HomeMy WebLinkAbout1999-012208 - plumbing PERMIT
CITY OF ORONO PERMIT TYPE:
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2750 Kelley Parkway - P.O. Box 66
Permit Number: 1—, ti—f.J.i.fms.-1
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Crystal Bay, Minnesota 55323
(612) 249-4600 Date Issued: 1 1 .1'7'9/99
SITE ADDRESS:
450 -- -1-.)
ORONO ORCHAku 1-1. _
HNR
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1' i'-i ' CO—117—2:::t-31-00.4-74!
DESCRIPTION:
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Plumbing Permit Type F. IxTyl_Ef...::::;„..
. , . -
Plumbing Work ! ype _ _ .
RESiutNL.t
1 WAIER HEATER - 1 UNDEFINi-0/ 1.
REMARKS:
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) cii REUIRE5COURT APPEARANGtt700 dHn: RgouAy . INJALN .
FEE SUMMARY:
VALUATION $1 , 550
Fee $3S .0i.s
: .......Th
urcnarge $ . 78
Invp.qtigation
Total Fee S/0 ,;7.;
.
CONTRACTOR: , - Applicant - . OWNER:
WU PLUMeING .7-7-1296767 UARN _ti ! K
3260 (;ORHAM AVE 460 ,... ,....
ORONO ORCHARD_RO
ST . LOUIS PARK MN 55426 ORONO MN .t.,.5.391
1612) 929-6767
I ,
. , THE UNDERSIGNED HEREBY REQUESTS, PERMISSIONTO MKE 'lell 'fiEALP!P9Y,Vili).)
spEc/FIED AND AGREES TO 00 ALL WORK' IN STR/CITP)Mr,..&TNE5-,(0-111Itlftkl:' ' -',,!„, ' '',
nRnNn ORDINANCES AND bTATEPF „iNqNNESCITA BUILD1I'm "I'.:7-T:-- t- '''.'-''!:::''''''' '-'7-
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APPLICANTTy
ERMITEE SIGNATURE ISSUED BY:SIGNATURE
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 TIDE PERMIT CARD IS
POSTED ON THE JOB SITE:. .
3. Plumbing permits may be issued ONLY to licensed plumbing:contractors and to property owners resiiding
in the dwelling..
4. When any new'be construction or remodeling is involved, a separate building permit must be obtained.
5. All work must done in accordance with the State Code requirements. •
6. . All work must be inspected anti air tested before it is.covered. Call 249-4600. 24-11°u1.11,otice required.
•
Instructions Complete all i ms on this application. Compute the permit fee. Sign and date
the certification. INCOMPLETE APPLICATIONS WILL NOT BE PIPOCESSED. If you have
• questions, call 249-4600. ;
Please check one: New Addition: Repair Re l ce
Residential Commercial
JOB SI E: 4'4 Zip
Owner's Name: 'telephone_Number:
Miul ng Address Cit: Zip:
Contractor's Name: ,</e � ,� Telephone Number:.f�l� — - 77
mailing Address:, �Zdo - City tiS dip:
PLt,I.MBINfi ► a SCHEDU
FIXTURE BSMT .. IST =2ND 3 OThER . FIXTURE BSMT ,:IST 2ND OTHER
TYKE FLS- TYEE FL FL
Water Closet :Floor DFains ._
I avatc ry $ever 'EJector
Bathtub , ^Laundry Tri
y
Shower Wier.
Kitchen Sink 'Water Heater' J
Disposal- � ;Water.Softener
Dishwasher Wet Bar
Sillcocks . Misr(list)
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
3D x .0125 $
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. x .0005
(contract price)
or $ 50, whiphever 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 fer4he.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 vvluations over$1,000,000 call the Department of Inspectional Services for the price.
The undersigned hereby applies to the City for issuance of a°Plumoing'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.
_,/,:
Applicants Signature: r Air411I Date: