HomeMy WebLinkAbout1994-006076 - plumbing PERMIT
C4Y OF ORONO PERMIT TYPE:
2750 Kelley Parkway • P.O. Box 815PLUMBING
Orono, Minnesota 55356-0815 Permit Number: "`}6{''?�''_
Date Issued:
(612) 473-7357 OE/12/ 4
SITE ADDRESS:
.4C4 C WA i E :T OWN ria
JB
F i 31-118-23-24-0004
DESCRIPTION:
24 FIX ` ' `RE _.
PI; Ir;,I�aitj P°armit. Type FIXTURES
Plumhing Work Type RESIDENCE
4 WATER CLOSET = E ry:�;;•"—a`•: BATHTUB TH '! ij_,
EN SINK 1 DISPOSAL
jDISHWASHER ;•, IAC •',_ 1 FLOOR DRAINS
s. LAUNDRY TRAY I WASH _ WATER HEATER
1 WET BAR
C1 7! V Lft1VttIJ
L•!tlrs Ai!'L lnrE7P1
! .11Y111,41-. LI! 1 141.
1313300000 ft
/ Kell 81.25
\,.L VLIt
REMARKS:
01 GEN r77.GJ
1,351700000 F?
viei 1.50
f1�fiFS "'V1}•COL•11L
FEE SUMMARY: RECEIPT—TWA. YOU
VALUATION. $l: , ?—,i?i j #3034 90 v 4vv.i 1,v1 T12.144
•T-�r(
137--4. e, Fee t8t . 2 MAIL _N $1 . 00
Surcharge • s.s._ 'C' T'-I t.:_t_
77
.11:14 . S0
..•
CONTRACTOR: — App i a_a It. — OWNER:
`vf- L LEY PLUME:Its-1(3CO . INC . 24922121 HIGHVIEW W 4011ES
610 t i-;EEr!•=:, LANE 44_. lcfA T C_F T1.1LIs RD
JORDAN MN 55-35 ORONO MN 5:3S'_•f
(.612) 4q2-2121
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REN IMPROVEMENTS
SPECIFIED AND AGREES "n DO ALL WORK! IN STRICT COMPLIANCE WITH AI!_ CITY IIC
L_ ORONO i ORDINANc ES AND STATE OF MINNESOTA BUILDING CODEREQUIREMENTS .
APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
VL
MAY 0 x,994
CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMATION \-\
1. You may apply for plumbu pepnuts by mail or in person at the City offices.
2. Permit cards will be sent'y 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: r New Addition Repair Replace
Residential Commercial
JOB SITE: 145 Li 5 Li Zip:
Owner's Name: ; h ; , Telephone Number:
Mailing Address: City: Zip:
Contractor'sName: U 4-\�� p\� c o s - TelephoneNumber: ,
MailingAddress: s ,,.,v(- A., City: 73,.„0,. Zip: cYI c -
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet ( Floor Drains
Lavatory 1 L Sewer Ejector
Bathtub Laundry Tray
Shower ( l Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher 1 Wet Bar
Sillcocks - Misc (list)
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
CS.on - x .0125 $ 5) l . age
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. sou- x .0005 $ 3. a c
(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) $ g (s —
* 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 insiaiiation 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 $1,000,000 call the Department of Inspectional Services for the price.
The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all
work in strict accordance with the ordinances of the City and the regulations of the State of
Minnesota, and certifies that all statements made on this application are complete, true and
correct.
Applicant's Signature: Date: Sig/ N
DATE TIME
CITY OF ORONO CALLED IN `S'3/..- 95/
INSPECTION NOTICE SCHEDULED 1p -- /0 ',0$
PERMIT NO. ,,// 1P 0 7o COMPLETED r Y
'S
ADDRESS i(5 l,Ci � _ i d rr
OWNER / 4 4 PLC'"e"() 4- ONTR. ,e2„8"—‘2,-/— A?
TELEPHONE NO. 7 9 /`
DESCRIPTION
W 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP
02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADING/FILLING
h
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
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
•J 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
WC09 PLUMBING R�I 15 SEPTIC INSTALL. 22 FOLLOW-UP
10 PLUMBING FINAL ( 23 SEPTIC FINAL
J
Q OWNER/CONTRACTOR TO MEET YOU:_YES NO
cr
2 COMMENTS: ^ L4—
a.
ccJ
O
cc
O
14.W
cc
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Z
W
CC
O WORK SATISFACTORY:PROCEED E PROJECT COMPLETE
W
❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
CZ ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
OU BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
LI 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/Cont a o s e:
Inspector.
White Copy/Inspector's ile Canary Copy/Site Notice
t
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED 7_ -gf4- q ��c
PERMIT NO. ' O 7- COMPLETEDif
ADDRESS L 5
OWNER / jJ) l na-4— CONTR.
TELEPHONE NO. A/ R/ l
DESCRIPTION -
LU 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
U.) 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19!AKESHOREIWETLANDS
• 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 MAI NT. 21 COMPLAINT
LU 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
CI9 PLUMBING FINA 23 SEPTIC FINAL
Z OWNERICONTRACTOR TO MEET YOU: YES_NO
o COMMENTS:
cc
a
CC
,Kow► 4
0
W
z
WORK SATISFACTORY:PROCEED
W� ❑ PROJECT COMPLETE
❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
CI LI CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS.
if PHOTO TAKEN
INSPECTOR WILL RETURN
ElSTOP ORDER POSTED.CALL INSPECTOR C CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnedContr r oh ite:
Inspector. I
White Copy/Inspector' File Canary Copy/Site Notice