HomeMy WebLinkAbout1997-009612 - plumbing . PERMIT
� GI� OF ORONO PERMIT TYPE:
27- elley Parkway- P.O. Box 66 -
Cry a Bay, Minnesota 55323 Permit Number:
(61 , 73-7357 Date Issued:
SITE ADD ESS:
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REMARKS:
FEE SUMM RY:
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
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1TY OF URONO APPLICATION FOR PLUMBING P�RMIT
ox bb (2750 Kelley Parkway) � �
ry�stal Bay, MN 55323
ENERAL 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 aftec a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT 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 notice required.
strt�ctiou� Coaiplete all items on this application. Compute the permit fee. Sign an.d date
e certification. INCOA�JPLE'T� APPLICATIONS WILL NOT BE PROCES5ED. If you have
q estions, call 473-7357.
P ease check one: New � Addition Repair Replace
�_ Residential � Commercial
J B SITE: � e.,�, � Zip:
er's Name: �'T Telephone Number:
ailing Address: City: Zip:
ntractnr'sName: ' TelephoneNumber: — /
ailingA.ddress: �5oc� �.�.� City:M*- � Zip:
� PLUMBING FII�TURE SCHEDULE
�
IXTUR.E BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
E FL FL TYPE FL FL
� ater Closet Floor Drains
vatory Sewer Ejector
athtub Laundry Tray
ower � Washer
'tchen Sink Water Heater
isposal Water Softener �
ishw:�sher Wet Bar
: lcocks Misc (list)
°l� � 2
PERNIIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.001
�I�jO° x .0125 $ ���
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit: �/�pp°O x .�OS $ e ��
� (contract price)
or $.50, whichever is greater
3. Postage 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 chazged 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 oLher pa.*ty the reasonable market vdue af such items must be addect to the estimated cost
or contract price for pemut 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 $1,000,000 call the Department of Inspectional Services for the price.
The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all
work in strict accordance with the ordinances�of the City and the regulations of the State of
Minnesota, and certifies that all statements made on this application aze complete, true and
correct. �
Applicant's Signature:�i CUrv�_ Date:/O��Q —k"�
D TE TIME
CITY OF RONO y CALLED IN D I97
INSPEC ION NOTICE ��'� SCHEDULED /L�/3�/}7 � :Do
PERMIT O.sZ��� COMPLETED �_ �
ADDRE f 7`�D �-�� �
OWN ER CONTR. ..�i/z���,
TELEPH NE NO. �7
� DESCRI TION �V S � �i/l��
� 01 FOOTIN 11 MECHANICALRI 18IXCAV/GRADING/FIWNCi
y 02 FRAMIN 73 MECHANICAL FINAL 19 LAI�SHOREJWETIANDS
Q 03 INSULA ON 24/25 WOOO BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL B . 12 WATER NOOK-UP 17 SITE INSPECTION
Q
= 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
F` 07 DEM ITE 27 SEPTIC MAINT. 21 COMPLAINT
J
W 07 DEM INAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= PLUM I �j 23 SEPTIC FlNAL 35 HARD COVER REMOVAL
v UMBI �FINAL 2$CEDAR SHINGLES 36 FOUNDATION REMOVAL
� OWNER/C NTRACTOR TO MEET YOU:_YES_NO
� COMME TS:
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d ORK TISFACTORY:PROCEED -_ PROJECTCOMPIETE
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� C-CORRE WORK&PROCEED �- ISSUE CERTIFICATE OF OCCUPANCY
W
O Cl CORRE WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE OVERING PERMANENT
❑COFRE UNSAFECONDITION WITHIN HOURS. � pHOTOTAKEN
INS ECTOR WILL REfURN
O STOP O DER POSTED.CALL INSPECTOR CITATION ISSUED
�INSPEC ION REQUIRED.CALL TO ARRANGE ACCESS.
all for the next i pection 24 hours in advance.473-7357
Ownerl ntr i
Inspect . —
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