HomeMy WebLinkAbout1997-008929 - plumbing A PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 f"=' t�;;�fr t
Crystal Bay, Minnesota 55323 Permit Number:
Date Issued: '
(612) 473-7357
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SITE ADDRESS:
4 05 WILLOW DR
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DESCRIPTION:
FIXTUREc-
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REMARKS:
FEE SUMMARY:
CONTRACTOR: O. NEfi:,
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THE, UNDER :I hlED EES REQUESTS; � f ' S TQ MAKE THE ..: � _4 �� 1TS
PEC I F I ED AND AGREE� TO ISD ALL� nWQR 1N STRICT —l. IMCE L TY' WJE
0RONO CIRD i NANC ES ANEY E T€T , �Esou p��m'D I G .00E
APPLICANTARMI SIGNATURE 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 L/Addition Repair Replace
Residential Commercial
JOB SITE: Aq 0 :S_ �1 � 1�) ':�-o Zip:
Owner's Name: Telephone Number:
Mailing Address: '-av.�_ City: Zip:
Contractor'sName: TelephoneNumber: �-
MailingA.ddress: 1��5���� e V-,Q City: _, J Zip: I a 7Q,
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet 1 Floor Drains
Lavatory ( Sewer Ejector
Bathtub Laundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwusher Wet Bar
Sillcocks Misc (list)
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
I 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:
l
DATE 3TIME
CITY OF ORONO CALLED IN � <0 e)
INSPECTION NOTICE �_'o�Ct SCHEDULED �/-,X9-W
PERMIT NO. _� COMPLETED
ADDRESS
OWNER CONTR.
TELEPHONE NO. q'1
DESCRIPTION
L4j 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
�Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q
= 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
~ 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
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07 DE L 15 SEPTIC INSTALL. 22 FOLLOW-UP
= PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
R COMMENTS:CC
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O WORK SATISFACTORY:PROCEED PROJECT COMPLETE
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CC I CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY
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O 1 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORE COVERING PERMANENT
177 CORRECT UNSAFE CONDITION WITHIN HOURS. PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for th7nsiie:i s tion 24 hours in advance.473-7357
Owner/Contra Inspector. —
White Copyllnspector's File Canary Copy/Site Notice
, yyy_���
CITY OF ORONO CALLED IN DAT E�J TIME
INSPECTION NOTICE Q SCHEDULED
PERMIT NO. COMPLETED L�
ADDRESS '
OWNER ✓ CONTR.
TELEPHONE NO. �s�
DESCRIPTION
01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FIWNG
02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q
= 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
v
07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
Z 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
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cc
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W
CC
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LAJO WO RK SATISFACTORY:PROCEED
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PROJECT COMPLETE
W 11CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY
Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the e t spection 24 hours in advance.473-7357
Owner/Contra t on 't
Inspector.
White Copy/inspector's File Canary Copy/Site Notice