HomeMy WebLinkAbout1999-011862 - plumbing PERMIT
CITY OF ORONO
PERMIT TYPE:
2750 iKelley Parkway - P.O. Box 66 Pi t jI1BI.
Permit Number
NG
Crystal Bay, Minnesota 55323 OPP62
Date Issued:
(612)'249-4600 09/14/95
SITE ADDRESS:
800 OLD CRYSTAL BAY RD N
v1.21
I N —11S —oOni;
DESCRIPTION:
RP7' S
PiLimhina Permit Type UNDEFINED
Plumbing Work Type INSTITUTIONAL
REMARKS:
FEE SUMMARY:
VALUATION $2, 000
Rase Fee $35 . 00
Surcharge $1 . c)0
Total Fee
CONTRACTOR: - Applicant. - OWNER:
iE VAHN BROS INc T.'55185q0 ORONO MIDDLE SCHOOL #278
12700 BASS LAKE RO 800 OLE CRYSTAL RAY RD N
MAPLE GROVE MN 553F,5 ORONO MN F53F,E
(612) 551-5590
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE-A:01 /MPOYEMENTS-.,
SPECIFIED AND AGREES TO DO ALL WORK IN sti5act-t,olifLum4m,-4ajliALL-c!rte, ,9F,;„,
L_
ORONO ORDINANCES OTA BUIL
'AND sTATE OF, MINNESDING CODE
APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
i( $t12
CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
Box 66 (2750 Kelley 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 return 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 separate 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. Call 249-4600. 24-hour notice required.
Instructions Complete all items on this application. Compute the permit fee. Sign and date
the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call 249-4600.
Please check one: %/clew Addition Repair Replace
Residential Commercial
JOB SITE: CS 0 6 f d C�` S`f { f.A.,fZip:
Owner's Name: . �c- ele one Number.
Mailing Address: dl8" City: Zip:
Contractor's Name: L..(J!9-L tF,^�(� Tele hone Number: <c (-3(9'70
Mailing Address: (5,1:7 oa - 5 (1C r4 ity: a. 6-Zip: 451 Gi
PLUMBING FIXTURE 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
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
SillcocksMisc (list) P� P-s
e
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Min um Fee tt35.001
COO x .0125 $
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. x ..0005 $
(contract price)
or $.50, whichever is greater
3. Postage and Handling (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $
* 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 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 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 Inspectional 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.
Applicant s Signature:
Date: t l ({—c19