HomeMy WebLinkAbout1997 - 008961 - plumbing PERMIT
icay OF ORONO PERMIT TYPE:
2750 Kelley Parkway- PO. Box 66 !4‘-!
Permit Number: vt.);.7. 1
Crystal Bay, Minnesota 55323
Date Issued: / /
(612) 473-7357
SITE ADDRESS:
189 WEST FARM RD
P 1 N
DESCRIPTION:
S FIXTURES
Plumbing Permit Type FIXTURES
Plumbing Work Type RENOVATE/REMODEL
1 WATER CLOSET 1 LAVATORY 1 BATHTUB
1 SHOWER 1 WET E:AR
REMARKS:
FEE SUMMARY:
VALUATION $3, 000
Base Fee $37 50
Surcharge
Total Fee $39 . 00
CONTRACTOR: - Applicant - 0 OWNER:
m IKE LARSON Pi t..4{; 2 9 2 0"7 i4H TEN. F'
3402 LIBRARY LA las3 WEST FWN RD
ST LOUTS PARK b 4 7 E, RuNij MN
(612) 936-0103
THE UNDERSICiNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVFMFNTS
SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF
ORONO ORDINANCES AND STATF OF MINNESOTA BUD COOF REQUIRFMENTS .
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( 5t\A4 .4/1/1L4;14/k,_
APPLICANT/PERMITE SIGNATURE I ISSUED BY:SIGNATURE r-
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: iNew Addition Repair Replace
Residential Commercial
JOB SITE: I (19 , Zip: 6
Owner's Name: �l�c�.;� l_,U 1'1;The f) Telephone Number:
Mailing Address: `)( 1' LU . `V� cQ . City: U [-con Zip:
Contractor'sName: �� LcA` nh'1 . TelephoneNumber:
MailingA.ddress: 3 yob, L,U(za-c LaUr1 QU City:64-.LotA-r) ip: 3 La
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
Lavatory Sewer Ejector
Bathtub I Laundry Tray
Shower I Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar 4
Sillcocks Misc (list)
1 bk,s,
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee(35.00)
`3C) , x .0125 $
(contract price)
2. State Surcharge. ** Add the State Buildin Coe 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: liafl1_1Q44't7Date: 7 97
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED 3—� %0%3 e
PERMIT NO. cI 76)/ COMPLETED
ADDRESS /f/ _7L'� AL'C
OWNER /1- '---+ACONTR. -7)7y,,,---e ‘.7\,,2,4-(1-4.--71
TELEPHONE NO. yi l)_ v2v
DESCRIPTION � (.4.�c
01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FIWNG
h 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
= 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
I` 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
W 07 D ,.• _ 15 SEPTIC INSTALL. 22 FOLLOW-UP
09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J • _ FINAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES NO
o COMMENTS:
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CC• WORK SATISFACTORY:PROCEED PROJECT COMPLETE
CC
W L' CORRECT WORK 8 PROCEED I ISSUE CERTIFICATE OF OCCUPANCY
• ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
O BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the in .- tion 24 hours in advance.473-7357
OwnerIContract4r ite:
Inspector. "Re
White Copy/Inspector's File Canary Copy/Site Notice
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