HomeMy WebLinkAbout1995-007308 (plumbing) PERMIT
.: � Cr'TY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 °;,,..�:-.=�� "_
Crystai Bay, Minnesota 55323 � Permit Number: ;.,;�,.�<<;;�:�"`
(612) 473-7357 ; Date Issued: i�,_;,,;:j� ;,.,;..:
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SITE ADDRESS:
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DESCRIPTION:
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II! FEE SUMMARY: ���� +�" "
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APPL ANT%P ITEE SIGNATURE ISSUED BY:SIGNATURE
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C1TY OF ORONO APPLI ATION FOR PLUMBING PERMIT
Box 66 (2750 Kelley Parkway}
Crystal Bay, MN 55323 �
' GENERAI. INFORMATION
1. You may apply for plumbing permits by mail or in pers 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 OT BEGIN UNTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Plumbing permits may be issued ONLY to licensed plum ' g contractors and to property owners residing
in the dwelling.
4. When any new construction or remodeling is involved, sepazate building permit must be obtained.
5. All work must be done in accordance with the State Co e requirements.
6. All work must be inspected and air tested before it is co red. Call 473-7357. 24-hour notice required.
Instructions Complete all items on this application. ompute the permit fee. Sign and date
the certification. INCOMPLETE APPLICATIONS WI L NOT BE PROCESSED. If you have
questions, call 473-7357.
Please check one: New i�Addition Repair Replace
Residential Co ercial
JOB SITE: �(0�a /�Y si p /�O�9 D!n-oN� Zip: � 3�S f
Owner's Name: t'VI�qf2(c }.���+v��-pN elephone Nwnber: ��f�- oo�S f
Mailing Address: sr1-t�t F City: ��� Zip: �S 3 s'9 _
Contractor'sName: � TelephoneNumber:
MailingAddress• City: Zip:
PLUMBING FIXTURE CHEDULE
FIXTURE BSMT 15T 2ND OTHER F TURE BSMT 1ST 2ND OTHER
TYPE FL FL T E FL FL
Water Closet � � Fl r Drains �
Lavatory � � 7i Se er Ejector
Bathtub � � �' T�Y ( •
Shower
W her I vi 6���''�
Kitchen Sink W ter Heater � �^"�''� �'^ �'`"°�
Disposal W er Softener �
Dishwasher W t Baz'
�' Sillcocks M c (list)
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PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee 35.0 �?_ 5 c�
� �� C c� x .0125 $
(contract price)
2. State Surcharge. ** Add the State Building Code D vision 3 �. v
Surcharge to each permit. �a 0 � • �� x .0005 $
(contract price)
or $.50, whichever is greater
3. Posta�e and HandlinQ (Only mail-in applications $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ 9� ' ��
* CONTRACT PRICE or JOB COST means the actual or estima ed dollar amount charged for the permitted
work including materials, labor, profit, and other fixed cos s. It is the amount to be charged to the
customer for the work done. If any material, equipment, labo , or installation are furnished by the owner,
tenant or any other party the reasonable market value of suc items must be added to the estimated cost
or contract price for permit fee purposes. In the event that the e is a dispute on the amount of the job cost,
' the City may request the submission of a signed copy of the actual contract.
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�' ** The STATE SURCHARGE is .0005 of the contract price nder $1,000,000 or $.50 - whichever is
greater. For valuations over $1,000,000 call the Departme of Inspectional Services for the price.
The undersigned hereby applies to the City for issuance o a Plumbing Permit, agrees to do all
work in strict accordance with the ordinances of the Ci and the regulations of the State of
Minnesota, and certifies that all statements made on thi application are complete, true and
correct.
��`�,�,,`" � 1 Date: lr` -� � f,5
Applicant's Signature:
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�_' DATE TIME
�� CITY OF ORONO CALLED IN �
�: INSPECTION NOTICE �730� SCHEDULED '�� " '��'
�"` PERMIT N0. � COMPLETED C
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° ADDRESS � ��" 5, �� �•
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; OWNER .,_,�� ,,_<<i�.--�v� CONTR. �
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TELEPHONE NO.
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� DESCRIPTION !� ' �� �
� 01 FOOTINd 11 MECHANICAL RI 18IXCA /GRADINO/FIWN� '
� 02 FRAMING 13 MECHANICAL FINAL 19 LAI�S OREMIETLANDS �
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE EMOVAL �
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE I SPECTION
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= 05 FINAL 14 SEWER HOOK-UO O6 PROG ESS
F` 07 DEM�SITE 27 SEPTiC MAINT. 21 COMP INT
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� 07 DEM�FINAL 15 SEPTIC INSTALL. 22 FOLL -UP
= 09.PLUMBING RI 23 SEPTIC FINAL 35 HARD OVER REMOVAL
� 10 PLUMBINQ FINAL 36 FOUN ATION REMOVAL
� OWNER/CONTRACTOFi TO MEET YOU:_YES_NO �
� COMMENTS: �
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d �7 WORKSATISFACTORY:PROCEED � PROJECTCOMPLE E �
� L CORRECT WORK 8 PROCEED � ISSUE CERTIFICAT OF OCCUPANCY
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� O CORRECT WORK,CALL FOR REINSPECTION TEMPO ARY �
0 BEFORECOVERING pERMA ENT �
❑CORRECTUNSAFECONDITIONWITHIN HOURS. r pHOTOTAKEN �
INSPECTOR WILL RETURN `�
:: ❑STOP ORDER POSTED.CALL INSPECTOR
C CITATION ISSUED
�"` ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. �
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� Call for the next inspection 24 hours in advance.473- 357 j
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�f Inspector. _ �
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White Copy/lnspector's File Canary CopylSite No ice '
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DATE TIM
CITY OF ORONO CALLED IN /���� ��`�
INSPECTION NOTICFj f �� SCHEDULED 0/�.�� % �
PERMIT NO. / ✓ COMPLETED K bI
ADDRESS � �L��Q �
�'►tAR�� �y � -�� CONTR.
OWNER —
TELEPHONE N0. � �7� ��S�' '0� � I
� DESCRIPTION
ly� 01 FOOTING 11 MEC ANICAL RI 18 EXCAV/GRADING/ ILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WET NDS
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03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION I
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
09 PLUMBING 23 SEPTIC FINAL 35 HARD COVER RE OVAL
� 10 PLUMBING FINAL 36 FOUNDATION/RE OVAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. `, pHOTO TAKEN
INSPECTOR WILL REfURN
❑ STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73 7
OwnerlContractor on ' e:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
DATE TI
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED /0'2-4-clS
PERMIT NO. connP� Eo � i
ADDRESS St �'e
OWNER CONTR.
TELEPHONE NO.
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� DESCRIPTION �� � �
ly� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING IL�ING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WE NDS
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03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTIO
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
W 9 PLUMBIN 23 SEPTIC FINAL 35 HARD COVER R MOVAL
= 10 PLUMBING FINAL 36 FOUNDATION/R MOVAL
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Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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d WORK SATISFACTORY:PROCEED " PROJECT COMPLETE
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O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORECOVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. r, pHOTOTAKEN
INSPECTOR WILL REfURN
�' CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73 7
OwnerlContract sit :
Inspector.
White Copyllnspector's File Canary CopylSite Notice