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:
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LIJ /rWORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
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❑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:
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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
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COMME TS:
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W K SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
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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
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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 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_
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d WORK SATISFACTORY:PROCEED El PROJECT COMPLETE
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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