HomeMy WebLinkAbout1993-004985 - plumbing 4pppppp PVRMIT
CITY OF ORONO PERMIT TYPE:
1335 Brown Rd. South • P.O. Box 66 Permit Number: t PLUMBING;i�,��0049:�85
Crystal Bay, Minnesota 55323 Date Issued: t)=:t 08 _=J:=,
'
(612) 473-7357
SITE ADDRESS:
:377.5 T+itaO RD /
it
CH
P. I . N. 17-117-23-34-0049
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DESCRIPTION:
S FIXTURES
Plumbing Fermi t Type FIXTURES
F l ur ib i ng Work Type RENOVATE/REMODEL
1 BATHTUB 1 .KITCHEN SINK 1 DISPOSAL
1 DISHWASHER I, WASHER
CITY DF/j,*W
FI,k' NCE'OFFICE
REMARKS: `
UI ,' 35.0'0
It«t #
FEE SUMMARY: CAV TL 35.5
VALi t 1T I► N' `i ,jai�i y RECEIR�-TttNK YOU
1 I R01 T09:55
Case F=e $35 .00 t73.�G'3.'43
Surcharge --------
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Total Fee $35. SO
CONTRACTOR: f, V FABER - APP aht. -
TF-LG�_t R -
i R iNO 55:3.191
471_03: 90 _
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APPLICANT/PERMITEE SIGNAT RE 19V l IS D RY:SIGNATURE �✓
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 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. Call 473-7357. 24-hour notice required.
Instructions Complete all items on this application. Compute the permit 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: 7 Zip: s
Owner's Name: `1 NG r,6 Telephone Number: /-0 3�O
Mailing Address: City: we y<< �a Zip: -.5
Contractor'sName: C _ TelephoneNumber:
MailingAddress: City: Zip:
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet Sewer Ejector
Lavatory Laundry Tray -7
Bathtub Washer
Shower Water Heater
Kitchen Sink Water Softener
Disposal , Wet Bar
Dishwasher / Floor Drains
Sillcocks Misc (list)
PERMIT FEE CALCULATION _
1. 1.25% of Contract Price* or Minimum Fee 35.00
x 1.25 $
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $
(contract price)
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.
re: G �� ` Date: Alf
Applicant's Signatu
DaF TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED T_/ 7 q , 3 d
PERMIT NO. COMPLETED
ADDRESS % 7 2-L
OWNER z CONTR. _
TELEPHONE NO.
DESCRIPTION /fpil/Yl a /
W 01 FOOTING �y 11 MECHANICAL RI 16 WELL TEST PUMP
Q �FRAMI'NG �7 11 MECHANICAL FINAL 18 EXCAVIGRADING/FILLING
N 24/25 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SETITURN ON 17 SITE INSPECTION
07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
07 DEMO—FINAL r np t 27 SEPTIC MAINT. 21 COMPLAINT
CIDPLUMBIN l� -I o J 15 SEPTIC INSTALL. 22 FOLLOW-UP
v 10 L MBIN INAL 23 SEPTIC FINAL
OWNERICONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
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WCC WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
C1 BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. r. PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR r CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the n xt nspection 24 hours in advance.473-7357
OwnerlCon �ron si e:
Inspector.
White CopyllnspectoPs Fil Canary Copy/Site Notice