HomeMy WebLinkAbout1998-010618 - foor drains PERMIT
CITY OF ORONO PERMIT TYPE:
2750�I1ey Parkway- P.O. Box 66 `��_;��'s����f�
Permit Number: ;-f;t_,�,;,_
�rystal Bay, Minnesota 55323 _
(612) 473-7357 Date Issued: #};�;;��:;;;s�;;_;
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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� A P Y: I NAT RE
P LICANT PERMITEE SIGNATURE ISSUED B S G U
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CITY OF UIt�ONO APPLICATION FOR PLUMBING P�RMIT
}�oY 6b (27�0 Kelley Parkway)
- Crystal Say, NIN 55323 k
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
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 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.
� Instructioi�.� Co:nplete all items on this application. Compute the permit fee. Sign and date
the certificatiaii. INCO:�7PLET� APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call 473-7357.
�.
Please check one: v New Addition Repair Replace
Residential Commercial
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JOB SIT�;•�--��a-P ��T���� c'��c��n �'� �' Zip: S����
Owner's 1`►1ame: ��.t.��c�e��.�_Telephone Number: �
Mailing Address:��,.�� .���c ���� �a- City: L;c�,�-� Zip: SS"���
Contractcrr'sName: �_� TelephoneNumber: �,'��- ����
� MailingA.ddress: �,�o City: Zip:
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TY E FL FL
Water Closet Floor Drains � G.� �� �
- Lavatory Sewer Ejector
Bathtub Laundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal Water Sof[ener
Dishw�sher Wet Bar `
Misc list �"'' � � ��� ca�C�
Sillcocks � � ) le
r
e
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PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
�,d�e,�� 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. Post�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 mazket value of such items must be added to the estimated cost
or contract price for pernut fee purposes. In the event that there is a dispute on the amount of the job cost,
� the Ciry 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 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'sSignature: ���'� ��s� J Date•`�J \ `
3
DATE TIME
CITY OF ORONO CALLED IN �Y-��-l� � -�o
INSPECTION NOTICE SCHEDULED ��
PERMITNO. �� �l� COMPLETED
ADDRESS �`� 6�.� ,/�� f�
OWNER�TL�- ./.��z�.G�� CONTR. ,�--�ii�.�
TELEPHUNE N0. � 7� .���L7
� DESCRIPTION
lL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-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:_ ES_NO �
� COMMENTS: — � � �
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� WORK SATISFACTORY:PROCE C PROJECT COMPLETE
W O CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C pHOTO TAKEN
INSPECTOR WILL RETURN
C CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the nex inspection 24 hours in advance.473-7357
OwnerlContract r n i e:
Inspector. _
White Copyllnspector's Fil Canary CopylSite Notice