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HomeMy WebLinkAbout1995-007335 - plumbing �_ , �'ERMIT i'� �"C�TY OF ORONO PERMIT TYPE: 2750 Kelley Parkway- P.O. Box 66 - � - ._., Crystal Bay, Minnesota 55323 Permit Number: _ - : _ (612)473-7357 Date Issued: _ _ SITE ADDRESS: � - ��33 � /�� �a-c.�- � - _ ., , . .. -.. _ � ._ _: : - DESCRIPTION: 6 �i ,�;;- ;.if;,��::p�;,..; ..�'.'ri:' _ � , ,� .._ . _.. . �_i%':___ I .',�;.;f''`' t . ...� .. , . s�.. . _ . .-� . :... .`'.r'_ ���'.i_ i `•.�i�. . __. . =P_`t` `s : ..._. . � ~ . . ; � i. i � I � � ��� ._ . . . . t ,,, . ' .. . ........ � �.w..i._.. . R .. _ .... . ...,...._.::.� �•;�',:` :4 .l.:..�i�_..'•.. �. �.:' 'T . . , , � .._' ;f ±i REMARKS: FEE SUMMARY: -. .-:+..... .- _�=.. . _�. - _ _.�. _ : � = _ : . _ _ ::. .._.._ ._.- .+ 'y�9��:�- .. _.._._._.__ __ _ ..._ . ._ .. -_—__�_.�_. - _ . . �. ._,_. _ _._ � r _ _, . _ _ 4 � il � �� i � CONTRACTOR: - :� F �. � i�. - OWNER � ., ....'. .: .-� ._r ._ �;'�:��_ _ ._. .. . . __... �:�,- : ._._�_ ,�� �`;:•.� :� :....,.,- �.: : _ - � _ - - - - - -,- �_.._:._-„) � i,,_�i-:_�+...t-�'�:�!�'� ...��i�T� _ _ :. ... . .�._ . . .. . . l...��s+. _ _ tl, i`f y�tj � ltla*;;... _���t�J� 'Qfi'•�� s" i{ jf�is ' �,i-V — —:! _. :__ . _ .: . . � ,_ ,.. . ... .. ._:3•..: . .. . _ _ _. _ ° . . _�.,: ._ ._.��.s...._ F :... . _ i„.__ � `��f'l�`��W•�+i`�_�, €_.,.. i o�?���C �^_��._. s`4:.�,.e x� ,l�r=`p"tE 4���i'��l`�S'•y+ . j�,(�i.`�q .' '+'fw a 'i ��". i I:`�«.. ���F�.�L»i��!. � f{�I t„p.'v i .1 i _ � � :;�:°�:x ,��`t��i ���€;� ��-�����-.�.. T€€� }�:t ���;L.�_���3�_���:� �`T� =:�i�,T i:�' �':tw����I T��.����.�E ��I7`��� �1�...�� ��:�I T'�°'�, +`#� � ��;:. .,� � _ . . .-:. �=i� ... .. . ..� . . . . _.. . � .�_ . �r=t,�t�I��'�� 1���' J � �:- ,iyrz� .��✓ �/yr��� ( � APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE � � � / �,� 7 � 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. Pemut cards will be sent by retum 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 �one 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 the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 473-7357. Please check one: New Addition Repair �Replace _�Residential Commercial JOB STI'E: ���l� ��--��- C���t c'��_ Zip: `Z`��(.o� Owner's Name•^���Ce �r_C�R�4cc'Z _ Telephone Number: �}-��;- ���� Mailing Address: ��� �c�4- '1.�����rc'l� City: (;�n�n Zip: ���(,� � �� ► ��,�Y�� ,`7yL��';; _,Tele honeNumber: Contractor sName: C��L��At�. c• - p —��--�_�� MailingAddress: CO3� C� �L� '.:�."' `�u`�''►Cit3': Zip: MIN��TC?�lKA �J`a'o r-.� . , . PLUMBING FIXTURE SCHEDULE FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER TYPE FL FL TYPE FL FL Water Closet F1_oor Drains �J Lavatory Sewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Misc (list) � , � PERMIT FEE CALCULATION 1. 1.25% of Contract Price* or Minimum Fee ($35.00) 1 �.�.81 x .0125 $ ���-; .UC� (contract price) 2. State Surchar� ** 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) $ �"1 , �(� * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount char$ed for the permitted work includin� matPrials, labe��, profit, and other fized costs. It is the amount to be charged to the customer for th��vork done. If any maCerial, 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 valuations over $1,000,000 call the Department of lnspectional Services for the price. The undersigned hereby applies to the Ciry 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. Applicant's Signature: `' , � Date: �' 3< �-� � / DATEp TIME CITY OF ORONO CALLED IN /-S INSPECTION NOTICE SCHEDUIED � � � � PERMIT NO. i'�-'�`�� COMPLETED (� f.� ADDRESS -���� - ��?'ti-� OWNER � ��/-�-��-� CONTR. �-��� � TELEPHONE NO. � ����-� ��� � DESCRIPTION ��4�' ���`7,���� � 01 FOOTING 11 MECHANICAL I 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/N/ETLANDS � 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05'Ff- - 14 SEWER HOOK-UP O6 PROGRESS � 07 SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � � � e � J 0 a � 0 � W � Q � Z W � W � � d W� C�RKSATISFACTORY:PROCEED C PROJECTCOMPLETE W ORRECT WORK&PROCEED �, ISSUE CERTIFICATE OF OCCUPANCY OC CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. �' PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next ins tion 24 hours in advance.473-7357 OwnerlContract o ite: Inspector. White Copyllnspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN J� '��'�J�� 1 d�' ����� INSPECTION NOTICE SCHEDULED I�'a�-�.� Il' 3�� � -h PERMIT NO. � 3 3J � connP�ETE� /�� ADDRESS � �� '� OWNER �P �J�C f���J CONTR. �� �e�-��cuo TELEPHONE NO. 7 ��"-�J��C, � DESCRIPTION � 't-' lL� 01 FOOTING 11 MECHANI L RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP Q W 09 P BIPF6-R� 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 0 PLUMBING FINAL ' 36 FOUNDATION/REMOVAL NER/ NTRACTOR TO MEET YOU�YES_NO � COMMENTS: � W C j � ...�- O � , � O � �� W � Q � _ � Z W � W � (�l..S � a W WORK SATISFACTORY:PROCEED ROJECT COMPLETE � ❑ CORRECT WORK R PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W O C CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ' GTATION ISSUED �❑�STOP ORDER POSTED.CALL INSPECTOR S�1 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. /V Call for the next inspection 24 hours in dvance.473-73�J7 OwnerlContractor on si e: Inspector. - White Copyllnspector's File Canary C pylSite Notice