HomeMy WebLinkAbout1998-010687 - plumbing PERMIT
CITY OF ORONO PERMIT TYPE: �::_ t���;;i,:�t�
2750 Kelley P��kway- P.O. Box 66 -� ��
@ Permit Number: i i f i:�t,s���?
Crystal Bay, Minnesota 55323 -
(612) 473-7357
Date Issued: ��;=;;'i;7;"�::_;
SITE ADDRESS:
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REMARKS:
FEE SUMMARY:
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APPLICANT/PERMiTEE SIGNATURE ISSUED BY:SIGNATURE
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C1TY OF UI�.ONO APPLICATION FOR PLUMBING P�RMIT -
� �Sox b6 (27�0 Kelley Parkway)
Cry.stal Sav, MN 55323
GENERAL INFORMATION
; 1. You may apply for plumbing permits by mail or in person at the City offices.
2. Permit cards wili be sent by return mail after a review is completed. PERMITS ARE NOT VALID
' UNTIL YOU RECENE 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.
q 6. All work must be inspected and air tested before it is covered. Call 473-7357. 24-hour notice required.
Instructioii,� Co:npletp all items on this application. Compute the permit fee. Sign and date
tlie certificatioii. INC01�9PLET� APPLICATIONS WILL NOT BE PRUCESSED. If you have
� questions, call 473-7357.
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� Please check one: New Addition �C Repair Replace
Residential Commercial
JOB SIT�;: � � c.��o� � � > � - ' Zip� S5�3�l�
� Owner's Name: �� e Telephone Number: �17 ?�
Mailing Address:���1�j� q'�,���p� j�. City: � • Zip: 5 5";�I/
Contractr�r'sName: o ��-- TelephoneNumber: �7/-y/7� _
MailingA ddress: S�,c.r,r(�_ c�o2. �c� ' City: �.��� Zip: S53 i/
PLUMBING FIXTURE SCHEDULE
FIXTUR.t: BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet ' Plno��
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-ba�`-- �ew.e�--£�eetcn
Bathtub � J Laundry Tray ��,r
Shower � � Washer ��,, �
Kitchen Sink � ��ater-��t�
Disposal ��j � o ener
Dishw�,sher �,� �"
Sillcocks �1��� Misc (list)
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PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00) �. �
����� f X .oi2s � 3 � , ._--
(contract price)
2. State Surchar�e. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $ � ���
(contract price)
or $.50, whichever is greater
3. Postage and �-Iandling (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ 3��_ --
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount chazged 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 materiai, 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 Ci[y may request the submission of a signed copy of the actual contract.
** The STATE StTRCHARGE is .0005 of the contract price under $1,000,000 or $.50 - whichever is E
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: Date: ����2�
DATE TIME
CITY OF ORONO CALLED IN / /S %�
INSPECTION NOTICE p SCHEDULED > %�' ,/ `• 3 C>
PERMIT NO. /C� (� lS � COMPLETED
ADDRESS
OWNER CONTR.
TELEPHONE NO. �7( - %/ '�`f
� DESCRIPTION ����/�/1'Z�i��
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 REMOVA�
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
J 07 DEM - AL 15 SEPTIC INSTALL. 22 FOLLOW-UP
� 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 1 MBING FINAL 36 FOUNDATION/REMOVAL
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d WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
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W ❑ CORRECT WORK R PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR C CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the ne t inspection 24 hours in advance.473-7357
OwnerlContra ite:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
ATE `J TIME
CITY OF ORONO CALLED IN � � l✓
INSPECTION N /��I E SCHEDULED �� - � �
PERMIT NO. l/ "� � COMPLETED � C
ADDRESS � c �
OWNER � CONTR. -�L
TELEPHONE N0. "���/ - 7/ 7�
� DESCRIPTION . ��..P l��-�a��
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 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
v 07 - NAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
09 PLUMBIN 1 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 1 BING FINAL / 36 FOUNDATION/REMOVAL
� OWNE ONTRACTOR TO MEET YOU:L YES_NO
fl COMMENTS:
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d ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
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W ❑ CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION W�THIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
r CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContractor it
Inspector.
White Copyll�spector's File Canary Copy/Site Notice