signature: � Date:
�
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