HomeMy WebLinkAbout1997-008837 - plumbing ' ' R PERMIT
` CITY OF ORONO
2750 Kelley Parkway- P.O. Box 66 PERMIT TYPE: _
Crystal Bay, Minnesota 55323 Permit Number: _ Y _ M v
(612)473-7357 Date Issued: _ -,� ,,_,--
SITE ADDRESS:
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REMARKS:
FEE SUMMARY:
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE ��•
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C1TY OF UR.ONO APPLICATION FOR PLL�MBING P�RMIT
�ox 66 (27�0 Kelley Parkway)
Crystal Say, MN 55323
GENERAL INFORMATION
1. You may apply for plumbing permits by mail or in person at the City offices.
2. Permit cards will be sent by return 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 permits may be issued ONLY to licensed plumbing contractors and to property owners residing
in the dwelling.
4. When any new construction or rcmodeling 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. Call 473-7357. 24-hour notice required.
Instructioi�,� Co:nplete all item� 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�i �.� ��,t��c �� _ � f? )��. Zip:
Ot3�ner'�l�rame:�,' i,:�� ��u[£.,�.C`�� TeZeph�ne N�::nk�er:
Mailing Address - -�._c:�el�,'t� �,.�.��' City:,�: ; !,� ,: , Zip• =;L���-��-�
Contractor'sNam . �,-� - ' ` � > TelephoneNurilber: '��,��>:�--�7��'(;`-r
Mailin A.ddress -_ , \ :, � � " City:��l�r�c�`�; ��;;Zip: ' ,�=�-3�5
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PLUMBING �'IXTURE SCHEDULE
FIXTURt: 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) �
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PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
�e��F��=�- , , X .oi2s � �1� ,I�j_
(contract price)
2. State Surchar� ** Add the State Building Code Division
Surchar e to each ermit. � �'�,':_�� ��- � -
g P _,, _l � , ; t� x .0005 $ �� � ��
(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) $ ,��z>j, !��
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged 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 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 contra�t price for permit fee pu:peses. In the even: :hat there is a dispute on t:::.amount af,he ja�cos.,
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 lnspectional 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: .�,`-�� _���,��,C,1 Date: ,� -��-��� ��
DATE TIME
CITY OF ORONO CALLED IN `'r�'� ' `I
INSPECTION NOTICE SCHEDULED 7 9-��O
PERMIT NO. ����� COMPLETED �
ADDRESS a�QS , .�- �.
OWNER,��'G!�/�yr�a. �'"" -e%��a.�ONTR. �
TELEPHONE NO. ��..3 -3 r �� / �
> DESCRIPTION ���"`�--E'''� L���
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� 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
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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Z OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
~ 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
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W 07 DEM�FIN�AL! 15 SEPTIC INSTALL. 22 FOLLOW-UP
_ �Q,QPLUMBING RI ' 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL
� OWNER/CONTHACTOR TO MEET YO :_YES_NO
� COMMENTS: -
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0 BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
❑ STOP ORDER POSTED.CA�L INSPE TOR ` CITATION ISSUED
�� INSPECTION REQUIRED.CALL TO A RANGE ACCESS.
Cali f he n i s ction 24 hours in advance.473-7357
OwnerlCon a site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
DATE � TIME
CITY OF ORONO CALLEO IN --� �0- 7
INSPECTION NOTIC SCHEDULED _�� � o-d
PERMIT NO. ��3� COMPLETED
ADDRESS ��dS �¢.7` GL
OWNER����cc�.C- CONTR. %�,��-d.�-ri l���g
TELEPHONE NO. � � 3 -77/ �
� DESCRIPTION � �
� 01 FOOTIN(3 11 MECHANICALRI 18EXCAV/GRADINCi/FIWNCi
�Q 02 FRAMING 13 MECHANICAL FINAL 19 LAI�SHORE/WETLANDS
p 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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= OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEM�SITE 27 SEPTIC MAINT. 21 COMPLAINT
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� 07 DEM FINAL 15 SEPTIC INSTALL 22 FOLLOW-UP
= PLUMBING 23 SEPTIC FINAL 35 HARD COVEH REMOVAL
v 10 PLUMBIND FINAL 2$CEDAR SHINGLES 36 FOUNDATION HEMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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PERMANENT
iECT UNSAFE CONDITION WITHIN HOURS. ` pH0T0 TAKEN
SPECTOR WILL RETURN
`OER POSTED.CAIL INSPECTOR
C GTATtON ISSUED
�N REQUIRED.CAIL TO ARRANGE ACCESS.
�r the next inspection 24 hours in advance.47�73rJ7
t site
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,,.nspector's File Canary CopylSite Notice
CITY OF ORONO CALLED IN � DATE n ��;IM�� /
�� 4�
INSPECTION NOTICE SCHEDULED - s r
PERMIT N0. - �� � COMPLETED '" � � � �: �
ADDRESS � o�
OWNE � CONTR.
TELEPHONE NO. �� �'(o/�o�a.
� DESCRIPTION ��
� 01 FOOTING /1 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 b 13 MECHANICAL FINAL 19 LAi�SHORE/WETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q
= 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEM�SITE 27 SEPTIC MAINT. 21 COMPLAINT
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� 07 DEMO—FINAL 75 SEPTIC INSTALL. 22 FOLLOW-UP
2 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER FiEMOVAL
� 10 PLUMBING FINAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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0 BEFORECOVERING PERMANENT
❑COfiRECT UNSAFE CONDITION WITHIN HOURS. -, pH0T0 TAKEN
�NSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
=: CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.47�73�J7
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Inspector.
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White Copyllnspector's File Canary CopylSite Notice
DATE 4 � TIME
CITY OF ORONO CALLED IN ` '
INSPECTION NOTICE , . SCHEDULED �� �f !'
PERMIT NO. } �� ' J COMPLETED �� t�
ADDRESS Y � "? �-!'-'r�� _ - -7 �r �-
OWNER ��- _�,_-' C��C������C CONTR. �
TELEPHONE NO. � � ' � ' t �-
� DESCRIPTION �' '---t ';=�_-��'
� 01 FOOTINy 11 MECHANICAL RI 18 EXCAV/GRADING/FILLINd
�Q��02��RAMING 13 MECHANICAL FINAL 19 LAI�SHORE/WETLANDS
Q. 031 S�ON 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q
Z 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
~ 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
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� 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARO COVER REMOVAL
v 10 PLUMBINO FINAL 2$CEDAR SHINGLES 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspgction 24 hours in advance.473-73�J7
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OwnerlContrac�pc site:
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White Copyllnspector's File � Canary CopyfSite Notice