HomeMy WebLinkAbout1999-012314 - plumbing PERMIT
CItY OF ORONO PERMIT TYPE:
k2750 Kelley Parkway - P.O. Box 66
Permit Number:
Crystal Bay, Minnesota 55323 A
Date Issued:
(612) 249-4600
SITE ADDRESS:
DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR:
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THE UNDERSIGNED HEREBY REQUESTS PERMIS.':310N T .-S.�,'THE REAL
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SPECITFIED AND AGREES To DO ALL WORKSTRICT, Cf-jr&%-_: NCE WIT,
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ORONO ORDINA�� -�FS AND STATEDF MINNESOTA BUILDING,
APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
CITY OF ORONO 6122494616 12/21/99 09:48 [5 :01/02 NO:383
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CITY OF ORONO APPLICATION FOR PLUMBING PERMIT G k'
Box 66 (2750 Kelley Parkway) J-
Crystal Bay, MN SS323
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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 RE FIVE A PERMIT, 3y K MIZIT NQTIt IN UNTIL.THfl PE,RM1 CAR; LS
RQSJAD QN JHE O 51TE,
3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners residing
in the dwelling.
a. When any new construction or remodeling is involved, a separate building permit must be obtained.
5. All work must be dome in accordance with the State Code requirements.
6: All work must be inspected and air tested before it is covered. Call 249-4600. 24-hour notice required.
111dructign Complete all items on this application. Compute the permit fee. Sign aA date
the certification. INCOMPLETE APPLICA11ONS WILL NOT BE PROCESSED. If you have
questions, call 249-4600.
Please check one: New - A ddition _ Repair Replace
_mac _ Residential Commercial
.IOI3 sm. 5-�O�%di�lC� �1�� � �i �' ��ZIP:_
Owner's Name: -Telephone Number:
Mailing Address. sf►,. E City: Zip: _
Contractor's Name: Telephone Number: 657 _ 5-_�Yc>
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Mailing Address: _-7,.y/6 f City: .�1� Zip;
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PLUMBING E=VU SC132�DUlLE
FIXTURE 13SMT IST 2ND OTHER FIXTURE BSNIT IST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
Lavatory / Sewer Ejector
Sathtub Laundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher /� Wet Bar
S311cacks MigC (tiny
CITY OF ORONO 6122494616 12/21/99 09:48 :02102 NO:383
1. 1,25% of Contract Price* or Minlmual FM (535.00)
Sg yo a" x .0125 $
(Contract price)
2. Srnre sMUM e* Add the State Building Code Division
Surclut W to each permit. .. � x .0005 $
(Contract prim)
or$.50, whichever is greater
3. PoMW and Hu"M (Only mail-in applications) $ IS
4. TOTAL PERIMIIT FEE - (Add limes 1-3 above.) $
*
CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted
work including materials, labor, profit, Arid other fixed costs. It is the amount to be charged to the
customer fotr the work dome. If any material, equipment, labor,or installation are furnished by the owner,
1811041 or any other party the treasonable market value of such items must be added to the estimated coat
or contract price for permit fee purposes. In the event that there is a disputa on the amount of the job coat,
the City may request the submission of a signed copy of the actual contract.
*+ The STATE SURCHARGE is .0003 of the contract price under $1,000,000 or $.30 - whichever is
greater. For valuations over$1,000,000 call the Department of Inspectional Services for the price.
The urldersigtted 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 -lade on this application are complete, trite and
coned.
Applicant's Signa Date: /Z
DATE TIME
CITY OF ORONO CALLED IN 1 _
INSPECTION NOTICE, / SCHEDULED Q
PERMIT NO. �� COMPLETED
ADDRESS
OWNER L%A L-9-ri/ CONTR. D N S
TELEPHONE NO. 7 73 -_ 7 D
DESCRIPTION
14 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
Z04 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
j15 DEM fdAt 15 SEPTIC INSTALL. 22 FOLLOW-UP
W LUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 36 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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/WORK SATISFACTORY:PROCEED 1:1 PROJECT COMPLETE
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W 1:1CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑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
Owner/Contractor on site:
Inspector. y1s�
White Copy/inspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
SCHEDULED 3G
PERMIT NO. C-111943
-/ 3 COMPLETED
ADDRESS �SaQ
OWNER CONTR.
TELEPHONE NO. �0�q-Ode-13
DESCRIPTION odkQ �Urnblt�c�
W 01 FOOTING 11 MECHANICAL RI 18 EXCAWGRADING/FILLING
02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q O5 FINAL 14 SEWER HOOK-UP 06 PROGRESS
07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
Q
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 1 PLU ING FINAL 36 FOUNDATION/REMOVAL
Z OWNER/CONTRACTO TO MEET YOU: YES NO
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W ❑WORK SATISFA T RY:PROCEED C PROJECT COMPLETE
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W 11CORRECT WORK&PROCEED F- ISSUE CERTIFICATE OF OCCUPANCY
OORRECT WORK,CALL FOR REINSPECTION TEMPORARY
U BEFORE COVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. =249-4600
Call for the next inspection 24 hours in ad
Owner/Contractor on site:
Inspector. 1&c-r, � 064,/1
White Copy/Inspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED '-1'"� I d : 66
PERMIT NO. a(23 d COMPLETED
ADDRESS S a-O Ton 0.w C�, Rd
OWNER CONTR. DenWS T(u-nb
TELEPHONE NO. c'xpZ l - 7 77��
DESCRIPTION -Q-�'u. tz, CC�'P' Iz-
W 01 FOOTING 11 MECHANICAL RI 18 EXCAWGRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
Q 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 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
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DCTW [IRK SATISFACTORY:PROCEED �LISSUE
COMPLETE
11 CORRECT WORK&PROCEED CERTIFICATE OF OCCUPANCY
❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORE COVERING
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 inspection 24 hours in advance. 249-4600
Owner/Contractor on site:
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice