HomeMy WebLinkAbout1996-008479 (plumbing) - PERMIT
� CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway - P.O. Box 66 �=�i:)t����;i j�i:
Crystal Bay, Minnesota 55323 Permit Number: - -
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(612) 473-7357 Date Issued: -
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REMARKS:
FEE SUMMARY:
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APPLICANT'PERMITEE SIGNATURE ISSUED BY:SIGNATURE �
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C1TY OF ORONO APPLICATION FOR PLUMBING P�RMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMATION
1. You may apply for plumbing pernuts by mail or in person at the City offices.
2. Permit cazds 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. Ail work mus€be inspected and air tested before it is covered. Cal1 473-7357. 24-hoiir notice required.
Instructious Complete all items on this application. Compute the permit fee. Sign and date
the certification. INCOT'1PLETE APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call 473-7357.
Please check one: � New Addition Repair Replace
Residential Commercial
JOB SITE: ��� � � • �. Zip: .-�j S 3��
Owner'sName: � �� ' �: TelephoneNumber:
Mailing Address: City: Zip:
Contractor'sName:�'��,�Kr�u.�5��r,1�r-.� �_Tel��h�neNumber: y�o-/2�3
MailingA.ddress: �� L.��,�y� Lu ��, � City: �'���,(Si� Zip: S.S331
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
waier Cluset � Floor Drains
Lavatory Sewer Ejector
Bathtub � Laundry Tray � !
Shower � Washer �
Kitchen Sink ` Water Heater
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)
/3, ��5, pp x .0125 $ /�o Y �2
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $ �. y�
(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) $ 1� F�y
* 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 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 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
correct.
Applicant's Signature: /"�4�,a �. ��i�2G'� Date: (7 " �/`"� ;
�
OATE TIME
CITY OF ORONO CALIED IN ��/9/S�
INSPECTION NO�CE scHEou�Eo ��-Z 3/9� :'L^ ' 3 �
PERMIT N0. .� �7 ` COMPLETED
ADDRESS �� �� � � �-
OWNER CONTR. ��-yv�����.< �
TELEPHONE NO. '� �� " ��Zn�
� DESCRIPTION �o�, a�-���J
� 01 FOOT1NCi 11 MECHANICAL RI 18IXCAV/dRADINO/FIWNO
�Q 02 FRAMING 13 MECHANICAL FINAL 19 LAf�SHOREJWETLANDS
0 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z pq yyq�,�gp, 12 WATER HOOK-UP 17 SITE INSPECTION
� p5 F�NAL 74 SEWER HOOK-UO 06 PROGRESS
_
� 07 DEM�SITE 27 SEPTIC MAINT. 21 COMPLAINT
J
Q 07 0 15 SEPTIC INSTALL 22 FOLLOW-UP
= 09 PLUMBINO 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBIN�FINAL 36 FOUNDATION HEMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. L PHOTO TAKEN
INSPECTOR WILL RETURN
�STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARHANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContractor n e:
Inspector.
White Copylinspeclor's F e Canary Copy/Site Notice
DATE TIM
CITY OF ORONO CALLED IN �9- t 7 �___�L�J
�' :G`L� � —.
INSPECTION NOTICE C SCHEDULED �,T
PERMIT NO. COMPLETED .�_
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ADDRESS� ��� ��� �
OWNER - CONTR.���-�-� ��i���
TELEPHONE NO. �� ��` r� �'�'CC� �
� DESCRIPTION _�d_ (�
� OOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
y 02 FRAMING 13 MECHANICAL FINAL 19 LAI�SHORE/WETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q
Z OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
~ 07 DEM�SITE 27 SEPTIC MAINT. 21 COMPLAINT
v
�Q 07 DEM�FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBINd FINAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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� BEFORECOVERING PERMANENT
❑CORFiECT UNSAFE CONDITION WITHIN HOURS. - pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CAL�INSPECTOR - CITATION ISSUED
❑INSPECTION REQUIRED.CA�L TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContractor si
Inspector. -
White Copyllnspector's File Canary Copy/Sife Notice
'` DATE TIME
CITY OF ORONO CALLED IN 'Y—�5 —��
INSPECTION NOTICE SCHEDULED �- / � �i�
PERMIT N0. ��7y COMPIETED t2 ��
ADDRESS ���U ��4-�-c ���- /C�oE
OWNER ,�r��.c�/ CONTR. �,U(�����
TELEPHONE NO. �� �' ����
� DESCRIPTION ���J `--�L�--«-�--�--
� 01 FOOTING 11 MECHANICAL RI 18 DCCAV/GRADING/FIWNG
� 02 FRAMINCa 13 MECHANICAL FINAL 19 LAI�SHOREJWETIANDS
Q 03 iNSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 040 VYq�L@p� 12 WATER HOOK-UP 17 SITE INSPECTION
Q�—�–
= 5 F� INAL 14 SEWER HOOK-UP 06 PROGRESS
~ 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
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`Q 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO 7
� COMMENTS: ' � � C'/ `- ��, _ -�-2 w'i
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� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. �. pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ' CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContracto sit •`
Inspector. —
White Copyllnspector's File Canary CopylSite Notice
DATE �TIME
CITY OF ORONO G ��l,� CALLED IN / � -j /h
INSPECTION NOTICE ��, SCHEDULED J� • � W •�
PERMIT NO. ` cOMPLETED
ADDRESS � � C� l
OWNER , � CONTR=�/L./�.L(G %���
TELEPHONE NO. �U ' ��ZG �
� DESCRIPTION �.0
� Ot FOOTING 1 MEC�HANICAL RI�' 18IXCAV/GRADINO/F�WNO
y 02 FRAMING 13 MECHANICAL FINAL 19 LAI�SHOREJWETIANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 72 WATER HOOK-UP 17 SITE INSPECTION
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= 05 FINAL 14 SEWER HOOK-UO O6 PROGRESS
� 07 DEM�SITE 27 SEPTIC MAINT. 21 COMPLAINT
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� 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
9 PLUMBING RI 23 SEPTIC FlNAL 35 HARD COVER REMOVAL
� 10 PLUMBIN AL 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPOFARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. r pHOTO TAKEN
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
OwnerlContrac on si e:
Inspector.
White Copyllnspector's File Canary CopylSite Notice