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HomeMy WebLinkAbout1999 - 011287 - plumbing - - PERMIT CITY OF ORONO PERMIT TYPE: 210 Kelley Parkway- P.O. Box 66 Permit Number: Crystal Bay, Minnesota 55323 0112S7 Date Issued: (612)473-7357 03/L3/99 SITE ADDRESS: 21c,i0 WYZATA LVL/ F . I . 34-118-23-21-0032 DESCRIPTION: 16 FIXTURES plImHing PPrmit Type FIXTURES PIHmhinci Work Type REsIDENCE 4 WATER CLOSET 3 LAVATORY 1 KITCHEN SINK 2 SILLCOCKS 3 FLOOR DRAINS 1 WATER HEATER UNDEFINED REMARKS: FEE SUMMARY: VALUATION $12, 000 3as9 Fee $150 . 00 MAIL IN Eu charge uo Tot7.0 F-;.e $1A7 . 50 sf4htotri1 $156 . 00 CONTRACTOR: . OWNER: App111_,:kn,. - 8REDAHL PL8G 24242646 GRi7FN VALLEY ASSOCIATES 791f; 73RO AVE N 2190 WAYATA BLVD BROOK_YN F' RK MN SS42P oRONO MN SS-: ; THE UNDERSIGNED HERERY REWESTS PERMISSON TO MAKE THE REAL IMPROVEMENTS SPECIFIED ANO AGREE; 10 no ALL WORK INcic ICOMPLIANCE WIFH ALL CITY OF L ORONO ORDINANcES AND STATE OF MINNESOTA BUILDIN6 CODE Ri:.OUIREMENTS . o'Yya' N/2t-a-'J APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE 4 r. , fr cSTT yr vRvnv 01c-TT7v71v v7 rcvr7T 1-r:cc Q' :v.trv7 nv:07v '7117D A02-0 CITY OF ORONO APPLICATION FOR PLUMBING PERMIT 46'i-5° Box 66 (2750 Kelley Parkway) •';v© Crystal Bay, MN 55323 MUM INFORMATIC A 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 SIT. 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. IllStrUCtiOni Complete all items on this application. Compute the permit-fee. Sign and date the certification. INCOMPLETI: APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 473-7357. Please check one; _ c/ New _ Addition Repair _ Replace Residential Commercial JOB SITE: ? 1 70 cu -"_424 a 6 Luc/ Zip:_ Owner's Name: ..w._ Telephone Number: - Mailing Address: _ City:_ Zip: Contractor'sName: T?p 4 � n� TelephoneNumber:_ 12 V- 2 6 '-/4. Mailing A ddress: 7'7/. 73 �ti City: _._ Zip:_ _ PLUMBING FIXTURE SCHEDULE FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER TYPE FL FL TYPE FL FL Water Closet 1 ^ Floor Drains 3 Lavatory 1 ' Sewer Ejector C. C__ ._._._._._ �Gb ( Laundry Tray _ t921-Z;57411. l f ` Washer I Kitchen Sink / Water Heater / — Disposal Water Softener Dishwcsher Wet Bar Sillcocks 2 Mise (list) / C riY G.TT 0r 0F(O14O 01Z:4T00710 07TZ(7l7T 14;ca 03 ;07!07 N0:070 4 pERMiT En CALCULATION 1. 1.25% of Contract Pry* or Minimum Fee ($35,00) x .0125 $ /5 U (contract price) 2. Sfl.e S lrc ge. ** Add the State Building Code Division Surcharge to each permit, _ x .0005 $ �. (contract price) or $.50, whichever 15. greater 3. Postage arr J 4ndling (Only mail-in applications) $ it30 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ i s 7. S—r_ * 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 arc 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 cei ifies that all statcments made oil this application are complete, true and correct. / ? Applicant's Signature: � _.�_ Date: DATE TIME CITY OF ORONO CALLED IN - I .%G' Ail INSPECTION NOTICE SCHEDULED # a 10,36 PERMIT NO. 0//aA? COMPLETED ADDRESS ,9 I cf L tL7- &Crate,- &ca' OWNER COTNRRC( ajLe TELEPHONE NO. / ‘i - 7&I a DESCRIPTION firm Pl{,t/14,6.i .- 1- L4 14,1- W 01 FOOTING 11 MECHANICAL RI U 18 EXCAV/GRADING/FILLING 4. 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL • 04 BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 5 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 ct ? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: cca ,1/"ta /00 /'+telc�1. -2- / « (1�l ccnicO cc 0 cc W z W 4; WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CC W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY CZ ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. C-, PHOTO TAKEN INSPECTOR WILL RETURN CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next ins• -ction 24 hours in advance.473-7357 OwnedContr oro/ Inspector10 j—�— White Copy/Inspector's File Canary Copy/Site Notice '`7TE TIME CITY OF ORONO CALLED IN Y `Y P � INSPECTION NOTICE SCHEDULED l4 ' : T tc71/ PERMIT NO. 1/"1 ' / COMPLETED ADDRESS ?/9e) iLa Lr OWNER CONTR. c,,;111r-i/—,. ec-r.A.2 TELEPHONE NO. Cl C' - DESCRIPTION W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS ti) 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 v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP _CI56 PLUMBINGRIS 23 SEPTIC FINAL 35 HARD COVER REMOVAL 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL • OWNER/CONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: CC W O CC O W CC tnW W et WCC ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE ❑CORRECT WORK&PROCEED El ISSUE CERTIFICATE OF OCCUPANCY • ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ti BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the nex inspection 24 hours in advance.473-7357 OwnerlContr or n it : Inspector. White Copy/Inspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN 3 3 0- ? ' 0, v INSPECTIONOTIC.] SCHEDULED 3- :3/-l 7 Q: c E)PERMIT NO. /� (' / - COMPLETEDI , ADDRESS ��/ / C' &. C.V czip �-/7 OWNER � ,Y -iu c C&TR. B .^i