HomeMy WebLinkAbout1993-005796 - plumbing —
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CITY OF ORONO y , PERMIT TYPE:
2750 Kelley Parkway • P.O. Box 815 • 't Permit Number: `_€�'�_�'-` '���'
' Orono, Minnesota 55356-0815 � '-"k�%`='€=�
(612) 473-7357 Date Issued: ��;,.���� �_�::;
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REMARKS:
FEE SUMMARY:
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE �
CITY 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 o�ces. � —
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 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.
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: !/New Addition Repair Replace
�Residential Commercial
JOB SITE: �.D o / Zip:
Owner's Name: �.t � -� (°� � Telephone Number:
Mailing Address: City: Zip:
Contractor'sName: TelephoneN er:
MailingAddress:� �� City: � ip: �.i�a
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet � Floor Drains �
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Lavatory � Sewer Ejector
Bathtub � Laundry Tray �
Shower Washer �
Kitchen Sink Water Heater j
Disposal � Water Softener
Dishwasher Wet Bar
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Sillcocks � Misc (list)
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PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
f�. Do� 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 Handli.ng (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 dollaz amount charged for the permitted
work including materials, labor, profit, and other fued costs. It is the amount to be chazged 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 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 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: /� — � —9'3
DATE TIME
CITY OF ORONO CALLED IN ��'/J`—��
INSPECTION NOTICE SCHEDULED ��-i�: 3 ; 3C
PERMIT NO. = �� � COMPLETED �� N
ADDRESS ���� `7 �A�'u`-='�� �L�/�-
OWNER �t-���-�s ��<-�� CONTR. ��c�-cc.t,�'c.
TELEPHONE NO. -� -� �''-�3 J ,
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADINGIFILLING
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
� 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
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Q 05 FINAL 13 METER SETITURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= PLUMBING RI � 15 SEPTIC INSTALL. 22 FOLLOW-UP
� 10 PLUMBiNG FINAL 23 SEPTIC FINAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� COMMENTS:
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d �ORK SATISFACTORY:PROCEED L, PROJECT COMP�ETE
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� ❑ CORRECT WORK 8 PROCEED �� ISSUE CERTIFICATE OF OCCUPANCY
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4 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. _ pHOTO TAKEN
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.47�73�J7
Owner/Contractor n s�te:
Inspector. v
White Copyllnspector's File Canary CopylSite Notice
TE TIME
CITY OF ORONO CALLEO tN � / y a
INSPECTION NOTICE SCHEDULED 7 •3 a
PERMIT N0. �7`�i<o COMPLETED '
ADDRESS
OWNE CONTR.
TELEPHONE N0. �3 3- `� 3-��
� DESCRIPTION�����i��
� 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADING/FILLING
y 03 INSULATION 2M25 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETIANDS
Z04 WALL BD. 12 WATER HOOK-UP 34 TREE REMONAL
Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 RI 15 SEPTIC INSTALL. YZ FOLL�N-UP
10 PLUMBING Ft 23 SEPTIC FINAL
2 WNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK 8 PROCEED O ISSUE CERTIFICATE OF OCCUPANCY
O O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITMIN HOURS. p pHOTO TAKEN
INSPECTOR WILL REfURN _n_,CITATION ISSUED
�STOP ORDER POSTED.CALL INSPECTOR
O INSPECTION REQUIRED.CALI TO ARRANGE ACCESS.
Cali for the next inspection 24 hours in advance.473-7357
OwnerlCon ite:
Inspector:
wnite coPrn�s�ors k Canary CapyfSits Nolke