HomeMy WebLinkAbout1994-005964 - plumbing , PERMIT
� � CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway • P.O. Box 815 Permit Number: �`'E��'���T`��-
Orono, Minnesota 55356-0815 Date Issued: `-`='�`�=��_'�
(612) 473-7357 �-;:=t�,:�=,J���.
SITE ADDRESS:
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CONTRACTOR: __ __ OWNER:
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PPLICANT PERMITEE SIGNATURE ISSUED BY:SIGNATUR �'� �
, . � �r�-�9�
CITY OF ORONO APPLICATION FOR PLUMBING PERNIIT
� Box 66:(2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAI.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 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 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. Ca114'73-7357. 24-hour notice required.
Instructions Complete all items on this application. Compute the perm.it 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: SlaO ��PX Ci�G,�c �ra�o Zip: ,S� 3S�
Owner's Name: �/!� ,�,��s, `%ay,�s T �Q�a�� Telephone Number:
Mailing Address: City: Zip:
Contractor'sName: J �S« �/� i�9 TelephoneNumber: y,3,3-5 yaa
MailingAddress:�y37/ QNi�lc.� Gr/e City: Sca�r�� Zip: S5 a73
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet � � 3 Floor Drains /
Lavatory � � � Sewer Ejector
Bathtub � 3 Laundry Tray / /
Shower � � � Washer �
I �
Kitchen Sink a U �jc,�� Water Heater
Disposal Q � Water Softener �
Dishwasher / Wet Baz
Sillcocks y 5p�� b Misc (list)
PERMIT FEE CALCULATION �
1. 1.25% of Contract Price* or Minimum Fee ($35.00) ���S-)
/�"-(�l>U
x .0125 $ /5;l/GU � "� J
(contract price)
2. State Surchar�e. ** Add the State Building Code Division
Surchazge to each permit. /�'U00 x .0005 $ 7 ��
(contract price)
or $.50, whichever is greater
3. Posta�e and Handlin� (Only mail-in applications) $ �8-
4. TOTAL PERNIIT FEE (Add lines 1-3 above) $
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount chazged for the permitted
work including materials, labor, profit, and other fued costs. It is the amount to be charged to the
customer for the work done. If any material, equipment, labor,or installation are fumished 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 appli�ation are complete, true and
correct. � -
Applicant's Signature: � Date: 3—/8= ��
. . ' -
,
: ,
DATE TIME
CITY OF ORONO CALLED IN � ��—Q
INSPECTION NOTICE / scHEou�E� 3 --x/ ����
PERMIT NO. � `!� � COMPLETED �� �_
ADDRESS ��� -�- �
OWNER ���� CONTR. ,; � S�'�� ,������
� � D'
TELEPHONE NO. �� � �'!�-� �-
� DESCRIPTION ��'"`�""'�`''� °`''`��/
� 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADING/FILLING
� 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
�
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 06 PROGRESS
J 07 DEMO--FN+�AL� 27 SEPTIC MAINT. 21 COMPLAINT
? L9 P�G� 15 SEPTIC INSTALL. 22 FOLLOW-UP
� 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� WORK SATISFACTORY:PROCEED ",; PROJECT COMPLETE
W ❑ CORRECT WORK&PROCEED ;_: ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOfl REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. r- pHOTOTAKEN
INSPECTOR WILL RETURN
C STOP ORDER POSTED.CALL INSPECTOR r- CITATION ISSUED
C_l INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContr r site: _
Inspector. �- ��
White Copyllnspector's File Canary CopylSite Notice
AT TIME
CITY OF ORONO CALLED IN '� 5'
INSPECTION NOTICE SCHEDULED �� .3�3a
PERMIT NO. �9G�� COMPLETED H �L •
ADDRESS � •
OWN E.���� CONTR. �
TELEPHONE NO. '�.3 3 --�`�-�Z
� DESCRIPTION��6 cG���
� 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADING/FILLING
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORFJWEfLANDS
Q
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 D L 27 SEPTIC MAINT. 21 COMPLAINT
= ING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
v 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNERICONTRACTOR TO MEEf YOU:_YES_NO q
c� COM NTS:
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� �WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W�O CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECWERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN r CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next spection 24 hours in advance.473-7357
OwnerlCont�on 't :
Inspector.
White Copyllnspeetw's Ffk Canary CopyfSiM Notice
DATE TIME
CITY OF ORONO CALLED IN � -S'��
INSPECTION NOTICE � SCHEDULED `� �
PERMIT NO. � ��� COMPLETED �_ �
ADDRESS .J �'�� c�� �-C.��
OWNER Gv�,�Z�ma� CONTR. ����`� �
TELEPHONE NO. �-� 3 � �`� 2
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
y 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
Q
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SETffURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
i 09 PLUMBINr RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J � PLUMBING FINAL 23 SEPTIC FINAL
� OWNER/C OR TO MEET YOU:_YES_NO
� COMMENTS:
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W ❑CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOfl REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next in tion 24 hours in advance.473-7357
OwnerlContract r site
Inspector.
White Copy/lnspector's File Canary CopylSite Notice