HomeMy WebLinkAbout1997-008911 - plumbing - -h PERMIT
` CITY F ORONO
2750 Kel ey Parkway- P.O. Box 66 PERMIT TYPE: _:; ,;,.,r =- -.
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Crystal y, Minnesota 55323
Permit Number. :�ti f:�;`�i a ��
(612)47 -7357 Date Issued: �:,�;��r:,,°�=�;i=
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
C1TY O�' URONO APPLICATION FOR PLUMBING PERMIT
Box 6b (2750 Kelley Parkway)
Crystal Bay, NIN 55323
GENERAL INFORMATION
1. You may apply for plumbing permits by mail or in person at the Ciry offices.
2. Permit cazds will be sent by return mail after a review is completed. PERMITS ARE NOT VALID
UNTIL 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 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 notice required.
Instruction� Co:nplete all items on this application. Compute the pernut.fee. Sign and date
the certificatioii. INC011�PLET� APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, ca11473-7357.
Please check one: New Addition Repair Replace
Residential Commercial
JOB SITE: 3� Zip:
Owner's Name: Telephone Number:
Mailing Address: City: Zip:
Contractor'sN TelephoneNumber: 93.� �'�7/'�
MailingA.ddress: City: M��,r��+n�ip: SS�y�ly�
.
PLUMBING F�TURE 5CHEDULE
FIXTUR.E BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet � Floor Drains �
Lavatory f Sewer Ejector
Bathtub Laundry Tray
Shower Washer
Kitchen Sink Water Heater �
\ Disposal Water Softener
�\ Dishw�sher Wet Bar
� Sillcocks Misc (list)
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1 c�—fri�ItY(�nL,
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
�13,s� X .oias � /log.7�'
(contract price)
2. State Surcharge. ** Add the tate Building Code Division
Surcharge to each permit. � �3�� x .0005 $ �.�5
, (contract price)
or $.50, whichever is greater
3. Postage and Handling (Only mail-in applications) $ �5i�
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ /7S��
* CONTRACT PRICE or JOB COST means the actual or estimated dollaz amount charged 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, l�bor,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 STAT.E 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.
� � �'(��`(r Date:�" "
Applicant's Signature:� �Q�1Q,
DATE TIME
ITY OF ORONO CALLED IN �� �4��
I SPECTIONNOTICE SCHEDULED � 7'g� 1_"�"�
ERMIT NO. ��// COMPLETED �_ �' _
DRESS � I �L) SL�5 S� �C �
0 NER ,��,���'.�.ck�CONTR�s-�„¢-a�n ��-�q
T LEPHONE NO. _ �v� ' 7 7 / 7
� D CRIPTION
� 01 TINO 11 MECHANiCAL RI 18 D(CAV/GRADINCi/FIWNQ
y 02 ING 13 MECHANICAL FINAL 19 LAI�SHORE/WETLANDS
Q 03 I ULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 W BD. 12 WATER Fi00K-UP 17 SITE INSPECTION
Q
= 05 FI L 14 SEWER NOOK-UP O6 PROGRESS
~ 07 D O—SITE 27 SEPTIC MAINT. 21 COMPLAINT
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W 07 D O—FINAL 75 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PL MB 23 SEPTIC FINAL 35 HARD COVER REMOVAL
��r10 PL BIN�FlNAL � 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL
Z OW MIBA�IpRTO MEET YOU:_YES_NO
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� _WORK SA ISFACTORY:PROCEED - PROJECT COMPLETE
W CORRECT ORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT ORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE ERING PERMANENT
❑CORRECT NSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPE TOR WILL RETURN
O STOP ORDE POSTED.CALL INSPECTOR �=CITATION ISSUED
❑ INSPECTIO REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 or the next' s�iection 24 hours in advance.473-7357
OwnerlCont ctor o�site:�, '
Inspector.
te Copylinspector's File Canary Copy/Site Notice
, DATE �,/ TIM
CITY OF RONO CALLED IN �oz ' ` �G�/C
INSPECTI N NOTICE SCHEDULED L�_�.�.�7 U r 3C1QD�
PERMIT N . �� COMPLETEDn A A'I �_
ADDRESS �I 9 D �-�S f�LC
OWNER d 7 ��-e-� CONTR. r
TELEPHO E NO. _ � ����� /�7
� DESCRIP ION
� Ot FOOTINO MECHANICAL RI 18 DCCAV/(iRADINf31FIWNQ
y 02 FRAMINO 13 MECHA 19 LAKESHORE/WETLANDS
Q 03 INSULATIO 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q
Z 05 FINAL 14 SEWER HOOK-U P O6 PRO(iRESS
~ 07 DEM�-S 27 SEPTiC MAINT. 21 COMPLAINT
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Q 07 DE 15 SEPTIC INSTALL. 22 FOLLOW-UP
LUMBINO RI 23 SEPTIC FlNAL 35 HARD COVER REMOVAL
� 10 PLUMBINO FINAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL
� OWNER/CO CTOR TO MEET YOU: YES_NO
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� C:'CORRECT ORK 8 PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
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OO ❑ CORRECT ORK,CALL FOR REINSPECTION TEMPOFiAHY
V BEFOREC ERING PERMANENT
❑CORRECT SAFE CONDITION WITHIN HOURS. r- pHOTO TAKEN
INSPE OR WILL REfURN
O STOP OROE POSTED.CALL INSPECTOR ^ CITATION ISSUED
�INSPECTIO REQUIRED.CALL TO ARRANGE ACCESS.
Cal for next nspection 24 hours in advance.473-7357
OwnerlCo r r on it :
Inspector. �
ite Copyllnspector's File Canary CopylSite Notice