HomeMy WebLinkAbout1998-009853 - plumbing PERMIT
� TY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66
Crystal Bay, Minnesota 55323 Permit Number:
(612)�73-7357 Date Issued:
SITE ADDRESS:
DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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APPLICANT/PERMITEE SIGNATURE J ISSUED BY:SIGNATURE
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CITY OF URONO APPLICATION FOR PLUMBINf�PP�dVI�
�ox 66 (27�0 Kelley Parkway) '�.�. �' �
Crystal Say, MN 55323 c "� G
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. GENERAL INFORMATION � `�
1. You may apply for plumbing permits by mail or in person at the City o�ces. O
2. Permit cazds will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS
POSTLD 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 remodeling is involved, a sepazate building permit must be obtained.
5. All work must be done in accordance with the State Code requirements.
6. A11 work must be insgected and air tested before it is covered. Ca11473-7357. 24-hour notice required.
Instructiov� Coaiplete all items on this application. Compute the permit fee. Sign and date
the certificatioii. INCOMPLET� APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, ca11473-7357.
Please check one: � New Addition Repair Replace
x Residential Commercial
JOB SITE: a9�S �o`/F��S� .Z.�1 Zip: SS3a3
Owner'sName: ��,E,P �.c1D,eE,� TelephoneNumber: �,3 y-o yy9
Mailing Address: /�//�o GJ. �� v�T City:F.I�,E'� ,�,��PLip: ,S,S'3 �/�/
Contractur'sName: ,��,�,�5/D� P,�86 d � TelephoneNumlier: 8'y S/-76a o
MailingA.ddress: �ayd� Zi��'�� 1�d£ So. City: �'�1d�6�E Zip: SS37�
PLUMBING FII�TURE SCHEDULE
FIXTUR.E BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet J RZ o� ,3 Floor Drains a -jn A'������
Lavatory � �'Z 3 � Sewer Ejector
Bathtub / �'Z Laundry Tray �
Shower l � Washer �
Kitchen Sink f Water Heater �
Disposal J Water Softener
Dishw.�sher f Wet Bar �
Sillcocks � Misc (list)
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PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
8' y � X .oi2s $ �lo. 3�
contract price)
2. State Surchar� ** Add the State Building Code Division
• Surcharge to each permit. lG, �a5."'� x .0�05 $ g• y� _
(contract price)
or $.50, whichever is greater
3. Posta�e and Handlin� (Only mail-in applications) $ .
4. TOTAL PERNIIT FEE (Add lines 1-3 above) $ v?p, a�
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount chazged 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, labt�r,or installati�n 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 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: /o?��/-�7
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DATE TIME
CITY OF ORONO CALLED IN �-� �1� D'3G ary
INSPECTION NOTICE �- SCHEDULED ��-�,_. . ���'�`2
PERMIT N0. � COMP�ETED
ADDRESS 7� ��e�^ � �.
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OWNER� � � CONT
TELEPHONE NO. a �Y ` �(S,6L) /
� DESCRIPTION .�'-��Lx2--cc�
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
Q 031NSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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= 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEM�SITE 27 SEPTIC MAINT. 21 COMPLAINT
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�Q 07 DEM�-FINAL 15 SEPTiC INSTALL. 22 FOLLOW-UP
_�A LUMBINC� 23 SEPTIC FINAL 35 HARD COVER REMOVAL i
v 10 PL I FINAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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�d ORK SATISFACTORY:PROCEED
PROJECT COMPLETE
W C CORRECT WORK&PROCEED - ISSUE CERTIFICATE OF OCCUPANCY
O C CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. -- pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOPORDER POSTEO.CALL INSPECTOR CITATtON ISSUED
❑ INSPECTION REQUIRED.CALL TO AFRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContrac r n i :
Inspector.
White Copyllnspector's File Canary CopylSite Notice
DATE Q TI E
CITY OF ORONO CALLED IN � " � Q
INSPECTION NOTICE _ scHE�u�Eo - - //��` a��%
PERMIT NO. ��PS � COMPLETED �—
ADDRESS
OWNER '�-�- CONT ��_ �� �c- �
TELEPHONE NO. d���� ��'U� �
� DESCRIPTION
l� 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 REMOVA�
Z 04 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
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FO�LOW-UP
W UMBING 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� LUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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V BEFORECOVERING PERMANENT
❑ CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next i s ection 24 hours in advance.473-73�J7
OwnerlContrac o sit
Inspector. -� ='
White Copyllnspector's File Canary CopylSite Notice
DATE ��/:TIME
CITY OF ORONO CALLED IN �J -�?�-y� J •'�� 7
INSPECTION NOTIC� SCHEDULED �� n•' ��i
PERMIT NO. �� `7�� COMPLETED � ^/�
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ADDRESS � - �I 7J � ,f���;a: ' '� ��
OWNER �y���-� CONTR G�-�-�=�-�E�- �v�Gj
TELEPHONE NO. �.��� 7� C- �' � ��i-
� DESCRIPTION
t� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q O5 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
T �9�1.t1A481t�tG..EiI__ 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBING FINAL�'� 36 FOUNDATION/REMOVAL
� OWNERI TO MEET YOU:_YES_NO
� COMMENTS:
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W� WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. r- 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
OwnerlContrac i :
Inspector. -
White Copyllnspector's File Canary CopylSite Notice