HomeMy WebLinkAbout1996 - 008242 - plumbing ,4, PERMIT
'• CITY OF ORONO
PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 L+L;_;= ;E NC:i
Crystal Bay, Minnesota 55323 Permit Number:
Date Issued: 00I.-3242
(612) 473-7357 0E..;;'09196
SITE ADDRESS:
7750 WHITE OAK C I R
CH
P . I . Q . . 04-117-73-47-0018
DESCRIPTION:
5 FIXTURES
Plumbing Permit 1ypl-_ FIXTURES I L-. t i JF E•:.;+
Plumbing Work Type REPLACE. EXISTING
1 WATER ER .:L O =ET L I AVATORY 1 BATH ri{b;
I SHOWER
REMARKS:
FEE SUMMARY:
VALUATION $4, 500
$57 . 50
Surcharge
Total Fee
$59. 80
CONTRACTOR: - Applicant - OWNER:
E(F MI T STEVE PLPG 24733580 SHANNON Ti: =.fH
1045 MEDINA RD 7760 WHITE OA`-. C:IR
i ONG LAK . MN 55:355 ORONO MN 552.I56
(617) 473-3680
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS
SPECIFIED AND AGREES TO GO ALL WORK IN STR ICT COMP'L I ANC:E WITH ALL CITY OF
ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. j
APPLICANT/PERMITS SIGNATURE i1 ISSUED BY:SIGNATURE 4 -
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.
Instruction's 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 Replace
✓Residential Commercial
JOB SITE: Ge- G21 42, 2CLX et rU e Zip:
Owner's Name: Telephone Number:
Mailing Address: 7teD if-_ Y/�e;r(Je City: / Zip: 5-S-3(—Z
Contractor'sName:, Sve �C24 �f Teleph neNumber: y73-,?6�a
Mailing A.ddress: /6 c fted ii , City: &r j z.„?, Zip: S7'
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 /f Washer
Kitchen Sink Water Heater
Disposal Water Softener
DishwItsher Wet Bar
Sillcocks Misc (list)
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
�� 00 x .0125 $
(contract price)
2. State Surcharge. ** Add the State Building‘ Code Division
Surcharge to each permit. ` 516 Op 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: �; �.1 _ / Date:
DATE TIME
CITY OF ORONO /, CALLED IN
INSPECTION NOTICE / SCHEDULED ?Ji-211
PERMIT NO. 3 4-2--VVV COMPLETED11.
IA
ADDRESS < 7&O
OWNER _ 21... CONTR. /.1 .0
TELEPHONE NO. A 73 I
DESCRIPTION
01 FOOTING / 11 MECHANICAL RI 18 EXCAV/GRADING/FIWNG
' 02 ING �nG ✓ 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
p 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-UO 06 PROGRESS
F` 07 DEMO–SITE 27 SEPTIC MAINT. 21 COMPLAINT
W 07 D •— 15 SEPTIC INSTALL. . 22 FOLLOW-UP
= 09 PLUMBIN C : 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION REMOVAL
OWNER/CONTRACTOR TO MEET YOU:_YES_NO
o COMMENTS:
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O WORK SATISFACTORY:PROCEED
CCG PROJECT COMPLETE
L
W CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
O BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. n PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR C CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the nex inspection 24 hours in advance.473-7357
OwnerlContr i o si e:
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice