HomeMy WebLinkAbout1998-009999 - plumbing PERMIT
CIT�Y OF ORONO PERMIT TYPE:
'2750 Kelley Parkway- P.O. Box 66 �`#...?_%s l�.��•di�
Crystal Bay, Minnesota 55323 Permit Number: ;Y;�;,�:_y,�,�;
Date Issued:
(612) 473-7357 {�:��i`i_��r``����
SITE ADDRESS:
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REMARKS:
FEE SUMMARY:
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APPUCANT%PERMITEE SIGNATURE ISSUED BY:SIGNATU
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C1TY OF UI�.ONO APPLICATIQN FOR PLUMBING PERMIT
��x h6 (27�0 Kelley Parkway)
Crystal Bay, l�'IN 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 retum mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECEIVE 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 properiy owners residing
�` in the dwelling.
4. When any new construction or remodeling is involved, a sepazate building permit must be obtained.
� 5. All work must be done in accordance with the State Code reauirements.
� 6. All work must be inspected and air tested before it is covered. Call 473-7357. 24-hour natice required.
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Instructioii,� Co:nplete all items on this application. Compute the permit fee. Sign and date
the certificatiaii. INCOA�PLET� APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call 473-7357.
Please check one: � New Addition Repair Replace
�_ Residential Commercial
JOB SITE: /� ���/e,l���,��.I` o/ Zip:
. �wner's A1ame: -��� g,1�� ��;�e,�c_�... Telephone Number:
�; Mailing Address: City: Zip:
�' Contractar'sName: � TelephoneNumber: ���7�J'?
MailingA.ddress: �, City:�'10n�ea�le,�Zip: �����"
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�' PLLTMBING F�TURE SCHEDULE
FIXTUR.E BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2NI� OTHER
TYPE FL FL TYPE FL FL
Water Closet � Floor Drains �'
Lavatory Sewer Ejector
Bathtub � Laundry Tray
Shower � � �� �
Kitchen Sink � ,� Water Heater
Disposal � Water Softener
Dishw�sher t Wet Bar
Sillcocks Misc (list) - o ��Q��,
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PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
��� ,����' x .0125 $ �� ���
(contract price)
2. State Surcharge. ** Add the State Building Code Division
• Surcharge to each permit. � 6�,,,�j� x .0005 $ � . ��
(contract price)
or $.50, whichever is greater
3. Postage and Handlin� (On1y mail-in applications) $ s�-'.�
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ � .�
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount chazged 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 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 - 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.
� � Date: - � -� ,
Applicant's Signature�,� ; ,s, � �
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DATE TIME
CITY OF ORONO CALLED IN 3-2-�- 3. 1 L`
INSPECTION NOTICE c, SCHEDULED �-Z3�� �-.'� �
PERMIT NO. �� 1 J COMPLETED _� �
ADDRESS �.� 7 �:!'�`�� �� .C�J.J1,t,,^-��
OWNER �� CONTR. T --����U-'
TELEPHONE NO. / 3 3 - � � � 7
� DESCRIPTION
lL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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O 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
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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INSPECTOR WILL REfURN
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L INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for n t'ns ection 24 hours in advance.473-73�J7
OwnerlContr cto sit : �
Inspector.
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO . CALLED IN (,�` "J.-� . a '�
INSPECTION NOTiCE/' SCHEDULED �7��/. 3 G
PERMIT NO. `1 Ef 7 � COMPLETED __�.
ADDRESS l���� �-�`����-�=c' ��'"�—
OWNER � �--='� ' CONTR. �--�t,�>Yt,�-�•� �
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TELEPHONE N . /�� ��� �
� DESCRIPTION
ly� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLWG
� 02 FRAMING 13 MECHANICAL FINA� 19 LAKESHORE/WETLANDS
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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
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBW _�,� 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J LUMBING FINAL �'' 36 FOUNDATION/REMOVAL
� 0�11A RERiC9hfTRttCTO'F�TO MEET YOU:_YES_NO
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INSPECTOR WI�L RETURN
I CITATION ISSUED
CI STOP ORDER POSTED.CALL INSPECTOR
[] INSPECTION FIEQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContract n gi�:
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White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALIED IN �{ 7�`�k' //• l�'
INSPECTION NOTIC SCHEDULED E f-�-�� � ��
PERMIT NO. ' � COMPLETED
ADDRESS C%�t.�v'�.: C!'�uE�r' �`-}hC-��
OWNER Fc.C.�-G-" � CONTR. T�:�-c�_,,:. �f�cc�a.C,
TELEPHON`�N . '�'� �3 � 7 �/ 7
� DESCRIPTION -��+-� ��� �:c-� _ cLti2 ;7Y-�
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l� 01 FOOTING 11 MECHANICAL RI 18 XCAV/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 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
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INSPECTOR WILL RETURN
CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next i spection 24 hours in advance.473-73�J7
OwnerlContractor it :
Inspector.
White Copyllnspector's File Canary CopylSite Notice
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DATE TIME
CITY OF ORONO CALLED IN �� �
INSPECTION NOTICE SCHEDULED 9� /G:U d
PERMIT NO. COMPLETED �
ADDRESS �� r� c
OWNER CONTR. �..!s
TELEPHONE NO.
� DESCRIPTION_��'�
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� 01 FOOTING 11 M�Y�ANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q O5 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
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Call for the next inspection 24 hours in advance.473-7357
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White Copyllnspector's File Canary CopylSite Notice
DATE _ , TIME
CITY OF ORONO CALLED IN '� -�'/' ��"i �=� `��,`,
INSPECTION NOTICE. . scHE�u�Eo `/- /�%� %�J�' u �
PERMIT N0. �/� �/�T� COMPLETED <<
ADDRESS �� � � ) �'��< < �. �s , � f�u�� t' � ��'/
OWNER tl :'� `: ��c , ' CONTR:��L�l�=T-"1 r n /�'��
TELEPHONENO. C� 3� " � / / %
� DESCRIPTION L�_ { � �" �- r
ll� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 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
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
W��P��LUMB�ING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
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� BEFORECOVERING PERMANENT
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INSPECTOR WILL REfURN
f=7 STOP ORDER POSTED.CALL INSPECTOR
CITATION ISSUED
i-; INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cali for the next inspection 24 hours in advance.473-7357
OwnerlContract
Inspector.
White Copyllnspector's Fiie Canary CopylSite Notice