HomeMy WebLinkAbout1997-009194 - plumging � PERMIT
' CITY OF ORONO PERMIT TYPE: � - -
2750 Kelley Parkway- P.O. Box 66 v��.k-�='�=;�=='V==
Crystal Bay, Minnesota 55323 Permit Number: - ;
(612)473-7357 Date Issued:
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE �.
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C1TY OF UIt.ONO APPLICATION FOR PLUMBING P�RMIT
�ox 66 (2750 Kelley Parkway) !
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Crystal Say, MN 55323
GENERAL INFORMATION
1. You may apply for plumbing pernuts by mail or in person at the City offices. ;
2. Permit 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
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.
'; Instructioi�,� Co:nplete all item� on this application. Compute the permit fee. Sign and date
the certificatioii. INC011�PLET� APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, ca11473-7357.
Please check one: New � Addition Repair Replace
� Residential Commercial
JOB SITE: ��C� /�e.v�a.�l� L-c�—,�-� Zip: SS3 S�
Owner's Name: �-�o� Telephone Number: 5��,3 .3 y3 Sl
� Mailing Address: ,�c,�.n�-- City: Zip:
Contractor'sName: ' e Q �fTG TelephoneNumber: �L73 -oS�So
MailingA.ddress: . a •�X SS City: `2� Zip: .55�3� �-/
PLUMBING FIXTURE SCHEDULE
FIXTUR.F BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet � Floor Drains
Lavatory i Sewer Ejector
Bathtub j Laundry Tray �
Shower � Washer �
Kitchen Sink Water Heater
Disposal Water Softener
Dishw.sher Wet Bar
Sillcocks Misc (list) ''
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4
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PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
. �, 8-o-v x .012s $ � , 5 0
—�
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $ .3��a
.
( ontract price)
or $.50, whichever is greater
3. Postage and Handlin� (Only mail-in applications) $ -�- ;
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ �d, Sv
* 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 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 Tnspectional 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.
.
Applicant'sSignature: Date: 7 �� �7
ATE TIME
CITY OF ORONO CALLED IN � 7
INSPECTION NO CE SCHEDULED '1 ^7 �
PERMIT NO. � COMPLETED �_ �
ADDRESS
OWNER � CONTR. �
TELEPHONE O. '�73��S d
� DESCRIPTION
� 01 FOOTINCa 1 MECHANICAL R oZ.O g Q 18 EXCAWORAOINO/FIWNO
�Q 02 FRAMINO 13 MECHANICAL FINAL 19 LAI�SHORE/WETLANDS
Q 031NSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK•UP 17 SITE INSPECTION
Q
= p5 FIN/1L 14 SEWER HOOK-UP O6 PROGRESS
~ 07 DEMO-SITE D 27 SEPTIC MAINT. 21 COMPLAINT
J
Q 07 DEMO—FINAL 15 SEPTIC INSTALL 22 FOLLOW-UP
2 09 PI.UMBI nJ��'!� 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBINQ FlNAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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d WORK SATISFACTORY:PROCEED - PROJECT COMPLETE
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� 0 ORRECT WORK&PROCEED � ISSUE CEFTIFICATE OF OCCUPANCY
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OO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORE COVERING PERMANENT
O CORRECTUNSAFECONDITION WITHIN HOURS. -, pHOTOTAKEN
INSPECTOR WILL RETURN
O STOP OROER POSTED.CALL INSPECTOR ��CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the n t spection 24 hours in advance.473-7357
OwnerlContra n 't :
Inspector: �.
White Copyllnspector's File Canary Copy/Site Notice