HomeMy WebLinkAbout1998-010410 - plumbing PERMIT
CITY OF ORONO PERMIT TYPE:
?,?50 Kelley Parkway- P.O. Box 66 ;�°;_!rs•;�.;�:�t=:
Crystal Bay, Minnesota 55323 Permit Number: i�'�_��� ;=!
Date Issued: � �
(612)473-7357 t:7i�,:'�°�.�`=;t;
SITE ADDRESS:
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DESCfiIPTION:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: OWNER:
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
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C1TY OF UI�.ONO APPLICATION FOR PLUMBING P�RMIT
}�ox 66 (27�0 Kelley Parkway)
Crystal Sav, NIN 55323
GENERAI, INFORMATTON
1. You may apply for plumbing permits by mail or in person at the City offices.
2. Pernut cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS
POST�D 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 rcmodeling 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. Ca11473-7357. 24-hour notice required.
Instructioi�� Co:nplete all items on this ap�,l:cati�n. Co:np�ate the p�rmit fee. Sign and date
�' the certificatioii. INCO:�7PLET� APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, ca11473-7357.
Please check one: New Addition Repair Replace
Residential Commercial
JOB SITE: �-c Zip: S.� 35 7
Owner's1�lame: ,�J"��., I�'Iar.,�-�-�-,. TelephoneNumber: ����p'�
� Mailin Address: �` City: p Zip:
� g ��"��° �r:., �;v�� l��s' a �
Contractr►r'sName: TelephoneNumbers
' MailingA ddress: ' -
� �,� �' City: Zip: .��;
��'�� �"�MBIN �IXTURE SCHEDULE � ��"I�Y`�
,
FIXTUR.E BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet � r t�� Floor Drains
Lavatory � Sewer Ejector
s Bathtub ,� Laundry Tray I
Shower � Washer �
Kitchen Sink � Water Heater
Disposal Water Softener
Dishw�sher We� Baz'
, Sillcocks � �; Misc (list)
�
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00) ��'a��
�,�,.gL� x .0125 $ _���
�� (contract price)
2. State Surcharge. *�` Add the State Building Code Division
Surcharge to each permit. �;���� x .0005 $ �.��
(c6ntract price)
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or $.50, whichever is greater
3. Postage and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ ���5"�°?
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted
work including materials, labor, profit, and ocher 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 perm�t fPe gurposes. ?n the e:�eat thz::here is a dispute ca;he amcunt oi t�`�e jab cost,
the Cicy 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.
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A licant's Signature: <�:�°��o � ��� ��°'�- ° � Date: �@`�?�'` � �
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DATE TIME
CITY OF ORONO d,r ' � CALLED IN � �-C /�° Q d
tNSPECTION N TICE SCHEDULED _�'-/� �` 3 0
PERMIT NO. COMPLETED
ADDRESS S
OWNER � '✓ CONTR. � �J�����/
TELEPH E N0. �J � �IQ � 7
� DESCRIPTION
ly O1 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL B0. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v - INAL 15 SEPTICINSTALL. 22 FOLLOW-UP
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� 09 PLUMBINL'�BL 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W ❑WORK ATISFACTORY:PROCEED PROJECT CO PLETE
� ❑ CO RECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
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� ORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. _ pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
C', INSPECTION REOUIRED.CALLTO ARRANGE ACCESS.
Call for the next i spection 24 hours in advance.473-7357
OwnerlContra o i .
Inspector. �
White Copyll�spector's File Canary CopylSite Notice