HomeMy WebLinkAbout1998-010014 - plumbing , . PERMIT
� CI�Y OF RONO PERMIT TYPE:
275r�Kelley P rk ay- P.O. Box 66 �=`{�%�'ir��►Pd;�
Crystal Bay, Iv�nn sota 55323 Permit Number:
Date Issued: ''��'��}��}�'��
(612) 473-7357 i;�_;�; # �'=�`�
SITE ADDRESS:
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REMARKS:
FEE SUMMARY:
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APPLI ANT'PERMITEE SIGNATURE ISSUED BY:SIGNATURE
CITY OF RONO APPLICATION FOR PLUMBING PERMIT
�lox 6b (27 0 Kelley Parkway)
Crystal Sa, , MN 55323
GENERAL ORMATION
1. You ay apply for plumbing permits by mail or in person at the City offices.
2. Pe t cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID
UNT L YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS
POS ED ON THE JOB SITE.
3. Plum ing permits may be issued ONLY to licensed plumbing contractors and to property owners residing
in th dwelling.
4. Whe any new construction or remodeling is involved, a separate building permit must be obtained.
5. All rk must be done in accordance with the State Code requirements.
6. All w rk must be inspected and air tested before it is covered. Call 473-7357. 24-hour notice required.
Instructioii Co:nplete all items on this application. Compute the permit fee. Sign and date
the certifica iaii. INC011T2LET� APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, c 11 473-7357.
Please chec one: '� New Addition Repair Replace
� Residential Commercial
JOB SITE �3� � � S�r s� x �2.bL Zip:
Owner's N e: �, �Q,� Telephone Number:
Mailing Ad ress: City: Zip:
Contractor sName:�� ,� �,� {-.,� TelephoneNumber: Lj y 3 z� z �
MailingA.d ress: 2,�,`�� w:����� ��, b � City: ������� Zip: S t 3 � �
� PLUMBING F�TURE SCHEDULE
FIXTUR.E BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Close 'Z— Z— Floor Drains �—
Lavatory � Sewer Ejector
Bathtub j � Laundry Tray �
Shower � I Washer I
Kitchen Si � Water Heater `L.
Disposal I Water Softener
Dishwt�sher � Wet Bar
Sillcocks �'` Misc (list)
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.001
�6 �o� x .0125 $
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each pernut. x .0005 $
(contract price)
or $.50, whichever is greater
3. Postage and Handlin� (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 chazged to the
customer for the work done. If any material, equipment, labor,or installation are fumished by the owner,
tenant or any other pazty 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 Ciry 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 Jnspectional 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.
Applicant's Signature: 1,�, ��,�-- Date: j�� �yt a-,2Q�
DATE TIME
CITY OF ORONO CALLED IN �` ��
INSPECTION NOTICE SCHEDULED ��9�-� �'�--
PERMIT NO. OU I COMPLETED
ADDRESS ���� �S
OWNER �--�-�-�� CONTR o
TELEPHONENO. ��5 '���''
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� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINA� 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 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
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
� BING 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLU FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. CPHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALI INSPECTOR �: CITATION iSSUED
❑ INSPECTION REOUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.4T3-7357
OwnerlContra i .
Inspector.
White Copyllnspector's File Canary CopylSite Notice
DATE TIME`�q
C�TY J CALLEDIN ln -,�2 3 �'`,�' '" �v
�NSPE FQ�OTICE SCHEDULED �� ��1 � <t/h
►'ERM►►•'�. � COM�LETED �� �
AD�.ESS ` l �SLIS �
c�AINER �'� CONTR. ���-���Gi u-�-�'-� �1C�¢��
TELEPHONE NO. �`�43 "�� `i�/
� DESCRIPTION
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 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 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 MBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CO RA�TOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� ,�WORKSATISFACTORY:PROCEED �ROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. _ pHOTOTAKEN
INSPECTOR WILL RETURN
O STOP ORDER POSTED.CALL INSPECTOR r CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73J`7
OwnerlContr r n it :
Inspector.
White Copyllnspector's File Canary CopylSite Notice