HomeMy WebLinkAbout1996-008418 - plumbing � �______
.� PERMIT
• CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 P e r m i t N u m b e r: F��:;�1 ',�;�t'
Crystal Bay, Minnesota 55323 {}������ -
(612)473-7357 Date Issued: �}_��•���Y�r,
SITE ADDRESS:
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REMARKS:
FEE SUMMARY:
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APPLICANT/PERM�TEE SIGNATURE ISSUED BY:SIGNATURE 4�
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CITY OF ORONO APPLICATION F�LUMBING 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 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 OIV 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. Call 473-7357. 24-hour notice required.
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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: �� �tew Addition Repair Replace
�%Residential Commercial
JOB SITE: � - ,t _ Zip:
Owncr's Name: Telephone Number:
Mailing Address• City: Zip:
Contractor'sName: r ,, TelephoneNumber:
MailingAddress: City: Zip:
PLUMBING F'IXT'URE 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 Heazer
Disposal Water Softener
Dishwasher Wet Baz' '
; , ,
Sillcocks Misc (list) �
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PERMIT FEE CALCULATION �
1. 1.25% of Contract Price* or Minimum Fee ($35.(?0)
.��; r . 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) $
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted
work including materials, labor, profit, and other fized costs. It is the amount to be charged to the
customer for the work done. If any material, equipment, labor, or installation are fumished by the owner,
tenant or any other pany the reasanabie market value of such items must be added to tne 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.
** The STATE SURCHARGE is .0005 of the contract price under $1,000,000 or $.50 - whichever is
greater. For valuations over $1,Q00,000 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. �
Applicant's Signature: � Date: — �"
__ _:�._-__:�-._ �._�.,�:.�,.-�.- ,:. -� .. _
D TE TIME
CITY OF ORONO CALLED IN '�� � ;`E
INSPECTION NO C SCHEDULED i'�^l�/;-� /�: c�'
PERMIT NO. �� � COMPLETED �
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ADDRESS �i ?'�-z i��_ �
OWNER � _G��c� CONTR. �.--�U.���;�;,-:,:
TELEPHON E NO. ��� �' --_i C' `% �
� DESCRIPTION �-�i ." , � �-" .�s `�-
� 01 FOOTING I l� /�� 2 18IXCAWCaRADING/FIWN(3
y 02 FRAMING HANICAL FINAL 19 LAI�SHOREJWETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q
2 OS FINAL 14 SEWER HOOK-UO 06 PROGRESS
~ 07 DEM�SITE 27 SEPTIC MAINT. 21 COMPLAINT
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w 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
_ �LUMBING RI 23 SEPTIC FlNAL 35 HARD COVER REMOVAL
� 0 PLUMBINO FINAL 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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d WORKSATISFACTORY:PROCEED � PROJECTCOMPLETE
� L CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN
INSPECTOR WI�L REfURN
❑STOP ORDER POSTED.CA�L INSPECTOR
G CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the n xt nspection 24 hours in advance.473-7357
OwnedCo ra o s e:
Inspector.
White Copyllnspector's Fil Canary CopylSite Notice
DATE TIME
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CITY OF ORONO CALLED IN �i��ly�
INSPECTION NOTI'C�, SCHEDULED -3/oZS�7 3 : �3�?
PERMIT N0. �� � COMPLETED —� —5� 3 ��a
ADDRESS L�
OWN ER CONTR.
TELEPHONE NO. �G� �� ��7
� DESCRIPTION ���,,�r.9�
� Ot FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FIWNG
�Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q
= OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
~ 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
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W 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING R�I � 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� UMBING FlNAL > 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL
� TO MEET YOU:`YES_NO
� COMMENTS:
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�ORKSATISFACTORY:PROCEED PROJECT COMPLETE
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W L CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
O �-'.CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING pEFMANENT
CJ CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cali for the next inspection 24 hours in advance.473-73�J7
OwnerlContr r on '
Inspecto .
Whi opyllnspector's File Canary CopylSite Notice