HomeMy WebLinkAbout1997-009034 - plumbing PERMIT
� CI�Y OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 .'s�°�;:��i�u::
Crystal Bay, Minnesota 55323 Permit Number: � .-.
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(612)473-7357 Date Issued:
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SITE ADDRESS:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: -- . ::� �t�;:-;F. �- OWNER:
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APPLICAN ; EFMITEE SIGNATURE ISSUED BY:SIGNATURE
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C11'Y OF UR.ONO APPLICATION FOR PLUMBING PERMIT
�ox fi6 (2750 Kelley Parkway)
Crystal Say, MN 55323
GENERAL INFORMATION
1. You may apply for plumbing permits by mail or in person at the City offices.
2. Pernut 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
POST�D 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. -
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Instructioi�,� Co:nplete all item� on this application. Compute the permit fee. Sign and date
; ttie certificatioli. INCOl�'1PLET� APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call 473-7357.
Please check one: New Addition Repair Replace
Y., Residential Commercial
JOB 5IT�:: �I S� �ros(,�'C`f ��. zip: �.�32 3
Owner's Name: Jp1�,r� C�; �rn p re. Telephone Number: y� (o �t-�q� �
Mailing A ddress: ��.S'o �ros�c�- (�.,,�e � City: � Si�t Zip: S5 3 z 3
� Contractor'sName: �r �,U. �} TelephoneNu ber: y-7 3- �y(�3
MailingA.ddress: 5ae� ivr i rnha 1� �� City: �„�c �<e Zip: S 535l0
PLUMBING N'IXTURE SCHEDULE
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FIXTUR.E BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
�i Water Closet � Floor Drains
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��' Lavatory � Sewer Ejector "
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Bathtub ` Laundry �`h
�' Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishw.,sher Wet Bar �
Sillcocks Misc (list) E
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PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
� �'>'i� 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. Posta�e and Handlin� (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 5TATE 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.
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Applicant's Signature: Date: �� ��C1� `�
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DATE TIME
CITY OF ORONO CALLED IN 9 7
INSPECTION NOTICE SCHEDULED -3 g � / � 3?�
P�RMIT NO. '`�� COMPLETED _ �'
AIDDRESS �v c
CIWNER ' CONTR.
TIELEPHONE NO. � � 3 -!Y�O3
� bESCRIPTION /t'���
� f�1 FOOTINQ 11 MECHANICAL RI 18 D(CAV/GRADINQJFIWN(3
y Q2 FRAMIN(i 13 MECHANICAL FINAL 19 LAI�SHORE/WETLANDS
Q Q3INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z Q4 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
� p5 FINAL 14 SEWER HOOK-UP O6 PROGRESS
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� p7 DEM�SITE 27 SEPTIC MAINT. 21 COMPIAINT
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Q p7 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= PLUMBIN(3 RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J �70 PLUMBINa FINAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL
� ;OWNER/CONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
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d ORK SATISFACTORY:PROCEED �: PROJECT COMPLETE
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�i 'CORRECT WORK 8 PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
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� Cl CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORE COVERING PERMANENT
I ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ^CITATION ISSUED
G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for th 'ns tion 24 hours in advance.473-73�J7
I OwnerlCoMractbr �te:
Inspector.
White CopyMspector's File Canary Copy/Site Notice
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