HomeMy WebLinkAbout1997-008731 - plumbing t PERMIT
CITY OF ORONO PERMIT TYPE:
� 2750 Kelley Parkway- P.O. Box 66 "°�� ' `�" °�
Permit Number: ' `-`��'�°` ' - _
Crystal Bay, Minnesota 55323 ''`-'��� ��-��'�
(612) 473-7357 Date Issued: - = - - - --
��.j_. . ._ � _ .
SITE ADDRESS:
— - — �a—�T T k�C.'
" _ _ _ i,.�i s�.s.�:��;.,.... �..f 1''`
[:�{
. � ,. _ ._, :
. , —
,..� : :,.; ;,rL,_ � i I— ''=— -
DESCRIPTION:
_ ..... .,:-;.,�,
_. ..... � �..��i�:�=,
_..: . .
�...E?'I?...3��l�� ��+:'.'����Si�• �^�~'i."� �~.�.�I �_t?'f��.'_1
i"'��,;„1ii��t1. �i�� j{}7,1��'�:, � °��..'�._' ?��f;..! ��»�"i�.i._ .-.:�F�M.T i,hl:SS
� i�2€•�T�f� '�:I_�_t'_�r�' 1 �c:��:;:j�i:�3;�'� _ _;;-��;.��,;_�;�
7 =;�.?...i t;1::14:;:::��; . I_r';:lik�;�;`F` 'i�{r.;'t' - .
REMARKS:
FEE SUMMARY:
=�'�ii__�._ii.���`�.I_EI'•.3,, `f�:-: , t„i!:_:'•:!
C. f�'. ���."7
�.����:r' . ='r,'a . _,r . '.+i:i
,-�11�^f:�"'�_;,1'�=fo-' -------_..._ �-',�.._�u'`.�.�
� i_.i�_.{?..� �'}=°t`� _ '�.i. �_7�MS
CONTRACTOR: �— ��;-��i i�_;--,t-�T: -- OWNER:
- - ` �`: .. 2:j s? _ -- - -- - _ . . . . ..
.!.�:?!1 t_.i_�°_�Eii � �i� �`•'*_{;.�E i _ '�;_� !'� _ _ _ � _t'��'.T�� 1 .1�'�fi_ ����'Z
;,7v:13.t�ytf) _. -. ". _. . 3_,�!'=`{_;j•it_i C:C:'=�C'�,
�. ,-�1 „_ . '�� . .,.,._.t �.'.'� :
.,... _. . . . --- --_ _ .,_ .
, . . . : _ __,... — - — -- — — — — —
. . e•t t., • +�
a -rI�•. '1�'ti�:,;L 1�•:'.-._,:h;v. .1 'r;�-:—�.�",:.�Y : t E�`�'" �'_ .t'��1. . _ r i_;.•`• }3_i i'tr—:=;_� i F-:... . .,_ .... .. ... . ... ......ti! : .,.
�,aT ;:.:
� .� . •;.
,� _�. � y .. .�.,., ; �" �... --
'. ._ ..�.���— r-� :.�� .__._. _� ,_».;._. . ' �=e,' ,..., . . . s:.;.�•' _ 'f s:"• '•i '� �C:" ;.!� . . .,t... �
�._�?'=i�1 f' +F_�... `�i��..� 'r��"�s._�� I .._t . _�._ .. _I, .. . ?.!'d �� t :i t{._ . 3-,_�i:i��(_.�,`�`�t''�__� .�� , s'? ....!._. `�. _. ? .'t� ��{r~
_ _ _ . _. ._ . _.._... ..
I i 'f_,t ;S_! (�t'%i�Y 1 •�';r.� ��� ::�' � _ — — �
, _., �. .. _ _
_.�''•. �yf•- ( !—._, �,I.�...� _ F- I� �,f -i_�'� . .. _ ..€..i_7 T{1Ji: �_ta_i��_ x_. . ... , �f _. ..
�, ::� „
_ � . :�w_.•... -s ;.:: ; � . .; .:'
L . _... . .. �� . � �
�-t..� ��.��-�' �__._ '�
APPLICANT�PERMITEE SIGNATURE ISSUED BY:SIGNATURE �� �� ,
�`�`�� i
CITY OF URONO APPLICATION FOR PLUMBING PERMIT
Bux 6b (2750 Keiley Parkway)
Crystal Say, NIlv 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
s
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 certification. INC01�9PLETE APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, ca11473-7357.
�:
Please check one: New Addition � Repair Replace
,�< Residential Commercial
�
JOB SITE• �..���'� ?.��� ' ,�� Zip:
Owner's 1�1ame: �,.� Telephone Number:
M�iling Address: .�.��� ����-�.� r.J n City: Zip:
Contractor'sName: �e��� �'.��-�'��'�-1���-�-� Cl-� TelephoneNumber: ��.�---�% ��
MailingA ddress: `7a �� � � //o t� City:���,.E' �ip: ,�'S�6�
PLITM�IIl�G �'IXTURE SCHEDLJLE
FIXTUR.E BSMT 15T 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet � Floor Drains
Lavatory d Sewer Ejector
Bathtub Laundry Tray f
Shower a� Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishw��sher Wet Bar
�
Sillcocks � Misc (list)
.,;��� . * � ,��, �
�^r�� � � � ��� � y �
`� �.�
`!°'� 'N .` �' ;�c�.t% ..y�'�3t F � ,ta � � V, ' • .
t'�� �� .. ����c� ;��f r��� � -i���s �' �. �, A. � �, '. s� ���
� �' � . �,� _ ¢{ y.
',� ��." gz`'^��.'v" �.'�' ky`'a„"s^� �ta�N f.w ''�. �.y� a ..� }�+�„�,;) ' o .y# �-�,�`.`:�f W�t u;�3 P p � �<?:. .��.� ' _ '�A� - +,�
�� v ,� ��i*s ;�. �+9 �k 5 r yy^�r�. � �;`�t��a �� �i S s" �a <�e�S`"��, ... ��`:f€r"�, �,�'��,,
�,g�§+� � �,,�� yy.ti ? +� � ,� � � .z��. -t S � fi rf.a�� � Mdt d'� .;�,� � �� � �'x�,�: � az r�.�tE.
� ' � �'�s 3, � j': � r �r �•,,�S �� '�,�.,..
�. _`� . �,. .�� u�y�'` _`.X ,..� +.., a �.' ' .c �- } ;�,.
�y,�� . n�'���w �,t,�*, ��`�a'"�'�`��s�".�.^�'e���`i"�3��``���`�`'�b�,�s �:.���'n�+"' #� '�`�., Fb , _ _ Y'-'�'�i-��
'S��N! �, ,, r ��'��a$a.s.sg$`.. �`� ,...<�1..s .' ,r "'�-:�5>... ,.-�l �'i4k �- ..�§..�cer;.s .���''�.. . ."y�'�Y�r. �.�3'�+e.��` ':', :,. kS,�."�.',. . 'x»„x`u�j`.�t.'�". .4`.,�ury���wt,�. . �
xE' .:�. .�..t��, a''-1'�. yEr�',c: -:.�..� .xti-. , w,�.�. �^ ?"'y'�'`;� � �.�`�` ��. �",d .'i
k, �'
_ .: p -Y r� � s . � � . t� �:, r��` �� -��,a
.
N' y�T�i '� C ,Y' a ,�`,� aF�i �°F�r'� � r�'4 �.,�.
. , �" '�w- �� '"% , �`s•��� �.a+`d`�:��a��.�� ��r��a'�`,�s,.� �, . .. � ,. . �.
: , .�. ... , . , .. . _.. t .. . _ _ , .
_ - . . , .. . _,. . , .. ,,.
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fe�e (�35.00)
� ��,� � �� x .0125 $
! (contract price�
2. State Surcharge. ** 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 are furnished by the owner,
tenant or any other party the reasonable mazket 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 Jnspectional Services for the price.
The undersigned hereby applies to the City for issuance of a Plumbing Pemut, 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.
�� � � 9 -C-�� �i�� �'d"�- � � �
_ Arrlicant s Signature: -�.a-�- , � Date: '� �� " � �
k .
�:�4 x
4
.. , �_ .. • • � .
,
.w. ' ` v� �-: .' S a�� .'"'_ ' . ... . ..�..
� � : :. �- .�� �£�.. � . .
� �� � , F � �
� �'�� ��� �+i��� � ,F M �
� �7 " � �-'� � n ���e 9w'l�
_ �-;�. t ' �Y {
.� ., � �r��. :' . x� r��
,. `
� .. , � � r. �,�
�
•- � , • � m,:.. ,. ; ,ec- � u,�,���A+� ' s „ -
�i A�
"" x` y�� ,:�, ».� -����`���5� ,:x�, �.
y4.:, �"��� -.-'`, a � d�,� �� �:,,
� ����q�� � $ ����� ,-,�
�xs �
qY�����`�#� ���,'�<� ' � � �*
.: ��+ h ���
e
. . . . . _ .�.4... .. ' e �.'�.. ..... . : , ..�. . . , :9k..s.�--.��'t..'�3;'�'=z�;'� `-,r�,��,�F�`..�,t,`r`:n����'?���`'aa ' . .... . ,�r�3`'$,�� _. . ._ .. _., .
DAT TIME
CITY OF ORONO CALLED IN ���/ ��7
INSPECTION NOTICE SCHEDULED -�� •� r � /G�=��'
PERMIT NO. COMPLETED �� �_
��-.���-; n
ADDRESS ` ,�rE � �,1��-r -
OWNER �� .�,,- CONTR.s1���r�-�
TELEPHONE NO. ���`f-�// �
� DESCRIPTION c.�-1.,f> Q
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FIWNG
� 02 FRAMING �21Jf HANICAL FIt�AL, ��'��! 19 LAKESHORE/WETLANDS
Q 03 INSULATION 24�7�5�1OO��t1RNEFf%FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 72 WATER HOOK-UP 17 SITE INSPECTION
Q
= FINAL '���3�� 14 SEWER HOOK-UP O6 PROGRESS
F' 07 DEMQ–SITE 27 SEPTIC MAINT. 21 COMPLAINT
v
W 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI •�l�I 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J �p ��— 28 CEDAR SHI GLES 36 FOUNDATION REMOVAL
I�}G-Flif
��7WK CfIfT�ACTOR O MEET YOU: ES_NO
� COM
�
a ��V�' �:Z��, �°✓l, �� � L� - � `
�
�
O
� t E'� '` S�
0
k a
� " r .�-
Q
� .
z
W
�
W
�
j
� ORK SATISFACTORY:PROCEED C/
� �r�ROJECT COMPLETE
W l CORRECT WORK 8 PROCEED ISSUE CERTIFICATE OF OCCUPANCY
O C 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
G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next ins�ection 24 hours in advance.47�T3�J7
Owner/Contract o site I
Inspector.
Whiie Copyllnspector's File Canary Copy/Site Notice
V
AT� � ;TIME, ,. –
CITY OF ORONO CALLED w � �` � l / �' � '
INSPECTION NOTICE SCHEDULED � ` / � ` �'
PERMIT NO. �� i� � f COMPLETED '"�
ADDRESS � � �__ C_`r/..,' , �, i J % i �'
� ,
OWNER �=F-�##- _����(I�-f�- CONTR. I; ' �'`,,t�`„ ; j.+ �i ,
TELEPHONE NO. `'�' 1�� — t \ j � �
� DESCRIPTION
� 01 FOOTINO 11 MECHANICAL RI 18 EXCAV/GRADINO/FIWNO
� 02 FRAMING 13 MECHANICAL FINAL 19 LAI�SHOREJWETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FlREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q
= OS FINAL 14 SEWER HOOK-UO O6 PROCaRESS
�' 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
J
W 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
_ .-�Q9 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBINO FINAL 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
�
�
�
O
a
�
O
�
W
�
Q
�
2
W
�
W
�
�
d WORK SATISFACTORY:PROCEED - PROJECT COMPLETE
W
� ❑ CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WOFiK,CALL FOR REINSPECTION TEMPORARY
0 BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR
G CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the n t inspection 24 hours in advance.473-7357
OwnedCont r o i •
Inspector.
White Copyllnspector's Fi Canary Copy/Site Notice