HomeMy WebLinkAbout1997-009784 (plumbing-fixtures) PERMIT
� CITY OF ORONO
PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 m -
Crystal Bay, Minnesota 55323 Permit Number: . ,ri.' �� f
(612)473-7357 Date issued:
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: � -. - OWNER:
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APPLICANT�PERMITEE SIGNATURE ISSUED BY:SIGNATURE
CITY OF URON� APPLICATION FOR PLUMBING PERMIT
�ox b6 (27�0 I{elley Parkway)
Crygtal Say, 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.
Instructioi�a Co:nplete all items on this application. Compute the permit fee. Sign and date
the certi�catiaii. INCOMPLET� APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call 473-7357.
Please check one: x New Addition Repair Replace
�_ Residential Commercial
JOB SIT'E• ��� ����� �� � Zip:
Owner's 1�1ame: ��.�� ;�f�-:,� i4j�.�-,�,S Telephone Number:��7s=v���,
Mailing Address: City: Zip:
Contractor'sName: ,�-,-,�t�:,; ;�� ��9s�f��-�o TelephoneNumber: -���/-����-
MailingA ddress: J5/� ��� ,�� ,v<-�� City: ,�nl��,�,z Zip: s����
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PLUMBING �,II�TURE SCHEDULE
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FIXTUR.F BSMT 1ST 2NI3 OTHER FIXTURE BSMT 1ST 2NB OTHER
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TYPE FL FL TYPE FL FL
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Water Closet Floor Drains
Lavatory Sewer Ejector
Bathtub Laundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishw.sher Wet Baz
Sillcocks `i��(lisi) T�� � �
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PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
,������ x .0125 $
� (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. Pos�a�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 chazged 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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A licant's Si nature: �C _i /�j��-- Date: o?�-c.C"�'�I"—
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DATE TIME
CITY OF ORONO CALLED IN ��—� ��
INSPECTION NOTI E(/ SCHEDULED /�- f � i �-c
PERMIT NO. �73 � COMPLETED �_ �_
ADDRESS 3� `� 5~���' ��`'=�
OWNER ���t �.e.,� 9,f�y� CONTR. � ' �r�-a�s- -��
TELEPHONE NO. �� �'C'`�`f°�
� DESCRIPTION
� 01 FOOTINd 11 MECHANICAL RI 18 EXCAV/GRADING/FIWNG
�Q 02 FRAM�NG 13 MECHANICAL FINAL 19 LAf�SHORE/WETLANDS
Q 031NSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q
Z 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
~ 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
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W 07 DEM�-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUM RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 28 CEDAR SHINGLES �FOUNDATION FiEMOVAL
� OWNER/CONT OR TO MEET YOU:_YES_NO
� COMMENTS:
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�d ORK SATISFACTORY:PROCEED
PROJECT COMPLETE
W ❑ CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY
O C CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORECOVERING pERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. -, pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR - CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the nex inspection 24 hours in advance.473-7357
OwnerlContra or n '
Inspector.
White Copyllnspector's File Canary CopylSite Notice