HomeMy WebLinkAbout1994-005913 (plumbing-fixtures) -
PEI�MIT
CITiY OF ORONO PERMIT TYPE:
• �750 Kelle Parkwa • P.O. Box 815 �'�-��_`_::'�'r•���
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Orono, Minnesota 55356-0815 - - - = ���-'
(612) 473-7357 Date Issued: -�,-, ._ �
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SITE ADDRESS:
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APPNG NTiPERMITEE SIGNATUFiE ISSUED BY:SIGNATURE. '� � .
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CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 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 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 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.
Please check one: New Addition Repair ` " Replace
t Residential Commercial
JOB SITE: �� ��� �l ����.=� c �"-, ��:_. Zip: SS � <i 1
Owner's Name• _;:�r�,,-��.,- Telephone Number: 4�i- --�4.�5-
Mailing Address• ,�;,,�, � City: Zip:
Contractor'sName: l�L..��-., ��-,:�; TelephoneNumber: -=r��-5 �;��:
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Ma111rigE1(I(IPQSS: �' _ �5�' l�� ��r �i�,- �,c-<.- Clt3': ;�(���_,���� ,tiw Zlp: SC3.� <i
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2I�1D OTHER
TYPE FL FL TYPE FL FL
Water Closet / Floor Drains �
Lavatory L/ Sewer Ejector
Bathtub J , Laundry �x �
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Misc (list)
.
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
�c .�-4;' - ��.y` C ,.._ x .0125 $
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $
(contract price)
or $.50, whichever is greater
3. Posta�e 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 market value of such items must be added to the estimated cost '
or contract price for pernut 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
correct.
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Applicant's Signature: � =�� �--�s�i, Date: � - 3'� ��r
DATE TIME
CI fY OF ORONO CALLED�N
INSPECTION NOTICE�Q l 3 SCHEDULED � �
PERMIT NO. 6 COMPLETED
ADDRESS 3�D �, �Sc.c� l�/�
OWNER CONTR.
TELEPHONE NO.
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
� 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREM/ETLANDS
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Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SETITURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
J 07 DEMO—FINAL 27 SEPTIC MAIfvT. 21 COMPLAINT
= 9 P MBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W ORKSATISFACTORY:PROCEED - PROJECTCOMPLETE
� ❑CORRECT WORK&PROCEED ` ISSUE CERTIFICATE OF OCCUPANCY
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� C1 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
f 7 CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
C STOP ORDER POSTED.CALL INSPECTOR �-' CITATION ISSUED
❑ INSPECTIONRE�UIRED.CALLTOARRANGEACCESS.
Call for xt spection 24 hours in advance.473-7357
OwnerlCon a on s t
Inspector.
White Copyllnspector's File Canary CopylSite Notice