HomeMy WebLinkAbout1993-005306 - plumbing CITY OF ORONO PERMWPERMIT TYPE:
2750 Kelley Parkway • P.O. Box 815PLUMBING
Orono, Minnesota 55356-0815 Permit Number: 0 005:
(612) 473-7357
Date Issued: 07/01 /93
SITE ADDRESS:
4629 Ti+NKAV I EW LA
LSV
P. I .N. = 07-117-'2'3-32-002f-,E-
DESCRIPTION:
7-117-':: -2-i>0i=, 1
DESCRIPTION:
21 FIXTURES/4 RI
Plumbing Permit Type FIXTURE`=
Plumbing Work: Type RESIDENCE
:3 WATER CLOSET 4 LAVATORY 2 BATHTUB
SHOWER 1 KITCHEN TCHEN INK 1 DISPOSAL
1 DISHWASHER � '=I LLC+=+C'r::_. i FLOOR DRAINS
1 LAUNDRY TRAY 1 WASHER 1 WATER HEATER
I WATER CLOSET/RI i LAVATORY/RI 1 '_HOWER/RI
1 UNDEFINED/RI 1 UNDEFINED
I
REMARKS:
FEE SUMMARY: VALUATION $6,500 G, U,f"�u
Fit'/�}}nj�e'C,- OFF C, 1j
Base Fk-••e $81 i-S 1J1 JifVVV #
�,urchaa a ____--- -���z� :r-� 01 ;1EN 8 .25
Total Fee $84 . 80 A�tt�ti��J�' � �
VA ;aft;
CONTRACTOR: — Applicant — OWNER:
LARS iN PLBG INC 24277680 SONTAWSK I CONSTRUCTION
:3i 95 16'.2'N0 LA N W 4629 TONKAV I EW LA
ANDOVER MN SS.-:03 CSRONO MN k6364
(612) 427-7680
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APPLICANT/PERMITEE SIGNATURE ISSUED BY: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: y-New Addition Repair Replace
�- Residential Commercial
JOB SITE: Zip:
Owner's Name: Telephone Number:
Mailing Address: City: Zip:
Contractor'sName: Tele honeNumber: -76w
MailingAddress: gD s- Zip:
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT IST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet / 3 Sewer Ejector
Lavatory / Laundry Tray
Bathtub vz Washer A
by
Shower / Water Heater
� '
Kitchen Sink Water So ��,ei� / �q
Disposal Wet Bar
Dishwasher / Floor Drains
Sillcocks Mi ist) S°Cc l
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
x 1.25 $
(contract price)
2. State Surcharze. ** 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) $ YD
* 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: ��_� �� � Date: / _'% -3
DATE TIME
CITY OF ORONO CALLED IN 7' / 3 07) /_1--
INSPECTION NOTICE SCHEDULED �/5-93 /UfCJ dna
PERMIT NO. 53 6 COMPLETED
ADDRESS .2- 9 cry
OWNER CONTR.
TELEPHONE NO. q�-7- -1 gZ�
DESCRIPTION
01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADINGIFILLING
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORENVETLANDS
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
J �PLUMBIZG
27 SEPTIC MAINT. 21 COMPLAINT
15 SEPTIC INSTALL. 22 FOLLOW-UP
_d 23 SEPTIC FINAL
Q OWNERICONTRACTOR TO MEET YOU:_YES NO
Z
COMMENTS:
W
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O
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W
Q
Z
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LIJ VJNORK SATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ([I CORRECT WORK R PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
C CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contori ite:
Inspector. 7aA Ad
White CopylInspector's File Canary Copy/Site Notice
CITY OF ORONO CALLED IN %( a/,I
INSPECTION NOTICE �p SCHEDULED y 1:60"o
PERMIT NO. t r COMPLETED r I( Y
ADDRESS o2
OWNER 1 CONT
TELEPHONE NO. 7'
DESCRIPTION
01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
ti 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
09 PL 15 SEPTIC INSTALL. 22 FOLLOW-UP
v PLUMBING FINAL 23 SEPTIC FINAL
Z OWNERI R TO MEET YOU:_YES_NO
cam., COMMENTS:
a`
a �m
acd IAL 100 r
J
O
O
W
W
CC
Q
f2
2
W
W
4;
Uj )('WORK SATISFACTORY:PROCEED 13 PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContra r site:
Inspector.
White Copylinspecti File Canary Copy0te Notice