HomeMy WebLinkAbout4th Qtr Surcharge Report Minnesota Department of Labor and Industry Quarterly Building PermitSurcharge
Construction Codes and Licensing Division Population of jurisdiction is 20,000 or less
443 Lafayette Road North
St. Paul, MN 55155-4341
Phone: (651)284-5068 Fax:(651)284-5749 Quarter ending: December Year:2015
www.doli.state.mn.us
Confirmation number: 23930145239
Reporting Unit/Municipality County Telephone
City of St.Joseph Stearns 320.363.7201
Address City State ZIP code
25 College Ave St.Joseph MN 56374
Building Official Certification number Telephone
Wasmund, Ron E. 0903 651.322.6626
Permits based on fixed-fees,part 1
Report permits in this section if the fee for each permit is less than$2,010.00
Permit type No.of Permits Times$1.00 each Surcharge report
Building 0 Times$1.00 each $0.00
Electrical 0 Times$1.00 each $0.00
Mechanical 12 Times$1.00 each $12.00
Plumbing 3 Times$1.00 each $3.00
Other 11 Times$1.00 each $11.00
Total part 1 $26.00
Permits based on fixed-fees,part 2
Report permits in this section if the fee for each permit is more than$2,010.00
Permit type No.of Permits Total fees Times 0.0005 Surcharge report
Building 0 $0.00 Times 0.0005 $0.00
Electrical 0 $0.00 Times 0.0005 $0.00
Mechanical 0 $0.00 Times 0.0005 $0.00
Plumbing 0 $0.00 Times 0.0005 $0.00
Other 0 $0.00 Times 0.0005 $0.00
Total part 2 $0.00
Total part 1 and 2 $26.00
Building permits based on valuation
Construction value range No.of Permits Total valuation Surcharge amount
1,000,000 or less 12 $711,341.00 $355.67
1,000,001 to 2,000,000 0 $0.00 $0.00
2,000,001 to 3,000,000 0 $0.00 $0.00
3,000,001 to 4,000,000 0 $0.00 $0.00
4,000,001 to 5,000,000 0 $0.00 $0.00
5,000,001 or more 0 $0.00 $0.00
Building permit surcharge: $355.67
Mechanical permits based on valuation
Construction value range No.of Permits Total valuation Surcharge amount
1,000,000 or less 1 $2,500.00 $1.25
1,000,001 to 2,000,000 0 $0.00 $0.00
2,000,001 to 3,000,000 0 $0.00 $0.00
3,000,001 to 4,000,000 0 $0.00 $0.00
Minnesota Department of Labor and Industry 1 01/06/2016 12:13:17 CST 10.74.96.13
4,000,001 to 5,000,000 0 $0.00 $0.00
5,000,001 or more 0 $0.00 $0.00
Mechanical permit surcharge: $1.25
Surcharge report summary
Total surcharges: $382.92
Retention: -$25.00
Adjustments/amendment: $0.00
Total payment to the State: $357.92
Adjustment/amendment explanation
No explanation
Name of person completing the form Title Date
Joy Johnson OPffice admin 2016-01-06
Phone E-mail address
651.322.6626 jjohnson@inspectroninc.com
Minnesota Department of Labor and Industry 2 01/0612016 12:13:17 CST 10.74.96.13