HomeMy WebLinkAbout1998-010337 - plumbing PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 €iMi`tI NG
Crystal Bay, Minnesota 55323 Permit Number:
(612)473-7357 Date Issued: 06/05/98
SITE ADDRESS:
480 OLD LONG LAKE RD
CH
P. ! . f . . *7'1=-11R-23-34-0011
DESCRIPTION:
VACUUM BREAKER
Plumbing Permit Type VACUUM BREAKER
Plumbing Work Type RESIDENCE
REMARKS:
FEE SUMMARY:
VALUAT ION $150
Base Fee $35 .00
Surcharge
Total Fee $35 . 50
CONTRACTOR: - Applicant - OWNER:
MACK PLUMBING 24248455 LEJEUNE jNE MR
11 274 72ND AVE N 480 OLD LONG LAKE RD
MAPLE GROVE MN 5 3E' rRONi� MN 55391
(61'') 424-8455
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THEA REAL IMPROVEMENTS
SPECIFIED AND AGREES TO DD. ALL WORK IN STRICT COMPLIANCEWITS>w A :1 C T' F,.
ORONO ORDINANCES AND STATE OF (I NNESOTA BUILDING CODE R" 1i� TSF. , _.
APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE -44? _
J��jf
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 473-7357. 24-hour notice required.
Instructions Complete all items on this application. Compute the permit fee. Sign and date
thecertification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call 473-7357.
Please check one: New Addition Repair Replace
Residential Commercial
143 h. �
JOB STI'E:
Zip:
Owner's Name: Telephone Number.:
Mailing Address: City: =Zip
Cantractt)r'sName: _
7.`. �j,fctek':/(1114-P)/4641-'2', Tele Ghon N n�her t '
MailingAddress:. 3.77 . o cecA' city- ./„, /,,, , r
Zi '
PLUMBING FIXTU SCHEDULE.
_ , , , ,i
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 1 D , ' T 1ER
TYPE FL FL' TYPE `, FL• , FL..
Water Closet 3.,Floor Dr
,stns
Lavatory Sewer Ejector }
Bathtub Laundry Tray
Shower iasher
Kitchen Sink Water Heater
Disposal Water.Softener
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Dishwtsher Wet Bar
Sillcocks Misc (list) / •
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PERMIT FES:CALCUl AT ON
1. 1.25% of Contract Price* or Minmum'Fee:($35.00)
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/fib . x .0125 $
(contractprice) _
2. State.Surcharge. ** Add the State $udung Code £)iyision
Surcharge to each permit.; x .0005 $
• r . ` • (:otntract price)
or.$.50, whichever is greater,
3. postage.and,: iandling (Only mail in a I above)ans) $ x50
4 TOTAL;PERIT FEE (Add lines 1-3
' Col`1'I'R dT 1?'k10E or JOB co_ means• :the:actual or,estimated dollar-ariiol t e to fhe of tt tl
•
work including materials,':labor,-profit,,ands other fixed costs:. It`is:the amount''to be cha fie& to the.
eustomter for the work done .If any'.material,.equipment,labor,or ir}stal1atiort ere furnished$fy the droner,`
tenant or any other party the.reasonable market value of such items must.be:added;to they est�mate�l':6ost
•
or contract.price for permit fee purposes: In the event that ther• e:is a.dispute-`Qnthe amount of
the City dray_request the submission of a signed,copy of. the actual contract. ..
** The;STATE SURCHAR• GE •is .0005 of`the,contract price under $1,00'0, °Od or , v cbe er is
rea4er For valuations over$,1,000,000,call the-Department"of InspectionalkServmsfsrr ti� rtc
'fie undcrs gnea'her eby applies to the i dor lssua ee of P u b gYp� iri�t : to ll , .
• v�ork an strict accordance with-the ordinaries: cif the,City f d tl regt latic o t e t e of ',;'
X
M esota, and,
certifies
that all statements;made:on tins� pplica(roncoi n tete � d
cotrect. "
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