HomeMy WebLinkAbout1999-012030 - plumbing Y
��� PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway - P.O. Box 66 :- �� '�`
Permit Number: '�' '`�"='
Crystal Bay, Minnesota 55323 - - y��-'m��W`
(612) 249-4600 Date Issued: - .- - - -
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SITE ADDRESS:
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REMARKS:
FEE SUMMARY:
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
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CITY OF OI�.ONO APPLICATION FOR PLUMBING PERMIT
1toY 66 (27�0 Kelley Parkway)
Crystal Say, 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 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 item5 on this application. Compute the permit fee. Sign and date
the certificatiaii. INCO:��PLET� APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call 473-7357.
Please check one: New Addition `"" Repair ` Replace
r :-���Residential Commercial
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JOB SIT�;: � � � �� � �� rx.c� �/�� '�'� U �:� Zip: ':�5 3��J
Owner's l�tame: I ,, Telephone Number: ��'.��. 7 t�4 �
Mailing Address: � ��,�.�� City: L�'r�>v� Zip: ���-��� �
Contractor'sName: �.a,,-.-y �`i�.,�., �� �, TelephoneNumber: y 7 � ,. �;-T�
MailingA ddress: :� �� 3 ��. �,<ja�� � �.�., � City: ,�J 7�v�vi_> Zip: �ti- ���y
PLUMBING F�TURE SCHEDULE
FIXTUR.E BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet l Floor Drains
Lavatory f Sewer Ejector
Bathtub Laundry Tray
Shower � Washer
Kitchen Sink ► Water Heater
Disposal 1 Water Softener
Dishw�sher + Wet Bar
a �
Sillcocks � Misc (list)
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PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00) , .
" . �5`�-U x .0125 $ �'�� N � -�
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. 3 `-5'� x .0005 $ � � �} 3
(contract price)
or $.50, whichever is greater
3. Postage and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ �,c-�, C�(r�
* 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 fumished 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 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 Jnspectional 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
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Applicant's Signature: �� �----" Date:
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DATE TIME
CITY OF ORONO CALLED IN � �(� /� - `��
INSPECTION NOTICE SCHEDULED /G'lo'"f �G ��'
PERMIT NO.�-%I�G 'SU COMPLETED �6 Z .��
ADDRESS I Cf`7� S�r��t (.�.��� �
OWNER �-�''p�.��c,�-.r1 CONTR. LC��-v C�`��� ���.
TELEPHONE NO. �--f 7-�- 5 C 2(�
� DESCRIPTION � -�IC.A .ti,�; rCC L
l� 01 FOOTING 11 MECHANICAL 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
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
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�9 PLUMBING RI `� 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� C MENTS:
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W ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� CORRECT WORK&PROCEED �.- ISSUE CERTIFICATE OF OCCUPANCY
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� ❑ CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C 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
OwnerlContractor on site:
Inspector.l"6i�--� ����
White Copyllnspector's File Canary CopylSite Notice