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Home My WebLink About1994-006042 - plumbing PERMIT � �I'�"Y OF ORONO PERMIT TYPE: 2750 Kelley Parkway • P.O. Box 815 Permit Number: ��`—}��'��`��'�� Orono, Minnesota 55356-0815 �-�f x�=.i-��'�' (612) 473-7357 Date Issued: f�y1i�;t 7�;`�� SITE ADDRESS: :�E 1 =_!1i:�r=��teft i��!i1� �.�� _. . :. . . ;�t--;. 7 .- ...._.—-,# _c�i�:-;j,G. DESCRIPTION: _ _ i' .L:. i,,.:4-+;Y:`.. . _ �'a�It4>f• �Yi—'r� ��3;��_!I-i�'.—; :..��it�:�=_t��i *��=fi~E�: ry�'�� FiE.�=:�C�EhiC�E t:::__: :-:, ;_, <.°_ _ ,. �{,� -��;r�; - ... . . ._. . .:,__._ _. .� , ._ '�T{_ . 1 ��s�-IT 1�: '�:}-jt ii,.l�fi : �=:T`1 C:�I-hE�`�f =�1 t��:; #. ��I';��`��'�:AL D I`��Ht��l'=��F�; � _��I�L�:�aR,}.::'_; = F��a:}K t�#��I i�l`=; �.�1�1t�![t�Y l-F�� 1. ��F�T�:fi �-±�lITEF' _ WE:i� E:�� ,�; - REMARKS: 4--7•i% �i ir�til7�iri i, e � w +,++ u '"�Airii�i�`� i tL"C3'i'� i it�rnt � vr ! 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'._..4..�l._.. � . :.!....+ �j . � . . .. - .. . " .. __ , . . . .... . ..... . .. . � APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE .t'�. �'�o�l.�- � , , 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 offices. 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTII. 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 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. 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 PROCFSSED. If you have questions, call 473-7357. Please check one: �ew Addition Repair Replace Residential Commercial JOB SI1'E: 02,6 � �P� Owner's Name: Telephone Number: Mailing Address• City: Zip: Contractor'sName: Tel phoneN ber: ,�33 �5�3 S7 MailingAddress: q ' - City , Zip: 3.3`y�� PLUMBING F'IXTURE 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 Laundry Tray Shower Washer Kitchen Sink r Water Heater Disposal Water Softener Dishwasher Wet Bar SIllcocks � Misc (list) 3 (o y ``0� PERMIT FEE CALCULATION + 1. 1.25% of Contract Price* or Minimum Fee ($35.00) x .0125 $ ��;o s v (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 Handlin� (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 charged 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 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 Ciry 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: y� �--y DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED `�' xf- �`� �� ?:o> PERMITNO. ��y2 COMPLETED �( �— ADDRESS �c� � � -S`'Eg-✓'`�'"`'`�c� �G'�. OWNER CONTR. �� '"'��' TELEPHONE NO. � DESCRIPTION lu 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP � 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADINGIFILLING h 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREM/ETLANDS � 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL Z Q 05 FINAL 13 METER SETITURN ON 17 SITE INSPECTION � 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT � �9JPLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP J ��0 PLUMBING FINAL 23 SEPTIC FINAL Q OWNERICONTRACTOR TO MEET YOU:_YES_NO Z � COMMENTS: � � � K � J O >. � O � W � Q � 2 W � W � � d �IORK SATiSFACTORY:PROCEED ❑ PROJECT COMPLETE W � C�CORRECT WORK 8 PROCEED L ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ,`� pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR '-- CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473�73�J7 OwnerlContra r o site: Inspector. White Copy/lnspecto's File Canary Copy/Site Notice DAJF TIME CITY OF ORONO CALLED IN � �`� 4•�-, INSPECTION NOTICE SCHEDULED �- �D ` oc� ci PERMIT NO. COMPLETED l� �_ ADDRESS �v � OWNER JSp ��r� CONTR. �}- TELEPHONE NO. � 3 3 ' �3 �� v � DESCRIPTION � 01 FOOTING 11 MECHANICALRI 16WELLTESTPUMP Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORFJWETLANDS Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL Q 05 FINAL 13 METER SETlTURN ON 17 SITE INSPECTION � 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO— L 27 SEPTIC MAINT. 21 COMPLAINT iLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP J 10 PLUMBING FINAL 23 SEPTIC FINAL Q OWNERICONTRACTOR TO MEET YOU:_YES_NO Z y COMMENTS• W � a � � O >. � O � W � Q � 2 W � W � � _ / d �WORK SATISFACTORY:PROCEED ❑ PROJECT COMPI.ETE W ��CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORECONERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTEO.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTtON REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 OwnerlCont oA�ite: Inspector �� White Copyllnspector' File Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN � � INSPECTIAN N TIC SCHEDULED ��1�.�'�� PERMIT NO. .�-- COMPLETED �I _�__ ADDRESS -� OWNER � ` CONTR. �/-_ � ��-�<< .C" ' TELEPHONE NO. J� .3.� � ��S� � DESCRIPTION��22��f �� 01 FOOTING 11 MECHANICAL�11 � ' 16 WELL TEST PUMP Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADING/FILLING y 03 INSULATION 24I25 WOOD BURty,ER/FIREPLACE 19 LAKESHORE/WETLANDS O Z 04 WALL BD: . 12 WATER HOOK-UP 34 TREE REMOVAL Q 05 FINAL ,. ' 13 METER SETITURN ON 17 SITE INSPECTION � 07 DEMO—SITE 14 SEWER h100K-UP O6 PROGRESS v 07 UEMO—FINAL ' �"'` 27 SEPTIC MAINT. 21 COMPLAINT = 09 PLUMBING RI i5 SEPTIC INSTALL. 22 FOLLOW-UP J �UMBiNG FIN� 23 SEPTIC FINAL • , � � � ER/CONTRACTOR TO ME�T YOU:_YES NO � ' '• � COAAMENTS: � � � � � � . a � � , J - O , - � O �� . W . � � . Q - I� r T � 2 W . , � W � j . O . W� WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑ CORREC7 WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REIN�PECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. pHOTOTAKEN INSPECTOR WILL RETURN CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Caih}or the in tion 24 hours in advance.473-7357 OwnerlContr t n site: Inspector. .r � White Copyllnspector's File Canary CopylSite >. , `�