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Plumbing Plan Review Application - page 1 / 2

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Minnesota Department of Labor and Industry Construction Codes and Licensing Division Plumbing Plan Review and Inspections 443 Lafayette Road N., St. Paul, MN 55155-4343 Phone: (651) 284-5063 Fax: (651) 284-5748 www.dli.mn.gov/CCLD/Plumbing.asp

Type of Project (check all that apply)

New Construction Food service/bar/lodging

Addition Remodel Hospital/Nursing Home

Building Service Information

SEWER

WATER

New municipal Existing municipal

New municipal Existing municipal

New on-site septic system Existing on-site septic system

New private well Existing private well

Project Information and Location

PROJECT NAME

PROJECT STREET ADDRESS

CITY

TOWNSHIP (if not in city limits)

COUNTY

Project Owner Information

NAME

PHONE NUMBER

MAILING ADDRESS

EMAIL

CITY

STATE

ZIP CODE

Building Plumbing System Designer

NAME

PHONE NUMBER

MAILING ADDRESS

EMAIL

CITY

STATE

ZIP CODE

Site Utility Designer

NAME

PHONE NUMBER

MAILING ADDRESS

EMAIL

CITY

STATE

ZIP CODE

Required Information

Provide one full-size set of plans that include the following: Utility Site Plan (if new services are to be installed)

Floor Plan (show fixtures/horizontal waste piping/pipe sizes) Roof Plan (if internally piped roof drains are proposed) Water Riser Diagrams Soil, Waste and Vent Riser Diagrams Plumbing Specifications

Designer’s Signature & License No. (on each plan sheet) PPRI 01 (10/14)

Plumbing Plan Review Application

When e-mail addresses are provided, correspondence will be sent electronically rather than by the USPS.

Fee Schedule 1. Choose only one of the following:

Building Sanitary Sewer and/or Water Service Only

(This fee applies when scope of work does NOT include interior plumbing)

$150 flat rate

  • -

    OR -

Plumbing System

(This fee applies to interior water distribution and drain/waste/vent systems, and water and/or sewer service connections)

$

  • -

    OR -

Based on total number of drainage fixture units (DFU)

  • a.

    25 or fewer DFU

  • b.

    26 to 50 DFU

  • c.

    51 to 150 DFU

  • d.

    151 to 249 DFU

  • e.

    250 or more DFU: multiply $3 times number of DFU to a maximum of $4,000

Total DFU

$150 $250 $350 $500

$

2. Interceptors/Separators

(grease interceptors, flammable waste interceptors, etc…)

$70 per design

$

3. Storm Drainage System ($150 min)

a) Roof drains and overflow roof drains

Number of roof drains:

X $50

$

($500 max)

and/or

plus

b) Storm water interceptor, separator, or catch basin designs

Number of designs:

X $70

$

Storm Total: $

($150 min)

TOTAL (add fees from Items 1, 2, and 3)

$

____________

Check or money order must be made payable to Minnesota Department of Labor and Industry. Mail plans and fees to: Department of Labor and Industry, Plumbing Plan Review and Inspection, 443 Lafayette Road N., St. Paul, Minnesota 55155-4343. Checks returned for nonpayment will be charged a $30 fee (M.S. 604.113, subd. 2).

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