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HomeMy WebLinkAbout1999-011294 - plumbing PERMIT - C���(-C�F ORONO PERMIT TYPE: 2�50 Kelley Parkway- P.O. Box 66 " __._:i�:��;;��4i; Permit Number: Crystal Bay, Minnesota 55323 Date Issued: �'I� .� �V����"� (612)473-7357 . ,=�`:=�� ..'���;�:=: SITE ADDRESS: :�.;�_:�� �:='r�=l�{� . .� �:f-� . .. . . . ' i � '' ". _ ' _ ' DESCRIPTION: __. i- i ._'. t:�;`�,.�- ��!��;Elt�}�,i 3�� ��F�i'�il�S. [ �{i._ � .�?. � ;_�i'•�i�•� �"�i_SF�f�i2 i� �`.':1i_,if��:. I - �,{_.'�i i_ir'.i°�._.� � ��T�, ��iin... _ :`+ t4°:-1 i;i=t _:i_t_;_.._ . _ 4._.?- -v ( '__`'•:•:' !`:�� ?� E �_ _ ,-r--.-., r `���t_3�=1+.' _ �''.,:. f ;�t`=''`�''u = i��`J:;, f I�'.�,�-';_'`.-�f-ii._ j, i`i°_;;-j:z,'i=:°�+i�'�"�. _ �•!���a_,_;'4 t'•.:-• _ .r Li_{;_';-' s_+�-,`k;,�I�`�� 1 ?�f`,;;3P1`�'� s �'�-.: � 'C� ii=".'r C' • -- _ :.:y. --. ._ ._. . . . . Y•''?"i � �:.i�. . !�^ . ._..�. _ �;'1- s' _.. .. . _ t_°=`•�t_`j' ��`i:�.�7 REMARKS: FEE SUMMARY: ���i�;i �!�': e' i t �t°,t �.1;= . tit":;i ,-._ _ �.� ;�«-:.�-:� ;:.r-; ;��n_.� i' ._ _ __ . _ . -:1_#�'���;_;'. '�ir_ _.__.�._.__. . y.-'•_.s:'�s { s=i'i.=t,_ }--�:t= ,„._ . . l 1 t,,: I CONTRACTOR: _ ._ _ _ OWNER: ;�;=�F�i i ;,:��-!r _y-�, - :.;. ,�_r:;�::,� � ; ;-�i_dt-�i-':_�, i..� '_' _ . _ .. .`_`'�__•'_ �,._ . _ . ..- ��=1 - - �-'=���-t� + '-:LL"tE�; �f`;�:- ;i;;,+ �=;} i_�,��` .<i- . t 1���(� :�1 •: •.H �'=.'u `� f . � ` ,;':�:},�_ _ °Wi � `�j+•,i�y���_�f`,�e�:.?^ �'��;ty= •_'i-`t_;E.;l,_= =,r'��:'_�'-t _�.._. _ � � . �.t r... :� ..i : �. ..�. . � .��' .�i_L.�L' . . ._. ___ 6 _. . ._... . ._ _. _ ._ �'�'� � !`� 3Y'. . . . _ . ._.. .:.{r "'_*.E_ 4 _ !r. : . ._ __. . _ _ _. .. _. . ._... . -. . . . . _ . ._ ,. ....._ . ._....._-. .:�:..; ' ; ' " -- r- _ ,�. _ '.. � ,... : i-{ 4 � j` t : t.: .:-�','-:- - 4 t -� ; i_ r � :-;i�S`:,�� I l -• :' .-.,; : _. _.. _. _.__ :1.•�(•� ���_:�._.__ _ _ _. . .._.__ _ ... . _ . .is'.�_ ! _ _ .. !--_ _ .. _ . . . .�... _ _ _ = a .. . : . . L l���- � i i�:'-�;1il:::'-'[;•v__ _ . . .� _ . . . _. .. . i`�_. . _"._ _ . r. _:Ji$_ii: .— - -f_`_. '.".i`..'•^. _'':w. _..� _ . 1 . ._ . ._ _ _. . t J e ,�� 1 A LICANT-PERMITEE SIGNATURE ISSUED BY:SIGNATURE �'� . 4 ` �'�.: � � � � � �� �.. �_. � CITY OF URONQ APPLICATION FOR PLUMBING P�RMIT � �os h6 (27�0 Kelley Parkway) �' Crystal Bay, 1VIl�I 55323 GENERAL INFORMATION 1. You may apply for plumbing permits 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 IVOT 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. Instructioiia Coalplete all items on this application. Compute the permit fee. Sign and date the certificatiaii. INCOMPLET� APFLICATIONS WILL NOT BE PROCESSED. If you have questions, ca11473-7357. Please check one: � New Addition Repair Replace �_ I�esidential Commercial JOB SIT�;: �r� ' �� Zip: Owner's 1�Tame: � Telephone Number: Mailing Address: City: Zip: Contract��r'sName: - TelephoneNumber:�.�a_.r�-`���j� MailingA.ddress:���\ � , City: ��cvc�,�►,�Zip: �3�.�,�"' PLUMBING F�TURE SCHEDULE FIXTUR.F BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER TYPE FL FL TYPE FL FL Water Closet � v�, Floor Drains Lavatory � Sewer Ejector Bathtub �, Laundry Tray � Shower � Washer Kitchen Sink � Water Heater �v�.�,.�'�"`�' � Disposal � `z/ ' `. Dishw.sher We� Baz � Sillcocks �� Misc (list) � "� ' �� �s:�j f fY�-�e.rel�t P�; ; I..i�,�s�fz� 1� �-° `°1lAiriec���i f� ti� L .}y...�. : ,__ .._=��.p ��s"�,�'-� '���} ��'�"*.rn,�}�'+�'-^��""c(�"yt���'�A„�. .�.:.�.. ,. . h� ���1"�Fi� Ys��+'�kt'{� , 5 � � � ~�a� .,,. k a Sr '�`�X' ��+��^�, _ k , ar"rv�t� �t�k 5°4x �'��'�x"'ri�''�'a��z�� . ��^� >� '� �"�`t�,��� �,�`�'� ,� , _� � y;'?,�tu s�u .�.� zc����. .M . x,_.�..�zu."*tro x i..h'�s�,,g t.:�r ,.��,�z r�-'"w���,��u: .r#A�:ta�,��. a ,. � ., , �s�...:. . .. ,�,x �,.. .:x M .r.. ,i..k�� � . +��°m.�r't���� PE�tMI� FEE CALCUI,A�'IOl�I 1. 1.25% of Contract Price* or 1Vlinimum Fee ($35.00) �u x .0125 $ �c��, `� ����OC�(�— C�� (contract price) 2. State Surcharge. ** Add the State Building Code Division Surcharge to each permit. � � i '' °�� x .0005 $ � , �C� (contract price) or $.50, whichever is greater � pnct�oP anrj �,anrilin�^(�nl�tr"ma��_�a������ � �� 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ �Q � �f� * CONTRACT PRICE or 30B COST means the actual or estimated dollar amount charged for the permitted work including materials, labor, profit, and other fiaed 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 co 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 Ciry 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. 3 �= The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do aIl �'` 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. " _,C Applicant's Signature:��C�'1� �t`/��� � Date: �=6,� ' � � �' ��� '�'���-_��� i.��.\� `'� `-� � �Cx�.� �-: � w t' � 'S '�. ��++4 3`�3 R n` R'"���fr rt'�"�'� ... % Y✓�:.., `£ .. ��� a d � � .�r R v�,, .��i������ �F�"'"����"���,�Ara4�� F .. 4 s4 e��& �'� � .�. �"� �- * � �'���,rx,� �'�,t'��.� �ra�sye��`'� ��+. ,; � ��''�m e � . .�' �m'����� �a' ,a��^KF�'�- '� ;�'kr�+�, .i�a�.,, �, .�` .a s��,,:�t 'r '�+,.'1�-- <f.�. :. . ,. , . : . .., �.. _ � , . _ _ N . .. . _ .� . 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I l a���I COMPLETED 1�[_�� ADDRESS `�71D�`' �:c�-1S�c"C2- OWNER CONTR. �'���"� ��I�''��h_ TELEPHONE N0. ��-3� "��� l�I � DESCRIPTION L� 01 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 WA�L BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 P�UMBING R 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 0 MBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � co Ts: ��Zrit Dr,Li-�,;�a�.� �F s � W a j '�l� �i1. �GS' ' O � � O � W � Q � Z W � W � � d �ORKSATISFACTORY:PROCEED �l PROJECTCOMPLETE W � C� CORRECT WORK 8�PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W � Cl CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. �, PHOTO 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 Owne Co tri� ac on site: Inspector.��� ��� White Copyllnspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN �. INSPECTION NOTIC SCHEDULED �'�,G� ��O b PERMIT NO. ���1� COMPLETED ADDRESS 7 v OWNER CONTR. �_„ TELEPHONE NO. ��3 " � ?�� � DESCRIPTION �•,�� � � 01 FOOTING 1 ECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP Q PLUMBING 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUM8ING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � a-�-- � G% ;' � J .� r�(/ c'i � �'P G f Q'G �21=�'�� O >. � O � W � Q � Z W � W � � d � ❑WORK SATISFACTORY:PROCEED G PROJECT COMPLETE W �ORRECT WORK 8 PROCEED [5 ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. r- pHOTOTAKEN INSPECTOR WILL RETURN � ❑STOP ORDER POSTED.CALL INSPECTOR '��: CITATION ISSUED � INSPECTION REQUIRED.CA�L TO ARRANGE ACCESS. Call for the next in pection 24 hours in advance.473-73�J7 OwnerlContr tor o site Inspector. White Copyllnspector's File Canary CopylSite Notice DAT p E CITY OF ORONO CALLED IN ��' ( � INSPECTION N TIC � SCHEDULED S-�/-I 5' /� 3� PERMIT NO. cOMPLETED �_ �_ ADDRESS E 6� � OWNER ,� cc,�l�r�.f�-�'tJ CONTR. �� - �'rn� TELEPHONE NO. �P�� y 3j 7?�7 � DESCRIPTION ��� liL�� t� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT Q 07 DEM .- AF N�L_ 15 SEPTIC INSTALL. 22 FOLLOW-UP 09 PLUMBWG R � 23 SEPTIC FINAL 35 HARD COVER REMOVAL J INAL 36 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � '/ a V � J O � � O � W � Q � Z W � W � j d W ORK SATISFACTORY:PROCEED Cl PROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED L ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. �, pHOTOTAKEN INSPECTOR WILL RETl1RN C i CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for th ext in pection 24 hours in advance.473-73�J7 OwnerlContra on si e Inspector. White Copyllnspector's File Canary CopylSite Notice 9ATE TIME CITY OF ORONO CALLED IN �-�/'Z�/�� INSPECTION N�I� � SCHEDULED �a `�S ' :L' O PERMIT NO. cOMPLETED �� � ADDRESS � OWNER ` CONTR._� i1�����-,� TELEPHONE NO. cI. �� - � �I/ � / � DESCRIPTION ��GG-2 �C"(�� l� 01 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 BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 -FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP Q � 09 PLUMBING R 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 G FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O � � O � W � Q � Z W � W � j d W/�ORKSATISFACTORY:PROCEED C: PROJECTCOMPLETE W� ❑CORRECT WORK&PROCEED i- ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. �; PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance.473-7357 OwnerlContracto o t : Inspector. White Copyllnspector's File Canary CopylSite Notice