HomeMy WebLinkAbout1999-011210 - plumbing PERMIT
` �L��Y OF ORONO
2750 Kelley Parkway- P.O. Box 66 PERMIT TYPE:
Cr stal Ba , Minnesota 55323 Permit Number: ='���� .=.
(6 2) 473-7357 Date Issued: =W� �=�i`-
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SITE ADDRESS:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: __ �,�,�:� �,-.�t,F. _ OWNER:
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE �. ,�
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CITY OF URONO APPLICATION FOR PLUMBING PERMIT
�aY b6 (2750 Kelley Parkway) �
Crystal Say, l�ZN 55323
GEi�IERAL INFORMATION
1. You may apply for ptumbing permits by mail or in person at tlie Ciry offices.
2. Permit cazds will be sent by retum mail after a review is completed. PERMTTS 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 properry owners residing
in the dwelling.
4. When any new construction or remodeling is involved, a sepazate 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.
Instruction� Co�plete all iterr� on this application. Compute the pe=mit fee. Sign and date
the certificatioii. INCONIPLET� APPLICATIONS WILL NOT BE PROCFSSED. If you have
questions, ca11473-7357.
Please check one: x New Addition Repair Replace
Residential Commercial
JOB STTE: ���j 5�'►o�e�;ne ��. � 7ip; �53� 1
Owner'sName: �:�1�r�� C- )�r:er TelephoneNumber: �-,I�S- 3 53
Mailing Address: �y°t I S�o�e)�n e O f- City: D�o�a Zip: 5 S3�i �
Contractar'sName: 1��'n c;+,� L:�c�s�y TelephoneNumber: 9 u�-z i�7
MailingA.ddress: 'J32� w��►,-es�o„ �, S�..fiti City: �d;nti Zip: 5'S�+3�
PLUMBING F�TURE SCHEDULE
FIXTUR.E BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
Lavatory Sewer Ejector
Bathtub Laundry Tray �
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener �
Dishw��sher Wet Baz
Sillcocks Misc (list)
PERNIIT FEE CALCULATION
� 1. 1.25% of Contract Price* or Mi�mum Fee ($35.00)
15�'r7°= x .0125 $
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit: x .0005� $ �
. (contract price) �
or $.50, whichever is greater
3. Posta�e and Handling (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 dollaz amount chazged for the permitted
work including materials, labor, profit, and other fixed costs. It is the amount to be chazged to the
customer for the work done. If any material, equipment, labor,or installation aze 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 Ciry may request the submission of a signed copy of the actual contract.
** The STATE SURCHARGE is .U005 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: c r `�" Date: c1—����GI
D TE TIME
CITY OF ORONO CALLED IN ��
INSPECTION NOTICE I I 2�� SCHEDULED �� �/= �Q
PERMIT NO. COMPLETED
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ADDRESS ����/ � ��u�
OW N ER CONTR.,�����
TELEPHONE NO. �-�7— C�j 5�
� DESCRIPTION
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
Q 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
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J PLUMBING FINA 36 FOUNDATION/REMOVAL
� OWNE ACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR n CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next'nspection 24 hours in advance.473-7357
Owner/Contracto s't -
Inspector.
White Copyllnspector's File Canary Copy/Site Notice