HomeMy WebLinkAbout1993-005013 - plumbing �ERMIT
•. - ����Y OF ORONO PERMIT TYPE: ������1�������
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1335 Brown Rd. South • P.O. Box 66 Permit Number: `-���'��•�''-��"'
Crystal Bay, Minnesota 55323 Date Issued:
(612) 473-7357
SITE ADDRESS: — - - ' `
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE,�tn t��
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CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL IlVFORMATION
1. You may apply for plumbing permits by mail or in person at the City offices.
2. Pernut cards will be sent by retum 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 pernuts 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.
o. r1i1 work must be inspected and air tested before it is covere�. Call 473-7357. 24-hour notice required.
Instructions Complete all items on this application. Compute the permit fee. Sign and date
the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call 473-7357.
,
Please check one: New �� Addition Repair � Replace
� Residential Commercial
JOB SITE• I Z �� ���� �� �� r����� Zip:
Owner'sName: hc�i✓���'� TelephoneNumber:
Mailing Address: �� �� �- �=, � `' �'�'- City: � � Zip:
Contractor'sName: [ ;;f� ��c'��'f�� ��tia` '�„ � TelephoneNumber: �', , /E�%
MailingAddress: �c� ��' ���:_� �'�.,��y ��'c City: i '�<<���� t�. Zip; 7�� �;�
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PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet � Sewer Ejector
Lavatory � Laundry Tray x
Bathtub Washer
Shower � Water Heater
Kitchen Sink )( Water Softener
Disposal Wet Bar
Dishwasher Floor Drains
Sillcocks Misc (list)
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PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee,(�35.00)
' Sc � — x 1.25 $
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $
(contract price)
3. Posta�e 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 charged for the pernutted
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 permit fee purposes. In[he 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 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: �^ `���1��'z' Date: ��23 �9�
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2 DAT TIME
CITY OF ORONO CALLED IN J/�3��3
INSPECTION NOTICE SCHEDULED �
PERMIT NO. _S�Ci l 3 COMPLETED '� `'1S ` '
ADDRESS �.� " ��'
OWNER CONTR.
TELEPHONE NO. �7 �J --�C� �7
� DESCRIPTION ���y�..r��
� 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADING/FILLING
y 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
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Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SETITURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
J 07 DE —FIN� 27 SEPTIC MAINT. 21 COMPLAINT
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09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
v AL 23 SEPTIC FINAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� Q�,WORKSATISFACTORY:PROCEED , PROJECTCOMPLETE
W C CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
� C CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. f' PHOTO TAKEN
INSPECTOR WILL RETURN
f: CITATION ISSUED
G STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContract o ite:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
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DATE TIM /
CITY OF ORONO CALLED IN � �/ ����r
INSPECTION NOTICE SCHEDULED �S/�� 3 % m
PERMIT NO. � `' �3 COMPLETED � �
ADDRESS �T� � ��J t�d<'� lL'
OWNER � �� � ���� CONTR. ��-�-���� �-���
TELEPHONE NO. �� 3 � ��`' � �� �� �`��s
� DESCRIPTION
� 01 FOOT�NG 11 MECHANICAL RI 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
Z04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLU � 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
� OR TO MEET YOU:_YES_NO
� COMMENTS:
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O ❑CORRECT WORK,CALL FOR REINSPECTION' TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. " pHOTOTAKEN
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.473-73�J7
Owner/Contr or�o�site:
Inspector. v
White Copy/inspector's File Canary CopylSite Notice