HomeMy WebLinkAbout1997-009568 - plumbing -� PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66
Crystal Bay, Minnesota 55323 Permit Number. _
(612) 473-7357 Date Issued: -
SITE ADDRESS:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: - � OWNER:
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LICANT/PER E SIGNATURE ISSUED BY:SIGNATURE
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C1TY OF URONO APPLICATION FOR PLUMBING P�RMIT
Box b6 (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 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 PERMTT 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 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. Ca11473-7357. 24-hour nodce required.
Instruction� Coa�plete all items on this application. Compute the permit fee. Sign and date
the certificatioii. INCOA9PLET� APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, ca11473-7357.
Please check one: New Addition Repair Replace
Residential � Commercial
JOB SITE: . i O w Zip:
Owner's Name: � �m� � � Te ephone umber: ;/�3--�.5'�S�
Mailing Address: /z- z w City: ,� �- ip:
Contractar'sName: , ,,, 5 c�.� Telephon N�ber: y?g--6�-7 �s
MailingA.ddressc �. c,.� • ity: �! � a�aZip��
: PLUMBING FII�TURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
� Water Closet Z. Floor Drains ' .
Lavatory Sewer Ejector
Bathtub Z- Laundry Tray � �
Shower � Washer �
Kitchen Sink Water Heater �
Disposal Water Softener �
Dishw�sher � Wet Baz
Sillcocks � Misc (list)
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee 5.00
2'� v-- 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 PERMIT 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 parry the reasonable market value of such items must be added to the esrimated 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 sigaed�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 applicadon are complete, true and
correct. �
�
Applicant's Signatu �/ � Date:
' DATE TIME
CITY OF ORONO CALLED IN
INSPECTION N TICE SCHEDULED �7 �`�.=�0—
PERMIT N0. �'� COMPLETED
ADDRESS d � ,
OWNER CONTR.
TELEPHONE NO.
� DESCRIPTION `�(J
� 01 FOOTINCi /1 MEC CAL RI 18 EXCAV/(3RADINCi/FIWNQ
� 02 FRAMINO 13 MECHANICAL FINAL 19 lA1�SHORE/WETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q
= 05 FINAL 14 SEWER HOOK-UP O6 PROORESS
~ 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
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�Q 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
2 69 P UMBINO RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBINQ FINAL Z8 CEDAR SHINGLES 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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d C WORK SATISFACTORY:PROCEED � PROJECT COMPLETE
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. r pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL iNSPECTOR � CITATION ISSUED
G INSPECTION REQUIRED.CA�L TO ARRANGE ACCESS.
Cali for the ne t inspection 24 hours in advance.473-7357
OwnerlContra o o te:
Inspector.
White Copyllnspector's le Canary CopylSite Notice
DATE TIM,
CITY OF ORONO CALLED IN I -%1-y � ; ��
INSPECTION NOTICE SCHEDULED /� -�3 -�7 - �4m
PERMIT NO. ��� COMPLETED � �
ADDRESS GZ� �
OWNER �-a- l.L�t1�G� P .. CONTR.
TELEPHONE NO. — y � � - � �71,Sr
� DESCRIPTION �
� 01 FOOTINCa 1 MECHANICAL RI 18 EXCAV/GRADING/FILLINO
y 02 FRAMING 13 MECHANICAL FINAL 19 LAI�SHORE/WETLANDS
Q 03 INSUTATION 24l25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 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
�Q 07 DEM�FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
PLUMBING RI 'i 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v � g��� 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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- PROJECTCOMPLETE
W O CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
� C CORRECT WORK,CA�L FOR REINSPECTION TEMPORARY
� BEFORE COVERING 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 i spection 24 hours in advance.473-7357
OwnerlContra tE or n si e.
Inspector. �
White Copyllnspector's File Canary CopylSite Notice
ATE TIME
CITY OF ORONO CALLED IN � .Z��'��-?'
INSPECTION NOTICE SCHEDULED �-Li/� :1' J ����
PERMIT NO. COMPLETED �_ �
ADDRESS _ �'`/ D�� r.�. �,� ;-r-zP�
OWNER CONT�.��� , r�7�.,
TELEPHONE NO. �7� - C�, '7i '�
� DESCRIPTION � i
� 01 FOOTING �h HANICAL RI � �l� 18 EXCAV/GRADING/FILLING
y 02 FRAMING 13 MECHANICA RfAt 19 LAKESHORE/WETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q
= 05 FINAL v 14 SEWER HOOK-UP 06 PROGRESS
J 07 DEM�SITE� � �0 27 SEPTIC MAINT. 21 COMPLAINT
C'�>
W 07 DEMO--FINAL r 15 SEPTIC INSTALL. 22 FOLLOW-UP
PLUMBING RI 'J�,� 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v PLUMBINC3 FINAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� ❑WORK SATISFACTORY:PROCEED
W� : PROJECT COMPLETE
W C CORRECT WORK&PROCEED - ISSUE CERTIFICATE OF OCCUPANCY
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILI RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
� CITATION ISSUED
CJ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next'n pection 24 hours in advance.473-73�J7
OwnerlContract sit :
Inspector. -
White Copyllnspector's File Canary CopylSite Notice