HomeMy WebLinkAbout1998-010013 - plumbing PERMIT
GITY10F ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 Permit Number: PLUMB I NG
Crystal Bay, Minnesota 55323 01001:3
(612) 473-7357 Date Issued: i.33 11 f,�
SITE ADDRESS:
��_ THOROUGHBRED LA
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' F` I .H . ` 04-11fr-- --11-0015
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DESCRIPTION:
it, FIXTURES
Plumbing Permit Type FIXTURE`:
Plumbing Work Type RESIDENCE
5 WATER CLOSET 6 LAVATORY 2 DATHTIJI;,
SHOWER 1 KITCHEN SINK I DISPOSAL
1 DISHWASHER 2 C.;I LLCO(XS 1 FLOs�.- DRAINS
I LAUNDRY TRAY I WASHER 4 WATE HEATER
I
REMARKS:
FEE SUMMARY:
VALUATION $12, E00
Ease FYI $1=6 .25
Surcharge
Total Fee $162. 50
CONTRACTOR: - Applicant, - OWNER:
SOUTHWEST METRO PLBG 24432921 E I C EN CONST
1678 WOOl„S TONE DR 2.520 THOROUGHB�`ED LA
VICTORIA MN 5-5--58-6 IliRONO MN 56356
is 61'3) 443_29,2*1
y
THE UNDERSIGNED HEREBY REQUESTS PERM IS ON Tot .I'�A�:�..`tHE . � JAPE ,"W .
SPECIFIED AND AGREESJO Tt DN) ALL, 4JL . .� 5� ! " �P Y � r�I Ti A��, C�TY, F;
ORONO ifit I NAICE A# El ST E 'P I t1ESA �U t IING SE" R ES
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APPLICANTPERMITEE SIGNATURE ISSUED BY:SIGNATU�iE
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. Permit cards will be sent by return mail after a review is completed. PERMITS NOT VALID
UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PE IT 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 l e 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. S gnand date
the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call 473-7357.
Please check one: New Addition Repair Replace
X Residential Commercial
JOB SITE: 2 fil• �.� t, b i c �- L •�� t Zip:
Owner's Name: E, r,� Telephone Number:
Mailing Address: City: Zip:
Contractor'sName: ��, R r TelephoneNumber: zz t
Mailing Address: City: 3s� 6
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2?�D OTHER
TYPE FL FL TYPE FL F
Water Closet l 3 Floor Drains t
Lavatory l 1 Sewer Ejector
Bathtub 2- Laundry Tray
Shower i 2 Washer I
Kitchen Sink I Water Heater ?
Disposal f Water Softener
Dishwasher ► Wet Bar
Sillcocks L Misc (list)
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
17-fV0 x .0125 $
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $
(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 charged 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 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 application are complete, true and
correct.
Applicant's Signature: t Date: l/fig +P_4'2�
DATE TIME
CITY OF ORONO CALLED IN _043-91F I` 1*
INSPECTION NOTICE SCHEDULED //---
PERMIT NO. 4)1 DUl3q COMPLETED
ADDRESS o�Sa
OWNER �� CONTR.t!— �� '
TELEPHONE NO. � 3� a
DESCRIPTION
01 FOOTING 11 MECHANICAL RI 18 EXCAWGRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
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WORK SATISFACTORY:PROCEED I- PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
U BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. PHOTO TAKEN
INSPECTOR WILL RETURN
1:1STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contractor si e
Inspector.
White CopylInspector's File Canary Copy/Site Notice
ATE TIME
CITY OF ORONO CALLED IN . e71-2;
INSPECTION NOTICE.�i� SCHEDULED Szf
PERMIT NO. ( COMPLETED
ADDRESS
OWNER CONTR.
TELEPHONE NO.
DESCRIPTION
01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WEfLANDS
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
O
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
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
vMBI�FINALO, 36 FOUNDATION/REMOVAL
TO MEET YOU:_YES NO
o COMMENTS:
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/WORK SATISFACTORY:PROCEED El PROJECTCOMPLETE
UU ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORECOVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next i spection 24 hours in advance.473-7357
Owner/Contractor si e
Inspector.
White CopylInspector's File Canary Copy/Site Notice