HomeMy WebLinkAbout1999-011216 - plumbing PERMIT
:Gl'�Y OF ORONO PERMIT TYPE:
~ 2750 Kelley Parkway- P.O. Box 66 - _ �"� "-
Permit Number: ��`°-`'`�'�'
Crystal Bay, Minnesota 55323 ::��1 i��.`�
(612)473-7357 Date Issued: _ _
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SITE ADDRESS:
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DESCRIPTION:
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REMARKS: �
FEE SUMMARY:
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APPLICANT/PERMITEE SIGNATURE _ ISSUED BY:SIGNATURE ��'
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CITY OF URONO APPLICATION FOR PLUMBING PERMIT
}�os bb (2750 Kelley Parkway) �
Crystal Ba,v, NIN 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 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 property owners residing
ir. the dwelling.
4. �Vhen 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� Coazplete all items on this application. Compute the pemut fee. Sign and date
the certificatiou. INC0119PLET� APPLICATIONS WILL NOT BE�ROCFSSED. If you have
questions, ca11473-7357.
Please check one: New Addition Repair � Replace
� Residential Commercial
JOB SITE: C15� 5���� � ,l�'� � Zip: SS 3.� C
Owner's Name: �;;�., �}-�//,e� Telephone Number:
Mailing Address: s' '.�L, �t City: �/�S=o25�7 Zip: �3,5-`
Contractor'sName: �/ ,� �� TelephoneNumber:��D
'— ! Cit . L'o�co s-rti'� Zip: s-S'3�a
MailingA.ddress: �//��/ ho�ct��oc l��� Y'
PLUMBING r'�TURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TypE FL FL TYPE FL FL
Water Closet l Floor Drains
Lavatory � ! Sewer Ejector
Bathtub � Laundry .Tray
Shower � Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishws�sher We1 Baz
Sillcocks Misc (list)
PERNIIT FEE CALCULATION
1. 1.25% of Contract Price* or Mitimum Fee ($35.00)
pp c� x .0125 $
(con ract price)
2. State Surchar�e. ,** Add the State Building Code Division
. _ Surcharge to each permit: � z .0005� $
(contract price)
or $.50, whichever is greater
3. Postage and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERNIIT FEE (Add lines 1-3 above) $
* CONTRACT PRICE or JOB COST means the actual or estimated dollaz amount charged for the permitted
work including materials, labor, profit, and other fued costs. It is the amount to be chazged to the
customer for the work done. If any material, 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 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 .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. �
Applicant's Signature: Date: —/7—�S
�'
DATE TIIyIE
CITY OF ORONO CALLED IN � y Z- ��
INSPECTION NOTICE SCHEDULED -��:�L ��
PERMIT NO. C.?/��/� COMPLETED
ADDRESS �� �.��,.�-Q�
OWNER ���'_� CONTR. ,� �..�.�.
TELEPHONE NO. �� � -S�' T�
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 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
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
PLUMBING FINAL'\ 36 FOUNDATION/REMOVAL
EEf YOU:_YES_NO
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� D CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �� CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the ne t inspection 24 hours in advance.473-73�J7
Owner/Contr te:
Inspector.
White Copyllnspector's F le Canary CopylSite Notice