HomeMy WebLinkAbout1997-009790 - water softner � � PERMIT
t CITY OF ORONO PERMIT TYPE: - -.
2750 Kelley Parkway- P.O. Box 66 _'�'�=F��'`���
Crystal Bay, Minnesota 55323 Permit Number. , �=:;.,
(612) 473-7357 Date Issued: -
SITE ADDRESS:
DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: : - OWNER:
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
C1TY OF URONO APPLICATION FOR PLUMBINCr?�ERMIT
Bux b6 (2750 Kelley Parkway) � � �� �`�� �
Cry�tal Bay, MN 55323 ���- G `;��,
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GENERAL INFORMATION �� s,y ��
1. You may apply for plumbing permits by mail or in person at the Ciry offices. 0L `
2. Permit cards will be sent by retum mail after a review is completed. PERMTTS A1�E NOT VALID
UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS
POST�D ON THE JOB SITE.
3. Plumbing permits may be issued ONLY to licensed glumbing 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.
Instructiou, Coalplete all items on this application. Compute the permit fee. Sign and date
� the certificatiaii. INC011�PLET� APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call 473-7357.
Please check one: New Addition Repair Replace
Residenrial � Commercial
JOB SI1'E: � Zip: `��j3ci �
Owner's Name: (�m ���,v� Telephone Number: u''�5 a 5 5 0`�
Mailing�iddress: Sf�n-�c City: Zip:
Contractar'sName: ru���GpN WA1"ER CONDITIONIN�elephoneNumber: —r"j,�3• 7aU a
MailingA.ddress: 6030 CULLIGAN WAY City: Zip:.
MINPIETTC�NKA� MN 55345
PL ' � SCHEDULE
FIXTURE 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
Dishwssher Wet Baz
Sillcocks Misc (list)
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PERMIT FEE CALCULATION
` 1. 1.25% of Contract Price* or Minimum Fee ($35.00) �v
�li�� 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 Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ ?�"� ,ao .
* CONTRAG"f PRICE or JOB COST means the actual or estimated dollar 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 furnished by the owner,
tenant or any other pazty 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 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 cali 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'sSignature• "''�"�# 4;t�� Date: � � 7
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DATE TIME
CITY OF ORONO CALLED IN �� —�S��i�
INSPECTION NOTICE SCHEDULED �:7 '/(c� . 3 C
PERMIT NO. � ? �T� COMPLETED
ADDRESS �yU � ���
OWNER /'��-vrt�- CONTR. �-l.c�C..C>� 5 a.�
TELEPHONENO. �i�7S-- �S',5 Z
� DESCRIPTION �.V/Q�1�Jc>
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� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLINO
y 02 FRAMING 13 MECHANICAL FINAL 19 LAi�SHORENVETIANDS
p 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE FIEMOVAL
Z 04 WALL 12 WATER HOOK-UP 17 SITE INSPECTION
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2 F AL 14 SEWER HOOK-UP 06 PROGRESS
~ 0 MO�ITE 27 SEPTIC MAINT. 21 COMPLAINT
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W 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PL 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBING FINAL 28 CEDA SHINGLES 36 FOUNDATION REMOVAL
Z TO MEET YOU:�YES_NO
� COMMENTS:
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� WORK SATISFACTORY:PROCEED PROJECT COMPLETE
W L CORRECT WORK 8 PROCEED C: ISSUE CERTIFICATE OF OCCUPANCY
O Cl CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. - pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next�spection 24 hours in advance.473-7357
OwnerlCont c on�te:
Inspector.
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White Copyllnspector's File Canary CopylSife Notice