HomeMy WebLinkAbout1999-011741 PERM
' CITY OF ORONO PERMIT TYPE: ��
2750 Kelle Parkwa P.O. Box 66 �������Y�`�i���
y y- Permit Number: -`'�� ��"^��
Crystal Bay, Minnesota 55323 Date Issued: - `' `'-��?'"''=�
(612) 473-7357
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REMARKS:
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APPUCANT PERMI .EE SIGNATU �� / ISSUED BY:SIGNATURE
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CITY OF ORONO A.PP ICATION FOR PLUMBING PERNIIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMATION
1. You may apply for plumbing permits by mail or in pe son at the City o�ces.
2. Permit cards will be sent by retum mail after a revi is completed. PERMITS ARE NOT VALID
UNTIL YOU RECEIVE A PERMIT. WORK MUS NOT BEGIN UNTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Plumbing permits may be issued ONLY to licensed pIu ing 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 C de requirements.
6: All work must be inspected and air tested before it is co ered. Call 249-4600. 24-hour notice required.
Instructions Complete all items on this application. Compute the permit fee. Sign and date
the certification. INCOMPLETE APPLICATIONS NOT BE PROCESSED. If you have .
questions, call 249-4b00.
Please check one: New Additio Repair Replace
�sidential C mmercial
JOB STI'E: '
r�..e. ��>. Zip:
Owner's Name: C�;,�. � .�s��� elephone Number: .
Mailing Address: _��3�, (�.s ��c ?�„ City: Zip:
Contractor's Name: '�� Telephone Number: �3 3_ 2���
Mailing Address: g W: i 5 r.� 7�, City: 1'Y1TY� Zip: �'��c..�S'
Pt,UMBING FIXTURE CI�EDULE
FIXTURE BSMT 1ST 2ND OTHER FI� TURE BSMT 1ST 2ND OTHER
�E FL FL T E FL FL
Water Closet Fl r Drains
Lavatory Se er Ejector
Bathtub La dry Tray ;
�
Shower W her �
Kitchen Sink Wa er Heater
Disposal Wa er Softener
Dishwasher We B�
' Sillcocks Mi (list)
l � �i���'L�o� ��{G uc1W��R-r�K c✓L� �q�(� (Lr211,r�'T117� � 'S i n t�L�='YL.
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PERMIT TEE CALCULATION
1. 1.25% of Contract Price* or Minunum Fee 5.00
'�DO x .0125 $
� (contract price)
2. State Surchar� ** Add the State Building Co e Division
Surcharge to each permit. x .0005 $
(contract price)
or $.50, whichever is greater
3. Posta�,e and Handlin� (Only mail-in applicat ons) $ 1.50
4. TOTAL PERMIT FEE ' (Add lines 1-3 abo ) $ �
* CONTRACT PRICE or JOB COST means the actual or e timated dollaz amount charged for the perm.itted
work including materials, labor, profit, and other fue costs. It is the amount to be charged to the
customer for the work done. If any material, equipment, abor,or installation are furnished by the owner,
tenant or any other party the reasonable market value o such items must be added to the estimated cost
or contract price for permit fee purposes. In the event th there is a dispute on the amount of the job cost,
the Ci[y may request the submission of a signed copy o the actual contract.
** The STATE SURCHARGE is .0005 of the contract p 'ce under $1,000,000 or $.50 - whichever is
greater. For valuations over $1,000,000 call the Dep ment of Jnspectional Services for the price.
The undersigned hereby applies to the City for issuanc of a Plumbing Pemut, agrees to do all
work in strict accordance with the ordinances of the ity and the regulations of the State of
Minnesota, and certifies that all statements made on this application are complete, true and
correct.
A licant's Si nature: �w � Date: �`j•�0 •9�
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CITY OF ORONO CALLED IN
� 12 � 3"'�
INSPECTION NOTICE SCHEDULED ' � '�
PERMIT N0. � 7� � COMPLETED l ' ��
ADDRESS S�E�S�-
OWNER CONTR. �� � �i� n���"�
TELEPHONE NO. " ����
� DESCRIPTION
ly� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADI G/FILLING
� 0�2 FRAMING 13 MECHANiCAL FINAL 19 LAKESHORE ETLANDS
�
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE R�MOV
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE IN3PECT N
Q OS 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
� 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBING FINAL 36 FOUNDATION EMOVAL
� OWNERIC NTRAC R TO MEET YOU:_YES_NO
� COM ENTS:
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W ��RK SATISFACTORY:PROCEED � PROJECT COMPLETE
WRRECT WORK&PROCEED C ISSUE CERTIFICATE O !OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORAR
� BEFORE COVERING PERP{1�ANEN
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. ,_ pHOTO TAKEN �
INSPECTOR WILL RETURN
0 STOP ORDER POSTED.CAIL INSPECTOR � CITATION ISSUE¢ I
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.47�r7 7
OwnerlContractor on site: �
Inspector. �L �����
White Copyllnspector's File Canary CopylSite Notic