HomeMy WebLinkAbout1997-008883 (plumbing-fixtures) �
� PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 Permit Number:
Crystal Bay, Minnesota 55323 - - -
(612) 473-7357 Date Issued: -
SITE ADDRESS:
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FEE SUMMARY:
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APPLICANT%P E SIGNATURE '� ISSUED BY:SIGNATURE
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C1TY OF URONO APPLICATION FOR PLUMBING PERMIT
�lox 66 (27�0 Kelley Parkway)
Crystal Say, 1VIN 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 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
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.
Instructioii� Co:nplete all items on this application. Compute the permit fee. Sign and date
the certificatioii. INC01�9�LET� APPLICATIONS WILL NOT BE PROC�SSED. If you have
questions, call 473-7357.
Please check one: New Addition Repair � Replace
Residential Commercial
JOB SIT'E: Z� 6�( �Ce. � a� -� �Qs Zip:
Owner's 1�1ame: �T Telephone Number: f.{��—� 7� �_
MailingAddress: �.c, c.� c,ScC� .R�' City: �,������ Zip: ��'�� �
Contractor'sName: j�'��-� (�(����,;,���_ TelephoneNumber: �-�7 Z-t f c..i��
MailingA.ddress: Q;� . ����� ��� City: /j�,c,�Y��� Zip: �5�4,Z.
PLUMBING FIXTURE SCHEDULE `
FIXTUR.F 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
Dishw:�sher Wet Bar
Sillcocks Misc (list)
P��I� �'E� �A��LTLATial�t
1. 1.25% of Contract Price* or Minimum �ee (�35.04)
7,�,�'�(�,�� x .0125 $
(contract price)
2. State Surcharge. ** Add the State Building Code I�ivision
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 aze 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 - wluchever is
greater. For valuations over $1,000,000 call the Department of Inspectional Services for the price.
The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all
work in strict accordance with the ordinances of the City and the regulations of the State of
Minnesota, and certifies that all statements made on this application are complete, true and
correct.
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Applicant'sSignature: ���� �'�`'� Date: �-�����'�
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DATE TIME
CITY OF ORONO CALLED IN �!! " 5�
INSPECTION NOTIC,�E scHE�u�Eo �� --� /C � r''
PERMIT NO. �X>�� COMPLETED �_ �_
ADDRESS -� y`S �� ��� -��� f'1 �'�:,
OWNE����/CJ�—�k-��� CONTR.
TELEPHONE NO. `� ��� �� ���` "�
� DESCRIPTION �� 4 ��`� %u� j�2-��-��- �
� Ot FQDLNG _. 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
�' 02 FRAMING > 13 MECHANICAL FINAL 19 LAI�SHORE/WETIJINDS
` 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
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Q 04 WALL B0. 12 WATER HOOK-UP 17 SITE INSPECTION
Z OS FINA� 14 SEWER HOOK-UP 06 PROGRESS
~ 07 DEM�SITE 27 SEPTIC MAINT. 21 COMPLAINT
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�Q 07 DEMO—FINA 15 SEPTIC INSTALL. 22 FOLLOW-UP
= LUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� NG FINAL 2$CEDAR SHINGLES 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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d 1, VORK SATISFACTORY:PROCEED PROJECT COMPLETE
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� !' CORRECT WORK&PROCEED - ISSUE CERTIFICATE OF OCCUPANCY
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O C',CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. r- pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the ne t inspection 24 hours in advance.473-7357
Owner/Contr�et6% s te:
Inspector. �
White Copyl�nspector's Fil Canary Copy/Site Notice