HomeMy WebLinkAbout1997-009528 - pvc drain line PERMIT
GITY OF ORONO PERMIT TYPE:
�"�0 Kelley Parkway- P.O. Box 66 -'=��?:v=�
t Permit Number: - _ - -
Crystal Bay, Minnesota 55323 - - - -•--__
(612)473-7357 Date Issued: _
SITE ADDRESS:
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FEE SUMMARY:
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE !�
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CITY OF URONO APPLICATION FOR PLUMBING PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMATION
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 RECENE 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. Ca11473-7357. 24-hour notice required.
Instructiona Co:nplete all items on this application. Compute the permit fee. Sign and date
the certification. INC0119PLETE APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call 473-7357.
Please check one: New Addition Repair � Replace
Residential _� Commercial
JOB SITE:�'�y 12-2 D `�h0 �l ne �r'�tte. Zip:�c�Z2
Owner's Name: Telephone Number: c.(y�=�ls�_
MailingAddress: Ib ��ne v�. City: � 4 �ip: 5�I$
Contract�ir'sName: '� . TelephoneNumber: t.�-jp-�Za�
MailingA.ddress: 1� �.ca,� �.vc�,��. Cit3':� �Celsl� ZiP� 55331
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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 Bar
Sillcocks Misc (list)
(,UorK � be c�one� � 1-/ ,��p�i C ��in l�n� C�01'Yl��ec,�e� dr�
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PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
'�aQ C�•O� x .0125 $ �.2j�
(contract price)
2. State Surchar� ** Add the State Building Code Division
Surcharge to each permit. �aaoo .DC�. x .0005 $ (, .�{rj
(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) $ 'v Q.o1,p
* 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 charged to the
customer for the work done. If any material, equipment, labor,or installation aze 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.
** 'T�e STAT� �UP.C�IaRGE is .�JQOS �f t�e contract nrirP ,�r,der $1,00�,0�0 or $.50 - whichever is
greater. For valuations over $1,000,000 call the Department of Jnspectional Services for the price.
The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all
work in strict accordance with the ordinances of the City and the regulations of the State of
Minnesota, and certifies that all statements made on this application are complete, true and
conect.
Applicant's Signature: ��,�c.,Q(� .� `��'�7?p� Date: �O -$_e�7
D TE TIME
CITY OF ORONO CALLED IN .ZZ -r�'
INSPECTION NQj��� SCHEDULED io /�� :3 0
PERMIT N0. `� OMPLETED
ADDRESS _ �'�i��.2-�4���j,����
OWNER CONTR.s��_�is_�-A
TELEPHONE N0. �7D - �.Z D�
� DESCRIPTION
� 01 FOOTINO 11 MECHANiCAL RI 18 IXCAV/ORADINf3/FIWNd
� 02 FRAMINO 13 MECHANICAL FINAL 19 LAI�SHORE/WETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALI BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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= 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
~ 07 DEMQ-SITE 27 SEPTIC MAINT. 21 COMPLAINT
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� 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUM I 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v p�UMg� 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL
Z OWNE NTRACT O MEET YOU:t/�ES_NO
� COMMENTS:
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d ORK SATISFACTORY:PROCEED
W� � - PROJECTCOMPLETE
W C CORfiECT WORK 8 PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
� Cl CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. r pHOTOTAKEN
INSPECTOR WILL REfURN �
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the n xt inspectio 24 hours in advance.473-7357
Owner/Contractor ite:
Inspector.
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