HomeMy WebLinkAbout1999 - 011701 - plumbing PERMIT
a-iv OF ORONO PERMIT TYPE:
4275Q Miley Parkway- P.O. Box 66
Permit Number:
Prystal Bay, Minnesota 55323
Date Issued: T
(612)473-7357
07/39/99
SITE ADDRESS:
2 I WAY/ -HA BLVD
fr-.5
N 4 I ! 7:.7; 1 0 C)0
DESCRIPTION.:
3 FIXTURES
Plumbing Permit Typ,.., FIXTURES
Plumbing Work Type REPLACE EXISTING
I LAVADDRY 2 UNDEFINED
REMARKS:
FEE SUMMARY:
VALUATION $1 , 000
Base Fee $35 .00
Surcharge . r)
Total Fee $3S. E0
CONTRACTOR: OWNER:
- Applicant -
CITYVIEW PiBG HTG 247:38793 KRAHENBUHL
E•8 0 I/2 Wi;-•:'iY-T.A 1A BLVD 260 iWAYZAT A n
LONG LAKE SS3B6 ORO'NO
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS
P;PFCIFIED AND AGREES 10 DO AiL WORK IN SIRICI COMPLIANCE WITH ALL CITY OF
L ORONO OROINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS.
X!sve6 g2,k-ec--A/
APPLICANTIPERMITEE SIGNATURE ISSUED BY:SIGNATURE
1(1 / °
CITY OF ORONO APPLICATION FOR PLUMBING PERMIT 50
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 249-4600. 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 249-4600.
Please check one: New Addition Repair (K Replace
Residential Commercial
JOB SITE: / 6c) w ifiy z/q Zip:
Owner's Name: `7 r , f< ra h e 'fou y( Telephone Number: . 7/f- D 611
Mailing Address: la , p x . 16,0 City: 4- 4 Zip: S' 5 3 S'6
Contractor's Name: C (1-7 /, Telephone Number: 1x73 2 _3
Mailing Address: /8 Ar!) vtrairn glvd City: & Zip: s s 3 S' 6
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
Lavatory Y Sewer Ejector
Bathtub Laundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Misc (list)
$(bp s%)-)K
Cans- SK I
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
76J v 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) $
* 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: =2 9 " 97'
t;.
DATE T& E_
CITY OF ORONO CALLED IN (}j \v`
INSPECTION NOTICE , SCHEDULED 3 a� v f 00
PERMIT NO. ()70COMPLETED 1
ADDRESS - 1.00 W -��.iJ Nick
OWNER QCONTR. Cee.A-)
TELEPHONE NO. 4T 8� i3
DESCRIPTION
LL.• 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
• 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
07 DE A S- I AI 15 SEPTIC INSTALL. 22 FOLLOW-UP
• PLUMBING RI_ 23 SEPTIC FINAL 35 HARD COVER REMOVAL
36 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
o COMMENTS:
cc
CC
0
CC
0
W
CC
W
CC
d
W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR 11 CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next ins•,y.. '•n 24 hours in advance.473-7357
Owner/Contr. or •n . 00/
Alk
We_
Inspector., r/ ri
White Copy/Inspector's File Canary Copy/Site Notice
DATE. TIME
CITY OF ORONO CALLED IN
INSPECTION NOTIQE�` SCHEDULED /7 ► I �U
PERMIT NO. I I /6 1 COMPLETED
ADDRESS I ( C7 (A)0.4-12-a4 c P:)\\Id
OWNER CONTR.� C^;\-\-(
TELEPHONE NO. 413 R-7C 3
DESCRIPTION
LU 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
is 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
v QII-PLUMBING FINAL) 36 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
o COMMENTS:
jic,c45 9ect--3(
O
O
ec
Tc
W
CC
LU rWORK SATISFACTORY:PROCEED ROJECT COMPLETE
W
El CORRECT WORK&PROCEED /❑ ISSUE CERTIFICATE OF OCCUPANCY
CZ ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
• BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑ CITATION ISSUED
ElSTOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnContracto n site: ye S
Inspector. Are-k-,---C
White Copyllnspector's File Canary Copy/Site Notice