HomeMy WebLinkAbout1993-004997 - plumbing PERMIT �
�G�T'Y OF ORONO PERMIT TYPE:
1335 Brown Rd. South • P.O. Box 66 ���-���L'��'��
Permit Number: ��{���,�,a�`
Crystal Bay, Minnesota 55323 Date Issued:
(61�) 473-7357 `�:''}j�.;'�:''
SITE ADDRESS:
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PPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
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CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMATION
1. You may apply for plumbing pemuts by mail or in person at the City offices.
2. Pernut 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 pemuts 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 sepazate building pemut must be obtained.
5. All work must be done in accordance with the State Code requirements.
6. All work must be inspected and air tesied before ic is covered. Cal: 4?3-7357. 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 SITE• /;>'� �, � ,�, .-�;� -��;�� Zip: �-� ;'��i
; � TelephoneNumber: �/���;�,�5
Owner's Name: '����- � �� '� �
Mailing Address: ��r��� S�i�a�,�t���.���-��/' �-��f� City: ,�c Zip: ���r-���
Contractor'sName:�i�-. -,�,��1� �'�,'����; TelephoneNumber: 7 S'i/
MailingAddress:��i�i�7 (���=h�fz�� r-� City: ������ Zip: �5-,.,�c�s
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet Sewer Ejector
Lavatory 2_ Laundry Tray
Bathtub ( Washer
Shower � Water Heater
Kitchen Sink Water Softener
Disposal Wet Bar
Dishwasher Floor Drains
Sillcocks Misc (list)
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PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
=T i �, x 1.25 $
(contract price)
2. State Surchar�e. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $
(contract price)
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 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's Signature: � � G �������' ' � c; %--.i�z� G�.� Date: ��-���- �3
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DATE TIME
CITY OF ORONO cA��E�iN � �' ��� �]� �7������
`'1'. �L 3 _J.��L�
INSPECTION NOTICE SCHEDULED
PERMIT NO. '�F``!%J COMPLETED K
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ADDRESS ��G� ��-tt. � z����`�z'��
OWNER-'����-�%_ � CONTR. C��^�=e'�-«�^i %��C.��
TELEPHONE NO. C�7� `" Y� � f
� DESCRIPTION
� 01 FOOTING 11 MECHANICALRI 16WELLTESTPUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADINGIFILLING
� 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
� 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
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Q 05 FINAL 13 METER SETITURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
J 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
� PLUMBING IR ' 15 SEPTIC INSTALL. 22 FOLLOW-UP
- INA 23 SEPTIC FINAL
� OWNERlCONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W �WORKSATISFACTORY:PROCEED C PROJECTCOMPLETE
� ❑CORRECT WORK 8 PROCEED G ISSUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
- CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
Owner/Contracto o ite: _
Inspector.
White Copyllnspector's 'le Canary CopylSite Notice