HomeMy WebLinkAbout1993 - 005027 - plumbing PERMIT
CITY OF ORONO PERMIT TYPE: PLUMBING
2750 Kelley Parkway • P.O. Box 815Permit Number: !}s_1`027
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Orono, Minnesota 55356-0815 Date Issued: `_}4' t _
(612) 473-7357
SITE ADDRESS: '"6.15 WEST LAFAYETTE RD
CH
P . I . N . . 21-177-37-40-049
DESCRIPTION: 0 FIXTURES RESET
Plumbing Permit Type FIXTURES
Plumbing Work Type SEF'LACE. EhI: ;T ING
1 WATER CLOSET/RI 1 LAVATORY/RI 1 BATHTUB/RI
1 LAUNDRY TRAY/RI 1 !JNDEFINE% `RI
REMARKS:
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FEE SUMMARY: _ ".1.1.,-
1 i'2�•,.'V 1JVL•'V
VALLJATl�_�tt1 $1 , 000 GE 35.00
V.7200000 t�
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Basle Fee— $.� .-•
$35. 50
01 trt
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Surcharge sis } Lfc ! LFi
Total Fee $- . . -LEIT_ lLf!kYOU
41.:'68740 1.•003 ltll 211.11
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CONTRACTOR; INC _ 24277680 AVM R: JAMES!"ZI�tL
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:74095 16'=ND LA N W 2615 WEST LAFAYETTE RD
ANDOVER MN S:303 ORONO N 5E.;::331
(612) 427-7630
THE UNDERSIGNED HEREBY REQUEST:- PERMISSION TO MAKE THE REAL IMPROVEMENTS I
SPECIFIED AND AGREES: TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF
ORONO ORDINANCES AND :STATE OF MINNESOTA BUILDING CODE REQUIREMENTS .
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APPLICANT/PE'MITEE SIGNATURE ' ISSUED BY:SIGNATUR `�Com✓
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 Addition Repair v Replace
Residential Commercial
JOB SITE: (714,1 S^— i //e_ed Zip:
Owner's Name: / 4 s.e- . Telephone Number:
Mailing Address: City: Zip:
Contractor'sName: TelephoneNumber: yob 7-. 7� v
MailingAddress: D95- —/' z , ,rite) City: a e/a_ JZip: ,13-3 a y
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet l Sewer Ejector
Lavatory / Laundry Tray /
Bathtub / Washer
Shower Water Heater
Kitchen Sink Water Softener
Disposal Wet Bar
Dishwasher Floor Drains
Sillcocks Misc (list)
4 / AL'
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
— x 1.25 $
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $
(contract price)
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:
%-,
99,A,T�/ TIME
CITY OF ORONO CALLED IN 4//2Jd 3
INSPECTION NOTICE SCHEDULED '193 moi'3
PERMIT NO. -'C 7 COMPLETED 11 �.
ADDRESS (o/
OWNER J CONT
TELEPHONE NO. ' L.v 2- 7& f d
DESCRIPTION�J2 /
1U 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADINGIFILLING
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
• 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
ct 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
0 • • ...L 27 SEPTIC MAINT. 21 COMPLAINT
? 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
10 • T:IN FINAL 23 SEPTIC FINAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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• COMMENTS: /)
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WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
CC
W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
• BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN
INSPECTOR WILL RETURN
C CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the n xt inspection 24 hours in advance.473-7357
Owner/Contr r ite:
Inspector.
White Copy/Inspector's ile Canary Copy/Site Notice