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
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CHECK TiL ,T6.00
RECEIPT-THANK YOU
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04/20/93
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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:
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CC
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�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