HomeMy WebLinkAbout1998-010037 (plumbing fixtures) .
PERMIT
,; 'CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 �`:_€:}�"�;��C��t�
Crystal Bay, Minnesota 55323 Permit Number: {�s�i:;�;::�
(612)473-7357 Date Issued: t T:`;,;j,�r;,};«�
SITE ADDRESS:
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FEE SUMMARY:
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APPLICANT%PERMITEE SIGNATURE ISSUED BY:SIGNATURE .l�.
CITY OF URONO APPLICATION FOR PLUMBING PERMIT
}Sos hb (27�0 Kelley Parkway)
Crystal Say, MN 55323
GENER.�I.INFORMATION
1. You may apply for plumbing permits by mail or in person 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 NOT BEGIN UNTIL THE PERMIT CARD IS
POST�D ON THE JOB SITE.
3. Plumbing pemuts 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.
Instructioi�,� Co:nplete all items on this application. Compute the permit fee. Sign and date
the certificatian. INCOl�7�LET� APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call 473-7357.
Please check one: New Addition Repair �Replace
Residential Commercial
JOB SITE: ��J Z. � � �- /� r�M �r� i4> � Zip: � S�3 �
Owner's l�dame: �e �, .^ ,�n�. \�, k� Telephone Number:
Mailing Address: 3 Z�� C,,q�,,.��„ �Z;:�-t, City: ���`1�,��r Zip: �S 33 (
Contractc►r'sNameo S�, ,,,�.� TelephoneNumber:
MailingA.ddress: S�,,,,.� City: Zip:
PLUMBING FIXTURE SCHEDULE
FIXTUR.E BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
vh o�-f-
Water Closet � �,,,�� Floor Drains
�,�.�,ve
Lavatory 2 ��e� Sewer Ejector
Bathtub Z. „�n�,,� Laundry Tray
�ct�o�4C e
Shower Z �,�� Washer
�' Kitchen Sink Water Heater � � �
!�-��a^�
Disposal Water Softener
Dishw:sher Wet Baz
Sillcocks Misc (list)
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PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
� s nG c x .0125 $
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(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 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 furnished by the owner,
tenant or any other party the reasonable mazket 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 Inspectional 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: � � � ( � �
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DATE TIME
CITY OF ORONO CALLED IN ( `� f 6. D�
INSPECTION NOTICE SCHEDULED -� �`C�5
PERMIT NO.���� COMPLETED
ADDRESS �� �� � G�'r�'
OWNER � Qin ..Q��CONTR. �
TELEPHONE NO. � ������
� DESCRIPTION
ly� 01 FOOTWG 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
03 INSULATION 24/25 WOOD BURNER/FIREPIACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 0 A 15 SEPTIC INSTALL. 22 FOLLOW-UP
_ 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J INAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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W� WORKSATISFACTORY:PROCEED PROJECTCOMPLETE
W ❑CORRECT WORK 8 PROCEED ISSUE CERTIFICATE OF OCCUPANCY
O C CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
[7 CORRECTUNSAFECONDITIONWITHIN HOURS. - pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ' CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next ins ction 24 hours in advance.473-7357
OwnerlContract site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE !CL �� ,` SCHEDULED — L — =C�
PERMIT NO. COMPLETED
ADDRESS �a�� ���"�
OWNER � t �J'�- CONTR.
TELEPHONE NO.
� DESCRIPTION 'e V �.+n \✓� C�r''T C�"t��r�LS
LL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLWG
� 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 MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
� �LUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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❑ CORRECTUNSAFECONDITIONWITHIN HOURS. ,; PHOTOTAKEN
INSPECTOR WILL RETURN
C� STOP ORDER POSTED.CALL WSPECTOR CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContrac�ervn ite:
Inspector. � �
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN --�-�—
INSPECTION NOTICE � y�� SCHEDULED � �v
PERMIT NO. % COMPLETED
ADDRESS 3 �� iM '�
OWNER �;L CONTR.
TELEPHONE NO.
� DESCRIPTION
l� O1 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WA�L BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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Q OS FINAI. 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v ,�07'��DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
?/D9yLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
��0 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. — pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ' CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cali for the ext inspection 24 hours in advance.473-73�J7
OwnerlContra r s' e:
Inspector. ''
White Copyllnspecior's ile Canary CopylSite Notice