HomeMy WebLinkAbout1996-008094 - plumbing - � PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 Permit Number: �"�=�-`��'`'��t�'�`�
Crystal Bay, Minnesota 55323 t��t�-;i_s`��
(612) 473-7357 Date Issued:
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SITE ADDRESS:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: - A����1 i E,=��+. - OWNER:
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APPLICANT'PERMITEE SIGNATURE ISSUED BY:SIGNATURE
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CITY OF ORONO APP�.ICATION FOR PLUMBIN�pERNIIT
Bog 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAI, INFORMATION
1. You may apply for plumbing permits by mail or in person at the City offices.
� 2. Fermit cards will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID
UNTIIr YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERNfIT 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 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.
Instructions Complete all items on this application. Compute the permit fee. Sign and date
the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call 473-7357.
m
Please check one: New X Addition Repair Replace
a' X Residential Commercial
� JOB SITE° 430 Brown Road Zip:
Owner's Name: W a r d B r e a m Telephone Nurnher: 4 7 3-2 8 0 0
Mailing Address: 4 3 0 B r o w n R o a d City: 0 r o n o �iP�
Contractor'sName: STANDARD PLUMBING & APPL IANCE TelephoneNumber: 9 3 8-3 5 8 9
MailingAddress: 8015 Minnetonka Blvd . ci�Y�St. Louis Par�ip� 55426-3092
- PLUMBING F'IX:'�UR� SCI-�DULE
FIXTURE 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
f Dishwasher Wet Baz
Sillcocks Misc (list)
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PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Muiunum Fee ($35.00)
4 . 500 .00 x .0125 $ 56 . 25
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. 4� 5 0 0 . 0 0 X •�5 $ 2 . 2 5
(contract price)
or $.50, whichever is greater
3. Posta_ge 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 fued 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,
t" the City may request the submission of a signed copy of the actual contract.
** The STATE SURCHARGE is .0005 of the contract price under $1,00O,OOQ or $.50 - whichever is
greater. For valuations over $1,000,000 call the Department of Inspectional Services for the price.
'I'he 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.
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, e• ��� �� _ Date: 6/19/96
Applicant s Signatur .
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DAT� _ TIME V
CITY OF ORONO CALLED IN - `- -
INSPECTION NOTIC,� SCHEDULED ; i� %'�`_
PERMIT N0. ��'� i�� coMP�ETE� �_�� t t
ADDRESS '�� � �'� - - ° � ��- ���� �
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OWNER ��� ' � CONTR. � � �:� ��<',/: ,�' � � -
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TELEPHONE NO. ` `" -
� DESCRIPTION
� 01 FOOTIN� 11 MECHANICAL RI 18IXCAV/GRADINO/FIWNO
y 02 FRAMINCi 13 MECHANICAL FINAL 19 LAI�SHORE/WETLANDS
� 03 INSULATION 24/25 WO�D BURNER/FIREPLACE 34 TREE AEMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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Z 05 FlNAL 14 SEWER HOOK-UO O6 PROGRESS
~ 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
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Q 07 DEMO�INAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= ti9 i'LUMBING RI \. 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBINO FINAL 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES NO
� COMMENTS:
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d ORK SATISFACTORY:PROCEED - pROJECT COMPLETE
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� CORRECT WORK 8 PROCEEO G ISSUE CERTIFICATE OF OCCUPANCY
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O ❑ CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
C CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for t e inspe ion 24 hours in advance.473-7357
OwnedContrac ' n site:
Inspector.
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