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HomeMy WebLinkAbout1993-005770 - plumbing � � ' PERMIT � CITY OF ORONO PERMIT TYPE: � 2750 KeUey Parkway • P.O. Box 815 ��; :�`_~'°j F�ljti � Orono, Minnesota 55356-0815 Permit Number: ;_}{:;���j�� • - (612) 473-7357 Date Issued: � �. �.!�i":;i�a:�: SITE ADDRESS: � _.. _. .w -, �- - . _ ,.. , ; , , . . � ,: ..; � :; .. .. . _. .::.. �, :_ . , ;. . : .::: :. . . _ . . . , — -----------------_ ---------------_ ----___----------- DESCRIPTION: � :�,4 �.j�(tl�;�_� �-�'ll.itil�_�311� �'i=:1'f3i1�• �`���E_ . .. . .. . �'�1{»��il��}.�f`� fc����i��:; ��f 1'.,t; �':�����:Lj�.e " �. �.s�f�3 E'�i f:�(_4'.�,C, � t�� {_f'-it��=i�f 1��( ._:�-i i i': : ' '�'--;�F�? _ �'��.� ' {.�Ht{`� = i k��'•, #_ [}T_:�;�'E,;°� 1 D�'=��-IWi�'.�H��=i �� _=I�!._�;.:�_�!=���.'_� �, F��J!I�° .. .._ 1 !_a[)�#E.7R�� �F���:4' t t��;'=:HE� � �:iF�+TE�; i—;��;�: - . i :��?�1�=' F't1�f�=° � �:;l��ER �:�___"'__ _. . . _ - -- � =;f�-?;�'E:I�.r�i';;-'7 i (j%.�'':L"�'"7 P.!`:. _. . . . . _._-.E� _ —-,-�{;,: 1�•.L t 1 L't Ul'\lJlTL' �r�j:;u�•r �lcr�=�= z i�'�rnet�+i.. v� � .a�.•e_ '!�t!t!�r!f/tf� '`'` 1 Jl�tt'V 1r�VV r` REMARKS: �j/�j/�/"" ""j"` 1iLtiVVVVSV � n iJ'� f�� �' :i V1 VLl 1+Lr' 1r�t�llitVt VV n FEE SUMMARY: �} "" .�' r•�i�r�'' ?'i :.`":).v% ��'��t,YEl�TTiii� �1�, �'��:'sr._` t,�"�,�t �r�rf ;•.fe•C7G7_�'is�`i�1t� f�L4L11 1 !!! !I 1 V � [� �}. y� ���(���,7f!:!} ''tkii j�ffT �i�f� : C�C'��� �F�W . 5,��:�i . �4T i�#,�i� �{�r }�1C1VK:V. L•IJL'.! ft41 f L=1=��' ' F_ !•e i �.; � a �; 1�,:;:'t' _���~[��Li}'+�l,� 'S:1 "" " _ ..�.��...�.�.�_ j,�,;G;,T. . �����..��.�;.... _...... . . _ ..... ..... . . .. r�, e � ,� � `,.',=.s. . . . . _ " - :'•?.:.q . _ ... - ._�_:;:_31. ... .._._ � e CONTRACTOR: — ��:�°;=°3 i�����':. — OWNER: �';-;;_>i•f;�°^;3��i:� �=Lf:,�;� �'�=:_������� ��i�.I�;�r�° F�;�ih°�ELi•iHi�� i��,i}:_:1 hi I h�t:iF���stv�:::� ?t�!['��_!�=�T ;��a r'1 i�� �_:t it;��;��it�tC) C��C , t1i��t�1E�"f=ii�F:'� t'(1�J ��:=;!�=� ���h+�ihl�� t�1��� ��:�,.=_,r: . . ; ,r. W.: ,— . — [ {- . _.u.:.._ � i i�' �':i��ii—�.`'a i f'i;�'�:..�.. . , 3 i . .._. •_ ._ _ .+i._: r.' ;` kG','•.a`(_ .__. f _ F_. . _. _ .. � . � _. . ..�.0 S�;.J�.. ;,�:_i•`.i ��=;k"�i:�E_.s4tCyP,�iL��� ! — _ '.. ..._.. ...... . . ., f ....�.. .. Yi i-. , :�h=�_;_, r �i.., . ,� �•. �.. 4 - -;�T�i''?�: , iV;i;* . , . ,� z } , . I — I i i`' ' F � E _.'.� � i.;�''�:t �' � i i''"i "'•!" � ' i L �- -•• .. •_; ��a :�_: t'�:'•...., i- .a, ..__...... . _ _ _ .-�.._ . _ , _ _ _ tl € .='��3�._.._ sa� . r # t ' t _ ;..,,_._. . . t-��._`_ _ _ . _,6 [� _ _ . .. f�.•;�-,z,.#•�t_: �i�:�-:.i.)f (`���lL�n C��_ .:�L�.� _. . :. . i_ ... s'i,3 l4.S._...... ...I � wi' t"'S_t_ _...�.i:.�`�.� _1_!:_'�'. �?�.t`?}T.�:'t;j(a}f�r`.% � :_. . � . �. ., ,•. �._ r � . t i L � .�1'1��,���,�.��a�,�— �� �_ APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE E .� ` � . N�� 2 3 ������ 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. Pernut 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 pernuts 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, call 473-7357. Please check one: �( New Addition Repair Replace �_ Residential Commercial ' ` Zip: JOB SI'I'E: �� %,I� � : � ,��s;c���' l��c'�< <V"_�� Owner'sName: � � ���t�,���r ,--'-J1Zc�., a��t \ ���:; ,, � TelephoneNumber: Mailing Address: City: Zip: Contractor'sName: ��i ,, ��r, , �I TelephoneNumber: 'j-;� `J�jj'� MailingAddress:i� �� , � ��ti tk�.,. .�.:.��� �i City: � ��, i-�-,.... Zip: ���.�_��l :� PLUMBING FIXTURE SCHEDULE FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER TYPE FL FL TYPE FL FL Water Closet �� , J • �a, Sewer Ejector � Lavatory �� I �� L � Laundry Tray ( _ _, � � Bathtub "� Washer �..� � Shower � l / Water Heater I -- �. �., , � Kitchen Sink � ������r Disposal Wet Bar Dishwasher Floor Drains ,� - ;r .: �: ` �,� Sillcocks " Misc (list) � ,� 1!���c 1-ScL- ..� i L4._� f'+.. . .j��. . � i r-1 `\ �•}�•i L. � � ��i��}-� . 1�l C�c•.rz.cJ� � . i . > ,"� PERMIT FEE CALCULATION 1. 1.25% of Contract Price* or Minimum Fee ($3�.00) . 11J ��` „' � x 1.25 $ � ' � — -r ' (contract price) 2. State Surcharge. ** Add the State Building Code Division Surcharge to each permit. ��j �( � x .0005 $ 'f , ���, (contract price) 3. Posta�e and Handlin� (Only mail-in applications) $ 1.50 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ / /� , � i, * CONTRACT PRICE or JOB COST means the actual or estimated dollaz amount charged for the permitted work including materials, labor, profit, and other fixed 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 cor.trac�price for permit fee gurposes. In the event that there is a dispute or.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. �J Applicant's Signature:- / �i��>>� ��/) i��,��E � Date:�l-�.� -�.3 � DATE TIME CITY OF ORONO CALLED IN /��a 3-�� INSPECTION NOTICE ���� SCHEDULED ,�- a y /o �3 � PERMIT NO. � COMPLETED ADDRESS �� d 7 ��-��� '�-' OWNER�,GL�/�,F���-�'► CONTR. �l1 TELEPHONE NO. �1' � 3" ���7 � DESCRIPTION 11 4..� " i� 9�a q�/ �a� �� � 01 FOOTING 11 MECHANtCAL I 16 WELL TEST PUMP Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRAOING/FILLING y 031NSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE FEMOVAL 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 = PLUMBING 15 SEPTIC INSTALL. 22 FOLLOW-UP J 10 PL FINAL 23 SEPTIC FINAL Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO 2 y COMMENTS: � W C � � O a � O � W � Q � 2 W � W � � � �1 WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W �❑COFRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION' TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN iNSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance.47�73�J7 OwnedContra o ' e: Inspector: White CopyMspector's Fi Canary Copy/Site Notkx DAT TIME CITY OF ORONO CALLED IN ' -9 � INSPECTION NOTICE SCHEDULED 1/ ��9-9� a : 0-a PERMIT NO. � 7 7O COMPLETED K-- �_ ADDRESS a/D J �'� . OWNER � ��l�CONTR. r- f'�� TELEPHONE NO. 33 - �?�� � DESCRIPTION e- � 01 FOOTING 11 MECHANICALRI 16WELLTESTPUMP Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADING/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 SET/TURN ON 17 SITE INSPECTION � 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS `� 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT = PLUMBING RI 15 SEPTIC INSTALL. 22 FOLIOW-UP - J 10 PLUMBING FINAL 23 SEPTIC FINAL � OWNER/CONTRACTOR TO MEEf YOU:_YES_NO y COMMENTS: � W 4, � J O �. � O � W � Q � 2 W � W � � d ORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE W � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE COND�TION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR C CITATION ISSUED �INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next'nspection 24 hours in advance.473-7357 OwnerlContr on it . Inspector. .: Whfte Copyflnspector's File Canary Copy/Site Notice :�. ATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED � � 9.'� �d d PERMIT NO. S� COMPLETED � k ADDRESS � OWNER CONTR. . /`j' TELEPHONE NO. �'l�� - rJ 7�7 � DESCRIPTION.Q2/��r,�i.� � Ot FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADINGIFiLLING h 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORFJWETLANOS Z 04 WALL BD. 12 WATEFi HOOK-UP 34 TREE REMOVAL Q 05 FINAL 13 METER SETlTURN ON 17 SITE INSPECTION � 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS Q 07 !►L 27 SEPTIC MAINT. 21 COMPLAINT = PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP J 10 PLUMBING FINAL 23 SEPTIC FINAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: W �C � � O �. � O � W aC Q � W � W � � J d RK SATISFACTORY:PROCEEO ❑ PROJECT COMPLETE W � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK�LL FOR REINSPECTION' TEMPORARY V BEFORE CONERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN O STOPORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the ne inspection 24 hours in achranoe.473-7357 OwnerlCont� e: Inspector: WhRe CopyAnspector's Fik Canary CopyfSite Notice DATE TIME CITY OF ORONO CALLED IN � � �� INSPECTION NOTICE SCHEDULED �lo �� cl_' 3Ci PERMIT NO. �i 7 �D COMPLETED P� t( ADDRESS � � �' ' �� OWNER CONTR. . � TELEPHONE NO. ��� - ���� � DESCRIPTION� �?�i�r;��� l� 01 FOOTING 11 MECHANICALRI 16WELLTESTPUMP � 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADINGIFILLING � 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 J 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT Q W 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP � 0 PLUMBING FIN�AL � 23 SEPTIC FINAL 16ANiRACTOR TO MEET YOU: YES NO Z � COMMENTS: � �'1,� �i -�� n / �i / � �c�� � � J O >. � O � W � Q � ✓v��t.c� - D z - W � � 1�,' C��^ C? S �S�G- £' c. J d �WORK SATISFACTORY:PROCEED �; PROJECT COMPLE W � ❑ CORRECT WORK&PROCEED �� ISSUE CERTIFICATE OF OCCUPANCY W Q CI CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑ CORRECTUNSAFECONDITIONWITHIN HOURS. n pHOTOTAKEN 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.473-73�J7 Owner/Contra r n^s��e� Inspector. - \v White Copyllnspector's File Canary Copy/Site Notice