HomeMy WebLinkAbout1998-011077 - plumbing PERMIT
G.�TY`�F ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 ±��; ::;i:=.��v;;_;
Crystal Ba{, Minnesota 55323 Permit Number: --
Date Issued: "�"� Y"�- -
(612)473-7357 _._�:`:::� :-=i`�;;-�
SITE ADDRESS:
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REMARKS:
FEE SUMMARY:
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APPLICA ERMITEE SIGNATURE ISSUED BY:SIGNATURE
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CITY OF UI�.ONO APPLICATION FOR PLUMBING PERMIT �
}�os 66 (27�0 Kelley Parkway)
Crystal Sa,v, 1�'IN 55323
GENERAL INFORMATION
1. You may apply for plumbing permits by mail or in person at the City offices.
2. Permit cazds will be sent by retum 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 pernut must be obtained.
t 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.
Instructioi�� Co:nplet? all item� on this application. Compute the permit fee. Sign and date
the certificatioii. INCOM�LET� APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, ca11473-7357.
Please check one: New �Addition Repair Replace
� Residential Commercial
JOB SITE: I C)�C� `�' a �b�A t�� 1C��n� Zip: �a��'�
Owner's Name:_`�c;� �C��, Telephone Number:_ y 7 j����¢��
Mailing Address: s�� City: Zip:
Contractr�r'sName: _l�. i3 P� � 1�--� TelephoneNumber: y°�3 ��p-{p`�
' MailingA.ddress: �� r� t City: , ; Zip: 5���(�
PLUMBING �,IXTURE 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 Q Washer
Kitchen Sink � Water Heater
Disposal Water Softener
Dishw;�sher Wet Bar
Sillcocks Misc (list)
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00) -
� ��� x .0125 $ �`�r ���
(contract price)
; 2. State Surcharge. ** Add the State Building Code Division
i� Surcharge to each permit. � `���C� x .0005 $ �e�C�
(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) $ ��` �f�
* 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 fumished 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 Ciry 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
conect.
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Applicant's Signature: Date: ��- P S-�'-o�-
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DATEp TIME
CITY OF ORONO CALLED IN ��'� / � � � ���Q��
INSPECTION NOTICE SCHEDULED /o�-/� '���y,-
PERMIT NO. /v 7 7 COMPLETED "ry �'"'� •
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ADDRESS �- L��
OWNER -o CONTR��-��-c: �/—Id
TELEPHONE NO. u �3 - �`f0 �
� DESCRIPTION
lL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETIANDS
ti
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 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
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLIOW-UP
Q
= 09 PLUMBING R 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 P 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W ORK SATISFACTORY:PROCEED � PROJECT COMPLETE
� C CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. �_, pHOTOTAKEN
INSPECTOR WILL RETURN
I- CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnedContractoya�site•
Inspector.
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White Copyllnspector's File Canary CopylSite Notice
DATE TIMp�E
CITY OF ORONO CALLED IN `e�=i��i� ��.�U�CL/'yi;l
INSPECTION N TICE SCHEDULED 3-" %L� iyl
PERMIT N0. 7 COMPLETED � �
ADDRESS \
OWNER CONTR. f L� �-�
TELEPHONE NO.� �n � ���� 3 � 7� J �� v.3
� DESCRIPTION
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
O 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 MAtNT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
T09 PLUM 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBI INAL 36 FOUNDATION/REMOVAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� �NORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ��CORRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. �� PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContracto
Inspector.
W e Copyllnspector's File Canary CopylSite Notice