HomeMy WebLinkAbout1999-012255 - plumbing �r � PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway - P.O. Box 66
Crystal Bay, Minnesota 55323 Permit Number: -
(612) 249-4600 Date Issued: _ ,,_,._r�4
r �-�i -
SITE ADDRESS:
;-:;=.:�=:
- �i i=�;-=�'T,-�-•�=:,;—:;'W:.—f*,:'. _ -
DESCRIPTION:
__�r�:=��i�-: ;==_�-�.,y t. ;� ��t� . ._ . � .:��::���
�:,�; . . _; ;- - ~iTT;�����
_��.�.�. � . _ 4�s��. .. __ >��}.�_. ._ _.
- =;�1;-;{ �:€ '• l:=�=i — -_''�`v;-jy!f_ji�'y 1. _.-+_}4:s�_';
_„ �'i #_..�:. . _.. .. ._;v:-�
REMARKS:
FEE SUMMARY:
. . ._». i^.i 1 F,i.,6i�u � ' r " '
._ �.._' 7 '".a�:;� . _.._ . ._ _
;',�_.�lt'����i��i i �F-� ".��...�....��...���� ._��i
i t'E'�_=it_ ("':,`_ -. �. . . `_:f_t
CONTRACTOR: _ - - _ - -,- OWNER:
:_: , ...: :- :_; . ti«r: :�.� ;;:� -
f„'�,�—�`i;—; f�l I�Ii {M ! _ _', ' ' _
. __ ._ :t . . __._`{�, �tE``ii._:_�i� _. . _. _. _ _. �_�"�["i.`.:t=_�.._ !"�F..
_.. . . '::-r.`-. r` -r—- .- . . .. . .._ . . . _. _ ' ,
. =�.:_.. . ._ _ ,.. _ .��"�
��.� . _ .... .
. .
�� �3�M_. _ `S'�i����) �"��!'+._.�:'�' .`?�ex���:. # ' €`__ , .s �, . x . ' �`1!� _ �' i.t°� `
` � . __ . :1.. '` , .
�y��."�i-�'�"' '• ,_�_:� ��#�SY! �ar��``..»�s_ m'�..� '..,5`�� : r � �s� �'' '` F`^.' . . , t
�._.. . .._.._ :4��t . •. a.. , _ , , _:_. � {_� ' t'___, �+� .... .. � t. s� ' . _ � .�
_ }, ."" w. �. 'r ` � s=; `,a w�� r�. I y t� '{ -
_
L ��E��IS�I „-F.. _. _ _ .. .. .. � �._ f s {Fi _ �L.. .... ._. _ _�. _ '� _ . .. _. — �
A I Ti MIT SIG RE ISSUED BY:SIGNATURE
CTl'Y OF ORONO APPLICATION FOR PLUMBING PERNIIT
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 cazds will be sent by return mail after a review is completed. PER�vITTS ARE NOT VALID
UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN U�1TIL 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 remodeling is involved, a separate building permit must be obtained.
5. All work must be done in accordaace with the State Code requiremenu.
6: All work must be inspected and air tested before it is covered. Call 249�600. 24-hour notice required.
Instructions Complete all items on this application. Compute the permit fee. Sign and date .
the certification. INCOMPLETE APPLICATIONS W'II..L NOT BE PROCFSSED. If you.have
questions, ca11249-4600. �
Please check one: New -✓ Addition Repair Replace
Residential Commercial
JOB STTE: �,>�� � l'L�/c�-- ���'c°�� Zip:
Owner's Name: �i� ,e Telephone r'umber: . ��qp- (�iyq
Mailing Address: City: Zip:
Contractor's Name: .� Telephone Number:
Mailing Address: City: ��v� Zip: 37
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet t Floor Drains �-
Lavatory � Sewer Ejector
Bathtub Laundry Tray
Shower f Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher We� Baz
Sillcocks Misc (list)
PERMIT FEE CALCULATION
1. 1.25 9b of Contract Price* or Minimum Fee ($35.00)
t�a(3D x .0125 $
(contract price)
2. State Surchar� ** Add the State Building Code Division
Surcharge to each permit. � x .0005 $
(contract price) � �
or $.50, whichever is greater
3. Posta�e and Handling (Only mail-in applications) $ 1.50
4. TOTAL PFRMIT FEE ' (Add lines 1-3 above) $
* CONTRACT PRICE or JOB COST means the actual or estimated dollaz amount charged for the permitted
work including materials, labor, profit, and other fued cosu. It is the amount to be charged to the
customer for the work done. If any material, equipment, labor,or installation aze 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 City may request the submission of a signed copy of the actual contiact.
** 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 Inspecrional 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 tatements made on this applicarion are complete, true and
. correct. � � �
0
Applicant's Signature: � Date: ��' � �
DATE G(,� TIME
CITY OF ORONO CALLED IN �z � [ / ��
INSPECTION NOTICE SCHEDULED Z–� cI �G `—�'—
PERMIT NO. 1 Z2 S � COMPLETED ��g 6'^ �r�
ADDRESS I�� g ��'�'�-�- ��C'e
OWNER CONTR. t� � 1-� ���Yl�"a,(Zaf
TELEPHONE NO. �s��� " �' �``��
� DESCRIPTION
L� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 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
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
Q
= PLUMBING R 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 G FINAL 36 FOUNDATION/REMOVAL
� OWNEHICONTRACTOR TO MEET YOU:_YES_NO
� COMME TS:
a � 7� iv �'
J G%(/�--`�
O
a
�
O
�
W
�
Q
�
Z
W
�
W
�
�
GW �`I VORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. �, pHOTOTAKEN
INSPECTOR WILL RETURN
C CITATION ISSUED
❑STOP ORDER POSTED.CAIL INSPECTOR
❑ INSPECTION REQUIRED.CALI TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnedContractor on site:
inspector.��,�C�'� �� ��
White Copylinspector's File Canary Copv'