HomeMy WebLinkAbout1997-009513 - plumbing PERMIT
�Y OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 � E���:
Crystal �ay, Minnesota 55323 Permit Number: _
(612) 4�3=7357 Date Issued: ^
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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APPLICANT/P RMITEE SIGNATURE ISSUED BY:SIGNATURE
C1TY OF URONO APPLICATION FOR PLUMBING PERMIT
Box 66 (2750 Kelley Parkway) ' "
Cry�stal Say, MN 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 RECENE 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 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. All work must be inspected and air tested before it is covered. Ca11473-7357. 24-hour notice required.
Instructiona Coa�plete all items on this application. Compute the permit fee. Sign and date
the certi�catioii. INCONIPLET� APPLICATIONS WILL NOT BE PROCFSSED. If you have
questions, ca11473-7357.
Please check one: (/ New Addition Repair Replace
►�Residential � Commercial
JOB SITE: Zip;
Owner's Name: Telephone Number:
Mailing Address: D rv L-e �Q City: Zip:
Contractor'sName: e`� � TelephoneN ber: y7�zQg�
MailingA.ddress:�'�S,(J�h�� �r- City:jri� /P� .���." Zip:. �'�-.�S`� �
� PLUMBING FII�TURE 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 f Laundry Tray �
Shower � � Washer
Kitchen Sink � Water Heater �
Disposal � Water Softener �
Dishws�sher Wet Baz
Sillcocks Misc (list)
PERNIIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
(� a� x .0125 $
(contract price)
2. State Surchar�e. ** Add the State Building Code Division
Surcharge to each permit. � x .0005 $
� (contract price)
or $.50, whichever is greater
3. Postag�e and Handling (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 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� labor,or installation are furnished by the owner,
tenant or any other parry 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 cal! the Department of Jnspectional 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 Ciry and the regulations of the State of
Minnesota, aad certifies that. all statements made on this application are complete, true and
correct. � .
�
ApplicanYs Signature: Date:� �� `��
DATE TIM�
CITY OF ORONO CA�LED IN / -✓ �- �� � �'�'a '�-�
INSPECTION NOTIC SCHEDULED /l�a ► - ��9 ���r.
PERMIT N0. �J ( COMPIETED n�
ADDRESS � � �`J
OWNER ���l'Lc�-�� CONTR��—nZ..Q.-rtJ �GI_
TELEPHONE NO. `t � c7 ' �U�r-' -7
� DESCRIPTION
W Ot FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
�
� 02 FRAMING 13 MECHANICAL FINAL 19 LAI�SHORE/WETIANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIHEPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q
Z OS FINAI 14 SEWER HOOK-UP 06 PfiOGRESS
~ 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
J
Q 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
W PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
_
� 10 PLUM I G FINAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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d WORK SATISFACTORY:PROCEED
W - PROJECT COMPLETE
� ❑ CORRECT WORK&PROCEED ;- ISSUE CERTIFICATE OF OCCUPANCY
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� C CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING PERMANENT
i] CORRECT UNSAFE CONDITION WITHIN HOURS. �, pHOTO TAKEN
INSPECTOR WILL RETURN
G STOP ORDER POSTED.CALL INSPECTOR - CITATION ISSUED
i INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next ins ction 24 hours in advance.473-7357
Owner/Contractor�e:
Inspector. �
White Copyllnspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN 3 —i U�� � ` afi
INSPECTION NOTICEG�`� ? SCHEDULEO c�'� ��L `�Z
PERMIT NO. /v I J COMPLETED
ADDRESS
OWNER CONTR.
TELEPHONE N0. �7g -a� 9 7
� DESCRIPTION
� Ot FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 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 DEM - 15 SEPTIC INSTALL. 22 FOLLOW-UP
Q
= 85W� 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J PLUMBING FI 36 FOUNDATION/REMOVAL
� OWNE CTORT MEETYOU:�YES_NO
� COMMENTS:
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� WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED C ISSUE CERTiFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN
INSPECTOR WILL RETURN
l- CiTATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContract r o i :
Inspector. �.
White Copy/lnspector's File Canary CopylSite Notice