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HomeMy WebLinkAbout1998-010568 - plumbing e �TY OF ORONO PERMITPERMIT TYPE' 2750 Kelley Parkway- P.O. Box 66 PLUMBING Crystal Bay, Minnesota 55323 Permit Number: 0 10,-; (612) 473-7357 Date Issued: 0;M1; SITE ADDRESS: :J580 WATERT13WN RD CH PI .N. ! .-.2-11c;— ,3-43-0003 003 DESCRIPTION: 2 FIXTURES Plumbing Permit. Type FIXTURES F°ivarrEbing Work Type REST IC�ENE 4 WATER CLOSET 5 LAVATORY = BATHTUB 1 SHOWER SINi-l' 1 D I SPOSAL 43 I LLf: : O KS i FLOOR DRAINS I LAUNDRY TRAY 1 WATER HEATER REMARKS: FEE SUMMARY: VALUAT I F-IN $91000 Base Fee $11'x` .-t i Tota l Fee -$i l 7 . 0z CONTRACTOR: - Applicant - OWNER: CITYVIEW PLBG b HTG 24738.79: RIGHT ANGLE LONG LAf(F MN S c_SIS WAYLATA MN S5391- 0-:12) 5_9i THE UNDERSIGNED HEREBY REQUESTS PERM SSI ON lb MADE TIJE' REQ. r VE ENTS SPECIFIED AND AGREES TO O'O ALL WORK STRICT: O I ANCE t � L` ORONO ORDINANCES: AN#���ATE' OF M I NNES PL; TA ILD I NG APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE ^� 41,9 sc"';' 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: d Zip: Owner's Name: Telepho a Number: Mailing Address: City. Zip: Contractor'sName: Telep 6neNumber: 6�-2,3-,p 793 Mailing A.ddress: City: PLUMB FFYTURE SCHEDULE FIXTURE BSMT IST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector Bathtub p2 Laundry Tray Shower Washer Kitchen Sink Water Heater Disposal / Water Softener Dishwasher Wet Bar Sillcocks Misc (list) PERMIT FEE CALCULATION 1. 1.25% of Contract Price* or Minimum Fee ($35.00) 9, OOd x .0125 $ (contract price) 2. State Surcharge. ** Add the State ilding 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: Date:eb lqr DATE 1_2 Z/ 0CITY OF ORONO CALLED IN INSPECTION NO IC D SCHEDULED �S—( �j• L�'y PERMIT N0. Q �� D COMPLETED ADDRESS 35 YO QQ OWNER NTR. � � T TELEPHONE NO. 4f 7�3 DESCRIPTION 01 FOOTING 11 MECHANICAL RI 18 EXCAWGRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 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 Q 07 {yA� 15 SEPTIC INSTALL. 22 FOLLOW-UP i 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PL 36 FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES NO COMMENTS: ccLU CC O O cc O LL W CC Q Z W W CC LIJ /rWORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CC W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. C 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 OwnerlContrac on ite: Inspector. White Copy/inspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN 812,7 /y�' INSPECTION NOTICE SCHEDULED ,a ` F : v O PERMIT NO. Ad J`—& COMPLETED _ ADDRESS �,&Le rn OWNER CONTR. e TELEPHONE NO. DESCRIPTION W 01 FOOTING 11 MECHANICAL RI 18 EXCAWGRADING/FILLING 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WEfLANDS ti O 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 Q 07 DEM -FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = PLUMBING_ 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO to COMMENTS: a cc O O cc O LL W CC Q Z W z W cc Z) LU WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CC W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY U BEFORE COVERING PERMANENT 13CORRECT 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'nspection 24 hours in advance.473-7357 Owner/Con r on i Inspector. White Copy/Inspector's File Canary Copy/Site Notice CITY OF ORONO CALLED IN /aTE TIME - INSPECTION NOTICE , SCHEDULED //-� PERMIT N0. COMPLETED ^/ ADDRESS db1i OWNER , / CONTR.01 CJ TELEPHONE NO. `� �3 ' -29 DESCRIPTION W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/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 - INAL 15 SEPTIC INSTALL. 22 FOLLOW-UP Q 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 1 LUMBING FINAL 36 FOUNDATION/REMOVAL Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO Z COMME TS: W � cc O LL W cc z W z W rc W OR W K SATISFACTORY:PROCEED ❑ PROJECT COMPLETE w ❑CORRECT WORK&PROCEED LlISSUE CERTIFICATE OF OCCUPANCY 0 ❑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 t is ction 24 hours in advance.473-7357 Owner/Contracto n site Inspector. White Copy/Inspector's File Canary Copy/Site Notice D AT � TIME CITY OF ORONO CALLED IN INSPECTION NOTICE_ SCHEDULED A-3 Z) PERMIT NO. CCii COMPLETED ADDRESS a- OWNER K: -- Igo c 1,. ,�ONTR. TELEPHONE NO. 3 -9 71SP DESCRIPTION W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS h 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 J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP r09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINA� 36 FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:—YES_NO COMMENTS. LU V c e r o_ cc O a W v cc Q Z W z W cc d WORK SATISFACTORY:PROCEED El PROJECT COMPLETE W cc ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORECOVERING 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 nex inspection 24 hours in advance.473-7357 Owner/Contract n e: Inspector. White Copylinspector's Fie Canary Copy/Site Notice