HomeMy WebLinkAbout1994 - 006018 - plumbing PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway • P.O. Box 815 Permit Number: UMBI NIG
-
Orono. Minnesota 55356-0815 (Y)17,01;:f
I
Date ssued:
(612) 473-7357 04/14/94
SITE ADDRESS:
1960 WEST FARM RO
. N . : 27-118-23-430020
DESCRIPTION:
2 FIXIURES
Plumbing Permit TypP FIXTURES
Plumhina Work Type ADDITION
1 LAUNDRY TRAY I WASHER
CITY OF ORONO
jcINANCE OFF ICE
12.12:300000----#
REMARKS: 0.1 &IN 35.00
222200000 44
0 &E
V.1 Ni .50
LI r; 3550
ILIA% I L .
FEE SUMMARY: RECEIPTTHNK You
VALUATION $S00 43.01210 C001 ROl Til:4r
04/14/94
BasP FPP $35 . 00
Surcharae
Total
CONTRACTOR: -- Applicant - OWNER:
HOMEKEAD ENTERPRISES INC 29322966 AMOSSEN DONALD
PO PDX S7S 1960 WT FARM RO
WAYZA1ti MN S5391 ORONO MN 5S3S6
(612) 932-29G6 47 -1593
THE UNDERSIGNED HEREBY REQUESTS PERMIsSION TO MAKE THE REAL IMPROVEMENTS
SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF
, ORONO ORDINANCEs AND STATE OF MINNESOTA RUILOING CODE REQUIREMENTS .
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APPLICANT/PERMITEE SIGNA RE ISSUED BY:SIGNATURE
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 )4 Addition Repair Replace
Residential Commercial
JOB SITE: f 1�' Q (,AJe(f ,f n , / ,4 /A94_ Zip: 6 S 3S'C,
Owner's Name: Abe A),y La Am us-,c TelEphone Number: /y7(, 3
Mailing Address: /96 G..)..7. -f/, - ,p,j City:,4,(.7q Jif�re Zip: ..<533—C,
Contractor'sName: TelephgneNumber: 5307 --a76
MailingAddress: ie D. Ox ' City: "?.49-/i9- Zip: c.5 3 /
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 Laundry Tray
Shower Washer X
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)
lGDO`� 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: f'7/7"-YP
DATE
CITY OF ORONO CALLED IN 4:// TIME
�/9i
INSPECTION NOTICE SCHEDULED 4'////9 V ✓ 247
PERMIT NO. (O/' COMPLETED
ADDRESS /9(o0`�I,0 ,./ .-r�CJC�° l`S( �� '7'-Do
OWNER I CONTR. P�
TELEPHONE NO. q3,2-2.56e6'
DESCRIPTION pro h
Ict 01 FOO G 11 MECHANICAL RI 16 WELL TEST PUMP
Q 02 FRA 7 70 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
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
v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= PLUMBING R > 15 SEPTIC INSTALL. 22 FOLLOW-UP
10 PLUMBING FINAL 23 SEPTIC FINAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES NO
o COMMENTS:
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W� ORK SATISFACTORY:PROCEED ElPROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN
INSPECTOR WILL RETURN
ElSTOP ORDER POSTED.CALL INSPECTOR r' CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contra or s :
Inspector.
White Copy/Inspector's Fi Canary Copy/Site Notice