HomeMy WebLinkAbout1998-010455 - plumbing r
PERMIT
.;f.t�OF ORONO
PERMIT TYPE: � !� �� ,
2750 Kel ley Parkway- P.O. Box 66 �'�T--��•�'�""`
Permit Number: i;1 :i,���
Crystal Bay, Minnesota 55323 Date Issued: _3?;�-i;'�;�__;
(�2) 473-7357
SITE ADDRESS:
�,;#._�j, ::�;;i i;;'��I�v� '��t
.T�;
�'T I .�d . i —#, i —;:'_:—:�:_�—i�i:t„i:_
DESCRIPTION:
=,'_s �'�h l"[i��'W�
�`!.!�ttiiCtlt�°� 4=�t�C{ij,�. �;;c=� ��,',�i1ii�_�
s-'��:�i}�;�j i:t7 F.,c,�:_ii'{:; 1 ����, �s3='.�.�[1�_�tl:.3-,
� �,r.�'r- i� s �_ . '7 �,{�•;i-}"�{,�j;`; �1 t�t-���1 E lli�i
_ �,�} ,� _}�' '`=;�I
=i '_:;;i�:�,s%�; = P�:;E::�-;E�.j `.w�j;;i�:; _ �l T:�;l=`:�;_;��_
�j, t�i:_�3��;�:�:;1;��' ;� '�;I l_�i_:�;i_k:::=� t=�i�i.�i�� L'!'�:H I r�:'
_ �_f-tl3''�.([�i}-+`;' i i;.'z�Y � �*;�_.�-if�,�-�', __ �:J`���i-�i �i._�; E ��`
� tif�;' ���j t j�F1 F
REMARKS:
FEE SUMMARY:
�1�:j3 E Jr;�'F I�I(1I �y_�t E Jl 7t 1
�_:i�t_ !-:?'y, �s`•,;.'. .�t}
_.I�:'f��FH j''�N ._.__.__� .a'er�� �Iz
'�'���fi.:=,} F rr� w��1 f��`=t T{3''_)
CONTRACTOR: — ��:�:� ��_.��iT. — OWNER:
��HC�T��:� �'�_ii��i��•.�(; �`�:=::i�'=��,'=; . .=�';;�vr;t� :�:�s�T
�.��•�= �;%�'�` ���'� i�l i a.'�1 ���i,�i�°r�f��#�� �s�°
i•���i N��r�s� t'it� �L���'�_: i�3F�=st�i i ��::•v =__:°��
. ��i�._{ ��;?—i�`��`�#
},..,�'.! ;-�ir.�;��` h`�-.'�i�-'-��`.- i`i:��r.�?'I `- - ii`.� s 19 �'=i�::�, t i-`., i-i i _:T1i:� �'"tii_��{_" �:-.
:3�-1l� t 7;�`„�;��;,�_�j i�ce:,__ �"`fz_. . _`s°_�..•_� _. _. .: t_ _ ._ _ _. .. . . . �'%:_. F'1'_ s•__s :�`+�
. ' �,�, -�.' _ � , `s�
_:;=`�{.:s`��U t-i=d?,; ,''—�i�ii i`�s=�..� 4�_� ?.s•�_' H+_i_ ;�J=.4'.'.E`. ..'`_f �e i�ti�[W.,j _t_!�'���_`;.,T::�i`,;:�_. '.hi j �..� l;j_�__ i_:.�-`�' '_s
��If-;'��i�:#�i. :_ti;'��I�'St`-'s��i_.� i-'t('.#1: w;{i�; 1 ` }_1!- �`s. . �vi�'._�E�i�f'n; __„3 i�_�,7��s{�s �;t_i!lt ¢-�,{i�� s t-.`,. .���t� 'a .
� �
� /
APPLICANTiPERMITEE SIGNATURE ISSUED BY:SIGNATURE �
C1TY OF URONO APPLICATION FOR PLUMBING PERMIT
}�os b6 (27�0 Kelley Parkway)
Crystal Bay, 1VIN 55323
GENERAL INF'ORMATION
1. You may apply for plumbing permits by mail or in person at the City ofFices.
2. Permit cazds 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 ptoperty owners residing
in the dwelling.
4. When any new construction or rcmodeling 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. Ca11473-7357. 24-hour notice required.
Instructions Coalplete all items on this application. Compute the permit fee. Sign and date
the certificatioii. INC011'1PLET� APPLICATIONS WILL NOT BE PROCFSSED. If you have
questions, call 473-7357.
Please check one: �New Addition Repair Replace
Residential Commercial
JOB srr�: � y91 -� �Ho�.�� L��E �c' � zip:
Owner'sName: k�tie.l2..��-n7 TelephoneNumber:
Mailing Address: City: Zip:
Contracti�r'sName: ��T�Q 1� ,� TelephoneNumber: �37-��i S9'
MailingA.ddress: 2(0 . I � City: ,(�uUl���'ea. Zip: ��y�
PLUMBING FiXTURE SCHEDULE
FIXTUR.F BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet � Z Z Floor Drains Z.
Lavatory 3 3 Sewer Ejector
Bathtub � � Z Laundry Tray J
Shower J Z.. Washer )
Kitchen Sink Water Heater Z
Disposal 1 Water Softener
Dishwssher We� B� 2�y�
Sillcocks Z, Misc (list)
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum ee 35.00
x .0125 $
(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 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 chazged for the perm.itted
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 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 We 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 Ciry 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's Signature: � Date: �—Z���
DATE TIME
CITY OF ORONO CALLED IN � - / � �`'
INSPECTION NOTICE SCHEDULED i � ; ,` ��'�- .-����
PERMIT NO. la YS� COMPLETED
ADDRESS �� < / ' � �_ ( : L���
� a :
OWNER � r � ': ,2�,.E, _� CONTR. �: �� r�� � � �
TELEPHONE NO. S�3 / - i `; `_ `/
� DESCRIPTION
� O1 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 O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
,���—fIWAI,. 15 SEPTIC INSTALL. 22 FOLLOW-UP
PLUMBING RI� 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
a
o e
�
�
0
�
W
�
Q
�
Z
W
�
W
�
j
d
W� WORKSATISFACTORY:PROCEED �; PROJECTCOMPLETE
W O CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. G PHOTO TAKEN
INSPECTOR WILL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContract
Inspector. �
White Copylinspector's File Canary CopylSite Notice