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HomeMy WebLinkAbout1993 - 005071 - plumbing PERMIT CITY OF ORONO PERMIT TYPE: 2750 Kelley Parkway • P.O. Box 815 Permit Number: PLUMBING Orono, Minnesota 55356-0815 Date Issued: t,t ` 1 (612) 473-7357 04/20/93 SITE ADDRESS: 1131 WIL DHUR°_T TR CH P . t .N. , 07-117-23-24-0043 DESCRIPTION: 9 F i x;TURFS Plumbing Permit Type FIXTURES Plumbing Work Type RENOVATE REMODEL 2 WATER CLOSET 3 LAVATORY 1 BATHTUB 1 SHOWER 1 LAUNDRY TRAY I WET BAR REMARKS: FEE SUMMARY: VALUAT I ON $2, 000 _ CITY OF ORONO Base -r + Fee � i� ( - FINANCE OFFICE Surcharge 131330000 y Tot.ri1 Fee $36 . 00 01 GEN 35.00 1222200000 rr 01 1JLI71•NiY CHECK TiL ,T6.00 RECEIPT-THANK YOU TT2IV...LV L.VV.L IlV1 SVIJ•VL 04/20/93 /IJ • CONTRACTOR: - Applicant - OWNER: NH ST F'AO PLRHT 277763 CUL! I TON JOHN '7J57'7i E 7TH AVE 1131 W I LOHURST TR NO .-:T FAIL MN 65109 I_ RO NO MN 55364 (612) 777-6363 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENT ENT_; SPECIFIED AND AGREES TO DO ALL WORE:: IN STRICT COMPLIANCE WITH ALL CITY OF L_ ORONO ORDINANCES AND '::TATE OF MINNESOTA BUILDING CODE REQUIREMENTS. (' .l i0,72.7.,„,." orpPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE SGA -507i 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 Replace Residential Commercial JOB SITE: // 3 / Gt.4ji 7'7 Zip: Owner's Name: tplt 7-/ Telephone Number: Mailing Address: // 3 / � 1 ,/ ,.�r?- City: Zip: Contractor'sName: - fro,54' P",// fiphpneNumber: 7'77- 63 63 MailingAddress: City: Zip: PLUMBING FIXTURE SCHEDULE FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER TYPE FL FL TYPE FL FL Water Closet / / Sewer Ejector Lavatory / Laundry Tray Bathtub / Washer Shower / Water Heater Kitchen Sink Water Softener Disposal Wet Bar Dishwasher Floor Drains Sillcocks Misc (list) PERMIT FEE CALCULATION 1. 1.25% of Contract Price* orj✓Iinimum Fee ($35.00) 2c .Pv 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: % ,2 0 > SATE TIME CITY OF ORONO CALLED IN . i 93 INSPECTION NOTICE SCHEDULED 9-3 e;. ' a 6 PERMIT NO -1'I/ COMPLETED u t� ADDRESS .f" /J OWNER .��. CONTR. X) • • e2,—.4QO . TELEPHONE NO. '791- 36.3 • DESCRIPTION 1U 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADINGIFILLING h 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 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT W LUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP 10 P FINAL 23 SEPTIC FINAL OWNER/CONTRACTOR TO MEET YOU: YES_NO • COMMENTS: ccC # ccs le S OK CC LL CC ti W CC O �WORKSATISFACTORY:PROCEED E PROJECT COMPLETE CC ❑CORRECT WORK&PROCEED E ISSUE CERTIFICATE OF OCCUPANCY • ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. 17. PHOTO TAKEN INSPECTOR WILL RETURN CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 Owner/Contra r oip site: Inspector. AO/ White Copy/Inspector's File Canary Copy/Site Notice Y v. DATE - /77 TIMFy CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED '� -� ✓'' PERMIT NO. _6'7/ _COMPLETED ADDRESS /l / 0- / / • ' OWNER CONTR.7`L !CLe.J ll' TELEPHONE NO. ) -2 C 3 C., 3 DESCRIPTION Lu 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP Q 02 FRAMING 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 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT ? 09 PL 15 SEPTIC INSTALL. 22 FOLLOW-UP 10 PLUMBING FINAL 23 SEPTIC FINAL O ' ' - OR TO MEET YOU: YES_NO o COMMENTS: cc LAJ ec W\Gt.u�0+M. P.t�' C O CC W W WCC tto<ORK SATISFACTORY:PROCEED PROJECT COMPLETE W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY CZ ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY • BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. 7 PHOTO TAKEN INSPECTOR WILL RETURN IISTOP 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 r o_ik site: Inspector. . White Copy/Inspector File Canary Copy/Site Notice