HomeMy WebLinkAbout1998-010025 - plumbing � PERMIT
' CITY OF ORONO
PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 t==� t 1[r�;:�tvi;
Crystal Bay, Minnesota 55323 Permit Number: � - -
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(612) 473-7357 Date Issued: _ " ' � _
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FEE SUMMARY:
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` AP ANT�PERMITEE SIG ATURE ISSUED BY:SIGNATURE �ty-t�,
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CITY OF URONO APPLICATION FOR PLUMBING PERMIT
�lox hb (27�0 Kelley Parkway)
Cry$tal Say, NIN 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 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 item� on this application. Compute the permit fee. Sign and date
�`; the certificatioii. INCOMPLET� APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call 473-7357.
Please check one: New Addition Repair I� Replace
Residential Commercial
JOB SITE: �i�,�'L� C�C�S� I� 2 Zip:
Owner'sl�lame: � l�� C SA fJ�CL TelephoneNumber:
Mailing Address: City: Zip:
Contract��r'sName: [_.�,,nP����; �y��g,r►�T.,�Cr TelephoneNum er: �'3'3 C�C���
MailingA.ddress: �(�3� �1�n�:.r� L ��l nJ City:13�z��,��✓•J(�'N��ip: Ss y2�
PLUMBING FIXTURE SCHEDULE
FIXTUR.F BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
5 TYPE FL FL TYPE FL FL
Water Closet Floor Drains
Lavatory � � Sewer Ejector
Bathtub � Laundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishw.�sher Wet Baz
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Sillcocks Misc (list)
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PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
���p�`� 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. Posta�e 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 dollaz 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 aze 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 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.
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 Ciry 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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Applicant's Signature: = ' Date: �-�-/ ��/�
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DATE TIME
CITY OF ORONO CALLED IN //� �'d'
INSPECTION NOTICE � SCHEDULED -��0�S�' I� � 3 �
PERMIT NO. /L D.� � COMPLETED
ADDRESS �� ��t----�
OWNER CONTR. ' �--�z
TELEPHONE NO. S'J3 (�'�' '� 3
� DESCRIPTION
lL 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
� 04 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
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
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= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J PLUMBING FINA 36 FOUNDATION/REMOVAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� BEFORECOVERING PERMANENT
i]CORRECTUNSAFECONDITIONWITHIN HOURS. �' PHOTOTAKEN
INSPECTOR WILL RETURN
C STOP ORDER POSTED.CALL INSPECTOR - CITATION ISSUED
L; INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next i spection 24 hours in advance.473-7357
OwnerlContrac n 't :
Inspector.
White Copylinspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CA�LED IN ' I � /C. �� � �;�
INSPECTION NOTICE SCHEDULED �-� - � -`i� //-' ��' �,•,
PERMIT NO. � '1�'�' J� COMPLETED �_ �_
ADDRESS�f �Ft�, : - (� r � �: - I f)/
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OWNER ` �,�: -i i � . ' � ct_ \�'� CONTR. 1 ( '" %` s -_.�� k+� < ...-�
TELEPHONENO. � % � � `• <<'�f' "- J
� DESCRIPTION
lL 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 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
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W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� PLUMBING FINA�L��� 36 FOUNDATION/REMOVAL
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� BEFORECOVERING PERMANENT
❑ CORRECTUNSAFECONDITIONWITHIN HOURS. , pHOTOTAKEN
INSPECTOR WILL RETURN
❑ STOP ORDER POSTED.CALL INSPECTOR ' GTATION ISSUED
Cl INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for ins tion 24 hours in advance.473-7357
OwnerlContracto ite:
Inspector. �
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN �3�/3�5 j�
INSPECTION NOTICE SCHEDULED �//�/�� �� '�t'
PERMIT NO. %OC)�J' COMPLETED
ADDRESS =_ � � ---'
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OWNER CONTR '�
TELEPHONENO. �7�.� �'��� 3�
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/VJETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q O5 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO- INAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= PLUMBING 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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V BEFORECOVERING PERMANENT
O CORRECT UNSAFE CONDITION WITHIN HOURS. r- pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContracto i :
inspector. �
White Copyllnspecfor's File Canary CopylSite Notice