HomeMy WebLinkAbout1999-011345 - plumbing PERMIT
�ITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 r°;��;;�;�;�;,; -.
� Crystal Bay, Minnesota 55323 Permit Number: ;`_� �:;j{_
(612)473-7357 Date Issued: .� ,
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SITE ADDRESS:
DESCRIPTION:
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REMARKS:
FEE SUMMARY: �
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CONTRACTOR: _ ��,G:; ; ,��-;,, __ OWNER:
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PLICANUPERMITEE SIGNATURE ISSUED BY:SIGNATURE
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CITY OF URONO APPLICATION FOR PLUMBING P�RMIT
}S��s bb (27�0 Kelley Parkway)
Cry�tal Sav, MN 55323
GENERAL INFORMATION
1. You may apply for plumbing permits 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 RECENE 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 i
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.
Instruction,� Co:nplete all items on this application. Compute the permit fee. Sign anc� date
the certificatiaii. INCOMPLET� APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call 473-7357.
Please check one: New � Addition Repair Replace
_� Residential Commercial
JOB STI'E: � C1�c� a• Zip:
Owner'sName• e5 � TelephoneNumber:
Mailing Address: City: �ip:
Contractr►r'sName: ���,�K Yt�, aS 1Y1�hi�,T�.�.� TelephoneNumber: c�� � ' _
MailingA.ddress: ��j;X� L-c:�j�-� �-�.;u-i�h� City:�Ni�t�� Zip: `��3j
PLUMBING FII�TURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
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Water Closet Floor Drains
Lavatory Sewer Ejector
Bathtub Laundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwssher Wet Bar
Sillcocks Misc (list)��' ,
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PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.001
`� I��c� .�_.c, X .oi2s $ 35.�
(contract price)
2. State Surchar� ** Add the State Building Code Division
Surcharge to each permit. � j 3�.�(� x .0005 $ ,l�,`j
(contract price)
or $.50, whichever is greater
3. Fostage �nd Har,dling (Only mail-in applications) $ 1.�0
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ "��7.1 S
* CONTRACT PRICE or JOB COST means the actual or estimated dollaz 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, Y
tenant or any other party the reasonable market value of such items must be added to th� estimated c�st `
or contract price for pemut 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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A licant's Si nature: ���C,uc.�C�- �� �j'rt��2 Date: ����/ �l
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DATE TIME
CITY OF ORONO CALLED IN ����9
INSPECTION NOTIC � SCHEDULED �F ii .3v
PERMIT NO. �� COMPLETED
ADDRESS l��v
OWNER CONTR.��A�►_•�� �-• - _
TELEPHONE NO. �?d '���
� DESCRIPTION
ty 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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Q 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- AL 15 SEPTIC INSTALL. 22 FOLLOW-UP
Q
PLUMBING Rf 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J UMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� IVORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALI FOR HEINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
�CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTiON REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contract n te:
Inspector. � '
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