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HomeMy WebLinkAbout1998-009915 (plumbing) r PERMIT � CITY OF ORONO PERMIT TYPE: �:�, �,;�;�:;���:�,� 2750 Kelley Parkway- P.O. Box 66 Permit Number: {-`�`'�'�a� Crystal Bay, Minnesota 55323 -� :i;,,�,�._;;=; (612) 473-7357 Date Issued: �-�_� SITE ADDRESS: _;��°y� �:�'r`=�If�� �';� :� . . ! . f'� . � S_)`__? i f`_�_::;—'_'_;—iiiii:,'� DESCRIPTION: __� �� z l"E e i-��:�; i`l l.li!'4C�I i�;� �'�t'fiE's?• ��!="•=� �L�_�f t-Eii:`;=� �` i !�fi'iC�t i i�; !,:.'�_i)'k. � `+�'F; ��r.��?} 3 � �...���f 1 �t���t'i i_:E 1_�`•���� ^ � ���r'i-;�!�!'�'Y � �i�}';'}-f'�i_��; 1 °=:�;_ii,i�;�;° i ;T!"t�F-;t� ��i�'�#f��. � C�1•t��'`�_����i_ 1 C}I°��N������i4�i� s ;_i�t!i�L�i�°'�� i��°�Y i k��'�TE�; '�a�FTtvF�; REMARKS: FEE SUMMARY: 'y�j�, t�l�''i: i i_s{� M•`�; .°�i`st�: L;;.?C.3+`s �p'�a;i �y.`'i i�+ . ��y ��i3� ..�Ec�!?'`�}' ------ �'�.<..�j'.=rz �'��_s f.�; i�:��� ��>1��.,,��: . �t; F'`_';=`1 = -'i}l t. C N� �i::: ��. � - ��,- ►:�.-.' :��-:.-,s_,- �. E�� , � .�����(9�:.��'`.i,� r�s . ..`__'r'. � �t .' _`�=f.,:..L_•f� ���i ! t�s�'+.j`_: ��_''��. ����•.L i��i'1' Ht�E V .1;=`�.'� t��-i T'•�=1�!t t'i�° �� ! . #��i s-:l-li��i i''1�'�l �-��'_;,�`i i�, i�i�;°l=;t�,�i�; �'(i;! ���"�;�.r, L.`��a.s �`�,f—.r.�.'.`_i�' s �t�_ !„��yi.:��;:-��i�,��L',=i� :�-E�'-.Li��:`�` �'�;��#1�,:–, ( :-� �`�f;��'';�'...'.�:�iT��`,� s t..� s''1F::;,� ��l� �`l�_=.� ; i'!4–'�:`;_ft:`��'��T'.��.'-. ;��i— _t���=E�l� �?�Jt�� f�__:�;�.��; �>� �:t�� �-,E._� �:���_i .t��: _t'. � '. ;-i.i t:.�T _�=;r�F'=_I s=;l��=E W�t t-i �i._1.. iW:i T�� r���w ;�i�-;s � ji� :�,;;� C,i },li�:�:=' ,�.t.I�.si i =�,�I Y !: M t f�J � =ii_t �:t;_i i T y�:!_3l,);- _iii::� ;F-�;�r:,� . _ ._ �_- _ %� �. _- - . e-� _. { _. �'.���_ ��-: _. _ �..� f��_ _ _. F,``' �_ _.�'.__( ._: �'.-� � J I APPLICANTiPERMITEE SIGNATURE ISSUED BY:SIGNATURE �' 3#j A y ) k;: , �.- ,...: , :.<,.. �� .._: - . . .�.�._o -^- . ..��_.��,.� .. . .. _ � . . . w .`.r..�< < . �..-':, . . .:r... ,�� c�y �� ....:� c.... .,. . r..., .�_... ...n . . _ . . .�. � ... ,. .,.. .n � _ . _' � �-_ �_� . , . ... ._. . . . u . •"t. ...:.. , . < .. 3 ;:_ . :,.� n�.... '.�:'i� CITY OF URONO APPLICATION FOR PLUMBING PERMIT �loY h6 (2750 Kelley Parkway) Crystal Say, MN 55323 GENERAI, INFORMATION 1. You may apply for plumbing permits by mail or in person at the City offices. 2. Permit cazds 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 y 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. Instructioii� Co:nplete all items on this application. Compute the permit fee. Sign and date , the certification. INC011�PLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 473-7357. Please check one: New � Addition Repair Replace � Residential Commercial JOB SITE:_�$ 5S �,n5;d� `�Zd- Zip: Owner's Name: C'o�,r,`, , ,� �// Telephone Number: Mailing Address: � - �,� City: G r�,�� Zip: Contract��r'sName: �a D I,.., � _ TelephoneNumber: N97-ZZ 90 MailingA.ddress: y�9i �I��.L, i,�t, City: �,�,�,�cti� Zip: Ss3�G PLUMBING FII�TURE SCHEDULE FIXTUR.E BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTFIER TYPE FL FL TYPE FL FL Water Closet � ( Floor Drains Lavatory � Sewer Ejector Bathtub � Laundry Tray 1 Shower � Washer Kitchen Sink � Water Heater Disposal � Water Softener � Dishw:�sher � Wet Baz Sillcocks Misc (list) � � � � ��� �` �� xa �, �`, �,'� � .� M�_� � �u f ._. � . �.,g ��=.%,�a�i#*aa ��s,�,��§ � .. . . .« e, , .... ....� -.__. . . " . �, PERMIT FEE CALCULATION 1. 1.25% of Contract Price* or Mir�imum Fee ($35.00) x .0125 $ (contract price) -5 2. State Surcharge. ** Add the State Building Code Division Surcharge to each permit. �,S�� � x .0005 $ (contract price) or $.50, whichever is greater 3. Posta�e and Handlin� (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 chazged 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 Cicy 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 $1,000,000 call the Department of Jnspectional Services for the price. The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all ; work in strict accordance with the ordinances of the City and the regulations of the State of Minnesota, and certifies that all statements made on this application are complete, true and � correct. � , � z < Applicant s Signature: � � Date: � �y U, ,. . _, _ .,,_ . ,�� � � ��<;�� _ � �, ,. . _ _ � . �_ � ., �, _ . _. , t _�,�. .a, � , . � � ` .� x.�'� � �� � t _. .: �� . _ <. ��. � �_ •,. i - . . . . sF=st� '{�'�.'�a.'�`.�E.�,eGi..^f- . ,. -2's`�:. .'�'`��!�_...� ��` � .. . .. . . . . _ .. . .. _.. . DATE TIME CITY OF ORONO CALLED IN � � ri ` `- c< <',�, INSPECTION NOTIC� SCHEDULED �✓ '� ". � �< .��� PERMIT NO. COMPLETED Z''S �S� ` `$`� ADDRESS� ��%� ��4.1..e.�.��p OWNER %'t � - � ' � �`� CONTR. t � �.; i li,, : TELEPHONE NO. ' '"`i i -?. %� � DESCRIPTION 't� ��t�-� ���4�< <. .: �/ � 01 FOOTING 11 HANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q O5 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP Q p9 PLUMBWG RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � w � � � O � � O � W � Q � Z W � W � j d ORK SATISFACTORY:PROCFED PROJECT COMPLETE ❑ CORRECT WORK&PROCEED ! l ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERINC� PERMANENT ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. _, pHOTO TAKEN INSPECTOR WILL REfURN f; STOP ORDER POSTED.CALL INSPECTOR f CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 Owner/Contractor on ' Inspector. �`�"'a---- White Copyllnspector's File Canary CopylSite Notice D TE TIME CITY OF ORONO CALLED IN 'S��d S�' INSPECTION N TICE SCHEDULED 'y/-?C�ry .��O c� PERMIT N0. � �5 COMPLETED ADDRESS �r��i5 �a .�..�.�J �+�'Ct�� OWNER CONTR. �f� TELEPHONE NO. ��7 ' �-Z�1'd . � DESCRIPTION ��o�� � � lL O1 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAI. 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 J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP Q -.�_..._.__ _ .(JZ��,�,,(�3 SEPTIC FINAL 35 HARD COVER REMOVAL 1 LUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q � Z W � W � � d W WORKSATISFACTORY:PROCEED PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT C7 CORRECT UNSAFE CONDITION WITHIN HOURS. - pHOTO TAKEN INSPECTOR WILL RETURN C STOP ORDER POSTED.CAIL INSPECTOR CITATION ISSUED ❑ INSPECTION REQUIRED.CAL�TO ARRANGE ACCESS. Call for the next' spection 24 hours in advance.473-7357 OwnerlContrac r si e Inspector. — White Copyllnspector's File Canary CopylSite Notice