HomeMy WebLinkAbout1997-009778 - water heater PERMIT
� Y OF ORONO PERMIT TYPE:
�=elley Parkway- P.O. Box 66 -_
i Bay, Minnesota 55323 Permit Number. � ; V�
_, 473-7357 Date Issued:
SITE ADDRESS:
;; -
_ ,
, _, , ,
_ _. i
DESCRIPTION:
._. . . ... ?��,f;��+. �'�r.:�,:� rl=;[�_. ..__
�,_:.�f;ti.i i :i+� y:,.`•i,ij i;� �-'F��;� �.�.. _... ..._-. 'r j^._ ...° I 2 I'wa:
' 3 �;;�r:wci t�`r�i�i;
F
REMARKS:
FEE SUMMARY:
. _ . .. .. _
:_. ,_. _....._
.W ._.._.._ �-�, ; . .. w . _;�� k.�.,,___ i"= __._�-__.__ �:.�;
�.��" ._. ._.. . __�._.-�___.w - . �. _�._ c.__' . .� . . . •'_;��
ye I_;r::T i—}�.:� . .,. ._ . _ ..
I
�
I
CONTRACTOR: - OWNER:
y.__._ ,
_ _ _, ,
, . . : _
_. _ _ - . - - - i _ :
.
. . . .
�� , -. �:-.... : :. ���- �. , , .�, ; '� ,�,� 1
- -.- �, ._ _.
.., r;, E'... ,; .
,
w ..r. ' " ' _ , • _
:,s � ` , .:. ,. ( :
_
; �, - : � , . _ . , �
�� •
, � ... . .. .
. .
, , _ :,; -, • , � _
� _ _ _ _ _ �
�
�����.�-n �-- (��.
APPLICANT�PERMITEE SIGNATURE L ISSUED BY:SIGNATURE �
�
CITY OF UI�.ONO APPLICATION�OR PLUMBING PERMIT
}So� bb (27�0 Kelley Parkway)
CryStal Bay, NdN 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 retum mail after a review is completed. PERMITS ARE NQT VALID
UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PE1tMIT CARI) 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. Al; work m4st �e done in acco:dance 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.
Instructioi�� Complete all items on this application. Compute the permit fee. Sign and date
the certificatioii. INCOi1�PLET� APPLICATIOIVS WILL NOT BE PROCESSED. If you have
questions, call 473-7357.
Please check one: New Addition Repair � Replace
�� Residential Commercial
PEARSON, LAURIE
.TOB 5��.: �250 BRIAR STREET Zlp:
oWIler�S��Ye:_ ORONO, MN 55391 IeP�lO11�NUIYIUeT:
1Vlailing Address: (612)473-0321 �1t3': Zip:
Contract��r'sName:�� ���N���i��@R���� n�����-���� TelephoneNumber:
MailingA.ddress: ����� ����s�3� City: Zip:
�i������LO�� �,�� ���,��
�:
PLUNIBII�1� F�TURE SCHEDULE
�
�
�; FIXTUR.E BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
�'_: TYPE FL FL TYPE FL FL
� Water Closet Floor Drains
Lavatory Sewer Ejector
Bathtub Laundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwtsher lTVet Bar
Sillcocks Misc (list)
�1.�'"�'S "�M'tY b.�A �_.P 'i .,j a&� 5'rt�,h�e' � 4 �"..:.�7'S f� �? Y '1.'� '1 d. t 35:i �# �V•� F�"��.�a.����T�.4 ,�.,�, ..�.
-,�',�a`;;� *S�' ;ys° �S„y'h-^� f` ,� ��,. ���,4� .� c is, 5y � £E 4 c r �c �tl� �' �,,Y'`%3 ,� �'"�las'�'�-€�`�S.'k'�.�^rr t�� £"`� � �`t- .
� s ��r � 1 �� ,r,r � ,: � ' �,�s''� f � � �, i 1 3':: q k : b� _ i x i���g �.: 'y� ',+'�'�s'k.c�,��.,}Y�.. r� � ..
�,^t f � ✓�'r. e Y .{'� { .I , ,'. �'` R¢ `y ., ,� , .��, ` ,. .., ,� .. ,� � 3� . � �.i': A...�
� �t�`a t s {4 l '��?��-j i {�h��� �. � . t��^�r�����' �."3.�,Y'��N.�, {� ?"�� ep .��f.>
,��t$;��w�YY'�#'�:��'f+=y�:*=�� ���� � ���^�,,_ '� .�r,>v &""��3��:',�.��"�����,,ri.��« �z �
�` PERMIT FEE CAI.CULATION
�': 1. 1.25% of Contract Price* or Minimum Fee ($35.00)
`��'�:�`-'� x .0125 $
.,_.
> (contract price)
2. State Surchar�e. ** Add the State Building Code Division
• Surcharge to each permit. x .0005 $ _
(contract price)
or $.50, whichever is greater
3. Postage and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ `�,� ��%� _
* CONTRACT PRICE or JQB COST means the actual or estimated dollar amount charged for the permitted
work inclu�ine 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 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.
,t � � ��` g��,�
� �,
, • .�,
Applicant'sSignature: � ' � �����`�;�'�' ---- Date: �`�2= .
y
�;
�
,
: r,�. . :.,,: . . , . ... ;�
__ � . _._ .�-_
. . �,� , �r2: � ,,�.� ,�, ' , ; ��� �-: _ .
.��. •,
�_=�n
. , , ,
�.:
��� , -
� ,� �,. , �.,, _ :
b.
' : ,
.p::
�
.. .: , �.?. ... '. '.- �.. �-. ,.
d -
,9,-
�+ ��
k's =
. � q � .. � . �� .
. , . �., �. � � f�`�. r�� .r����.��- � �� , 3 .
,�y��w3�r� �� a� y ,ar�r"` r„g' 3,;g`' �, , .. :�.' �� � s
- 'r^ `�""F S h'�0.J� rkr�",,,�M o�'«"�Y'���� �^ a '3-,�.'� �.' t��' s V
�` et„.�,,� ,�'� '3� '�i� �'' ..s` ; � „ ^�'o- �'�t'�''� } z#.;r�
�f���`��"��"^`�v��^�t�� ��`,�t''�� '�;3,���� `�`�L,�`���A��� � s����'��r�' �.t�°� ��. },�. .. � r
� ^"k?6 s'>s"�^r'^ .`�i` xy.� -q s. � � �`,'� a� }s. 'k.' a r��� .� Fs�:v 'a .
C"'A' r r � a t«�`,,�r�'.�*?�c '�E�� ",�,,,.,t2 x.�.�.1�,2�. S � �,���?��'-: ��'" � � �� .
� xa y� ;� �27 ��� °�-� ,�� s �, .za��+�`�' ,kt'����� -. } �'k. �'t`�.rx'L},� r '��.. � � i
y,r_� ,��t'� �r, yS' :�i.y'���a ha� � z�� � # e M' � f"a''� � �x.`t' ���d� ,�"�.� �r
. ';.'�� b�'tr Fr�� t �G'- +Yah : 4l �,+a�+' s�. -.w � �n'�-t� ���. '�5..; ,,t�yws`'.�,,�� ,,l`���y�,.l''"���y �t �.S"»� n�.-.._�
��
� '• "'�'x�b' J �cr a},FP�F' M`g ?''�, �'�' p i'W-�x� �.,+��r, r r��^t t{ '��� �cy� ;�� °
;:,���',�'�',��.�, �k r.� * �.M *5� C. z �, x '�u ��,�n .�� � � k+fi�# -t� � 4
'" � � r �z z, �. � t[s'�r,�.4.�..3�r +k.��:� � �"��. z � '�g� a t" �'i '�t��` ;t 3 �'i �,x .`�'„<Rv`�'^�.'���'� s +Z�r�' .
y � �A t.� a ti -."'k �' � �''`'^ 'S a'�: �� �' �t�£:�i e 6. '�'�' ' °�"�'s s�'r a �`3"3A�VC'.•�� "'�'�^'�3 " . .� ✓
' r vch� � "` a' �'7::p� .�.+.�'�- '�.�' ; �C` '4 ���t��'� �"�'� �+z�s� �` �- "� K� �r `' x
'� � � � �` �,^ ,� � � �' � f ��,���.� �.
. 'L V., �ys�'�+'3��t-r ,�. �"`-. -s.�'�. �`� § : �� .. `� 4.. R'`�, ��� �. "F" , �� ���,3 � ts�:.
;�::�� �� b ar,w.'. +.'Y' S'F -..t'- �-ys .�.sf' +, ' sr -'a,r"� �$ . :P "
��� x ..�� 3a- � `�. """e # k'.r����.�e v 'Y r ��F �r'E? "t�.� +���� � .� . �j�
+y.� 1`y,��.'k�::. ,g,-°y� vn , >« �S-$��� �.�` �a` B' ��:T .:"�i"*� � ��a� ad?`&' ey,4��; a,yY ia�. �.' '"�",.''�t�r��� 1 .r .- �. ^
. .,�. . o...''�Y�W��..a.'�''d.„�....':+�.�F._i..2'..`�.`-�- .n zr.�rs�,� �.. .,,.�. '.`. ;r�,i,n.z_4 . �,... .h�.,... .,�... .,_� _,,, _ v��,s._r_.-3:`.�' "'��.�..�b ',fiiaEa" . ,..., �+ ..�.a•S� .