HomeMy WebLinkAbout1996-008581 - plumbing PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 PLUMBING
Crystal Bay, Minnesota 55323 Permit Number: {i01-:581
(612) 473-7357 /22/96
Date Issued: -
SITE ADDRESS:
10 0 TI:lNKAWA RD
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DESCRIPTION:
='' F I XTURE: ;
Plumbing Permit Type FIXTURES
Plumbing Work Type RESIDENCE
4 WATER CLI-J!:-:,ET 5 LAVATORY 2 BATHTUB
4 SHOWER _ KITCHEN I NFA:. I D I'=:F fh-*-AL
1 DISHWASHER 7 SILLCOCKS 1 FLOOR -DRAINS
4 LAUNDRY TRAY 1 MATER HEATER 1 WATER :-*;A-IFTNER
1 LAVATORY/RI 2 UNDEFINED
REMARKS:
FEE SUMMARY:
VALUATION $19, 892
Base Fee $248. 65 MAIL IN
-----
Surcharge ---------12-25 Total Fey i260 . 1R�
Subtotal
CONTRACTOR: -- Applicant - OWNER:
LAKESIDE PLBG &- HTG INC: 28947600 WATER`; t ASSOCIATES
12461; 4Z I N RAN AVE 1 TI:NKAWA RD
SAVAGE �Mid 553-178 ��RONID MN SS 5r
(612) 894-76C)o
THE UNDERSIGNED HEREBY REQS JESTS PEMU SSI Com" O THE REAI, IMPROVEMENTS
SPECIFIED ANC# AGRCEES " ' ` 1 �3'SLI. WORK`k: IN STIRICT ,C I"! TANS WITI4:ALL CITY. ISI'
+ tCflyc_i ud I NANC:ES Alla STATE OF'M I I�INET"" "BILI I* I"� C,CP �E�ti I�EIEI' TS.
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: ZNew Addition Repair Replace
P P
Residential Commercial
JOB SITE: bw/< #WA- Y�4 Zip:
Owner's Name: AYES 2'- &X2t 5 Telephone Number.
Mailing Address: City: Zip: _
Contractor's Name: L-t4,t✓esl b E Vlwn6 i a%2 TelephoneNumber: Z t)
Mailing Address: yitl"i) ✓� � City: l"9YZip: �-37
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT IST 2ND OTHER FIXTURE BSMT IST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drairs
Lavatory ` Sewer Ejector
Bathtub. Laundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Misc (list)
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PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00) �Y
Z& yy�Z 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) $ 02 j_9-0
* 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 cosi,
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 certifieZal ments ma on this application are complete, true and
correct.
Applicant's Signature: a Date:
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION N !M/
SCHEDULED 3 Gb
PERMIT NO. COMPLETED
ADDRESS /030
OWNER�h��yyCONTR.
TELEPHONE NO. Y1 V- 7(o O 0
DESCRIPTION
01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
y 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETlANDS
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
05 FINAL 14 SEWER HOOK-UO 06 PROGRESS
v 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
tQ 07 ggMQ=EMfAL 15 SEPTIC INSTALL 22 FOLLOW-UP
= PLUMBING 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION REMOVAL
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❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contractor
Inspector.
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CITY OF ORONO CALLED IN D j�
INSPECTION N SCHEDULED
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OWNER CONTR.
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DESCRIPTION re5
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tiQ 05 FINAL 14 SEWER HOOK-UO 06 PROGRESS
v 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
W 07 D NAL 15 SEPTIC INSTALL 22 FOLLOW-UP
= 09 PLUMBING 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v GING FINAL 36 FOUNDATION REMOVAL
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OwnedContra n i e:
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White Copylinspecto►'s Fik Canary CopyrAte Notice
DA/TE TIME
CITY OF ORONO CALLED IN 'ylZ2/s7
INSPECTION NOTICE SCHEDULED 19 17
PERMIT NO. 2_ fY COMPLETED
ADDRESS /623 G , / ,.
OWNER-,!',z� CONTR.
TELEPHONE NO. 7 L d
DESCRIPTION 2te-c, r
01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
H 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHOREIWETLANDS
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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= 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
F' 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
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= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J YO PLUMBING FINA 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL
OWNER/CONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
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❑CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
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Call for the next inspection 24 hours in advance.473-7357
Owner/Contrac�t�n i e:
Inspector.
White CopylInspector's F e Canary Copy/Site Notice