HomeMy WebLinkAbout1996-008634 - plumbing _ �
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PERMIT
CI�Y OF ORONO PERMIT TYPE: — ��;;
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4 2750'Kelley Parkway- P.O. Box 66 Permit Number: `���-.°����:�;�{�
Crystal Bay, Minnesota 55323 _ - . .
(612) 473-7357 Date Issued: � ::�:':`i-'r'=���
SITE ADDRESS:
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�� APPLICANT% ERMI E I ATURE ISSUED BY:SIGNATU
CITY OF UR.ONO E4PPLICt�TION FOR PLUMBING P�RMIT
Box 6b (2750 Kelley Parkway)
Crystal Say, MN 55323
GENERAL INFORMATION
1. You may apply for plumbing permits by mail or in person at the City offices.
2. Permit cuds 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.
Instruction,� Co:nplete all items on this application. Compute the permit fee. Sign and date
the certificatian. INCOT9�LETE APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call 473-7357.
Please check one: New Addition Repair Replace
Residential Commercial
JOB SI'I'E: C-� ! Zip:
Owner's 1llame: Telephone Number:
Maiiing Address: City: Zip•
Contractor'sName:,�/��_�,p�f-��� e TelephoneNumber:•�f � �J
MailingA ddress:�G,i-(' ���- a���' �����t (,��e.,b S�'..�6 Zi �� .—�� °
--t---� Y� P� ����o
PL[J1�I�ING FIXTURE SCHEDULE
FIXTURI: BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet � � Floor Drains
Lavatory � f Sewer Ejector
Bathtub � Laundry Tray
Shower Washer
Kitchen Sink � Water Heater
Disposal � Water Softener
Dishw,sher � Wet Bar
Sillcocks Misc (list)
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00) ��.DD
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. Postage 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 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 Jnspectional 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: "� � ��
✓
DATE sTIME
CITY OF ORONO CALLED IN I"�v"�j (�' '�' t�J
INSPECTION NOTICE SCHEDULED / -7"`%Ga -�' /yl
PERMIT NO. � �� COMPLETED�
ADDRESS � �� ��� `' ` ���_--��� /'
OWNER CONTR. L i�` .��Zr>�t �i
TELEPHONE NO. ��r" �� � � `"
� DESCRIPTION
� Ot FOOTINO 11 MECHANICALRI 18IXCAV/GRADINO/FIWNO
y 02 FRAMIN� 13 MECHANICAL FlNAL 19 LAI�SHOREJWETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z pq yyqLL gp, 12 WATER HOOK-UP 17 SITE INSPECTION
Q
= ps�ry� 14 SEWER HOOK-UO O6 PROGRESS
� 07 DEMQ–SITE 27 SEPTIC MAINT. 21 COMPLAINT
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Q 07 DEMO—FINAL 15 SEP11C INSTALL 22 FOLLOW-UP
_ �LUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v PLUMBINa FINAL 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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d WORK SATISFACTORY:PROCEED - PROJECT COMPLETE
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� ❑CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ` pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
C CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next ins ction 24 hours in advance.473-7357
Owner/Contractor e:
Inspector.
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