HomeMy WebLinkAbout1993-005123 PEI�MIT
CITY OF ORONO PERMIT TYPE:
2750 Keliey Parkway • P.O. Box 815 ���-�;��'����
Permit Number. �it a��:�:;
Orono, Minnesota 55356-0815 � �
(612) 473-7357
Date Issued: �_��,:��?;���:;
SITE ADDRESS:
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REMARKS:
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PLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE �{jU
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CITY OF ORONO APPLICATION FOR PLUMBING 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 return mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECENE 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 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.
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, ca11473-7357.
Please check one: ✓ New Addition Repair Replace
�Residential Commercial
JOB SITE: v2�l� �u a�c.�o a c4 �/'. Zip: � �
Owner's Name: o ti MPs PS�P!' Telephone Number:
Mailing Address• City: Zip:
Contractor'sName: �. c.�t e r q e ; Zi�.c � Tele honeNumber: `7!S- 7�/9 -3 3�/
MailingAddress: /O 9/ 80� /�v e . City: �0 8���'G��Zip: �y O a 3
PLUMBING F�TURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet 3 � Floor Drains /
Lavatory 3 Sewer Ejector
Bathtub � � Laundry Tray /
Shower / Washer �
Kitchen Sink Water Heater �
Disposal � Water Softener
Dishwasher Wet Baz �
Sillcocks � Misc (list)
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00) ` vd
�/y, ooa X .oi2s $ / 7-5 '
(contract price)
2. State Surcharge. ** Add the State Building Code Division �
Surcharge to each permit. � /5!, O o O x .0005 $ �
(contract price)
or $.50, whichever is greater
3. Posta�?e and Handlin� (Only mail-in applications) $ � N�
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ / o� `—
" * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted
work including materials, labor, profit, and other fiaed costs. 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 contract.
** The STATE SURCHARGE is .0005 of the contract price under $1,000,000 or $.SO - 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.
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Applicant s Signature: •
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DATE TIME
CITY OF ORONO CALLED IN �
INSPECTION NOTICE SCHEDULED 5- 7 .3 '. �-0
PERMIT NO. .S/a,,� COMPLETED �� �
ADDRESS ��/b �A�c�1Z%�-�-� �i�
OWN ER CONTR.
TELEPHONE NO.
� DESCRIPTION _ ��-�l
lti 01 FOOTING 11 M HANICAL RI 16 WELLTEST PUMP
� 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADING/FILLING
�
03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
Z04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SETITURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING 15 SEPTIC INSTALL. 22 FOLLOW-UP
J ING FINAL 23 SEPTIC FINAL
Q OWNERICONTRACTOR TO MEEf YOU:_YES_NO
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� COMMENTS:
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4 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. " PHOTO TAKEN
INSPECTOR WILL REfURN
❑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
OwnerlContra site:
Inspector. .
White Copyllnspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN �
INSPECTION NOTICE SCHEDULED � i'/�'1
PERMIT NO. �� COMPLETED � �� �
ADDRESS ���� u`- ' ��� ���
OWNER��2y� CONTR.
TELEPHONE NO. �I/�� � �y — .3-j�� �
� DESCRIPTION ��� ���� y'� 3� ������
� 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADING/FILLING
� 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
�
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q OS FINAL 13 METER SETITURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
J 07 UEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
i 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 P UMBING FINAL 23 SEPTIC FINAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� �WORK SATISFACTORY:PROCEED � PROJECT COMPLETE
W O CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. `- pH0T0 TAKEN
INSPECTOR WILL RETURN
C CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance.473-73�J7
OwnerlContractor si�q:
Inspector. �U
White Copyllnspector's File Canary Copy/Site Notice