HomeMy WebLinkAbout1995-007041 (plumbing-fixtures) PEIZMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66
Crystal Bay, Minnesota 55323 Permit Number. _ - r -
(612) 473-7357 Date Issued: � _ _ � -
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SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
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JUN $ �z=��:;
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. Pemut 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.
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Please check one: New J�� Addition Repair _�C' Replace
Residential Commercial
JOB SITE: v�/�3 , �; � 2� Zip:
Owner's Name: , ; Telephone Number:
Mailing Address: City: Zip:
Contractor'sName: f,!_%�?��� ��,�� _,��r..(J Tele honeNumber: �5c7 /s�v�
Mailin Address: /9�"� � `"
g _ � �'J 1 c��-� City: ��t •�� Zip: 5�/.��
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1 ST 2ND OTHER FIXTURE BSMT 1 ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet Sewer Ejector
Lavatory Laundry Tray
Bathtub Washer
Shower f Water Heater
Kitchen Sink �� �1.� � �' ,�'�`�� Water Softener
Disposal Wet Bar
Dishwasher Floor Drains
Sillcocks Misc (list)
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PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
x 1.25 $
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $
(contract price)
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 pernutted
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 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.
Applicant's Signature: Date:
L/
DATE TIME
CITY OF ORONO CALLED IN E--��'-t.5
INSPECTION NOTICE SCHEDULED lr•3�: //� �Y-
PERMIT NO. 7�'�� COMPLETED � �_
ADDRESS 3/._33 ��'�ca 1�6.��
OWNER �-�-�L��� CONTR. ���yLs1.<� J�_,��
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TELEPHONE N0. � �l - l-� .3 s= � �So1 - /S-G:S
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS 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
= 9 PLUMBING RI � 23 SEPTIC FINA� 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOH TO MEET YOU:_YES_NO
� COMMENTS:
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d WORK SATISFACTORY:PROCEED
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� G CORRECT WORK 8 PROCEED i-- ISSUE CERTIFICATE OF OCCUPANCY
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O CI CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. L PHOTOTAKEN
INSPECTOR WILL REfURN
❑ STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next in ction 24 hours in advance.473-7357
OwnerlContractor �te.
Inspector.
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White Copyllnspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN �(�""/ f 1 %
INSPECTION NOTICE,. , , scHEou�E� `>`� =�� � �,�--- �-
PERMIT NO. % " 4��/ COMPLETED IA ��
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ADDRESS 'S j "''
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OWNER ��G--^��-���=ir CONTR. "L"..� ,.., �,
TELEPHONE NO._ �� ; -�- �' � �_.�
� DESCRIPTION �t�-"C �=c%.-%-�-
� 01 FOOTING 11 MECHANICA�RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL 22 FOLLOW-UP
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= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL� 36 FOUNDATION/REMOVAL
� OWN T'RiiCT6R TO MEET YOU:_YES_NO
� COMMENTS:
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� C]CORRECT WORK&PROCEED C= ISSUE CERTIFICATE OF OCCUPANCY
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O i=;CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING PERMANENT
❑ CORRECT UNSAFE CONOITION WITHIN HOURS. r- pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR =l. CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next'nspection 24 hours in advance.473-7357
OwnerlConiract n s t :
Inspector.
White Copyllnspector's File Canary CopylSite Notice