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HomeMy WebLinkAbout1999-011198 - plumbing PERMIT CITY OF ORONO PERMIT TYPE: 27�0 Kelley Parkway- P.O. Box 66 Permit Number: -�����`'?`�''���`�' _ Cryst�l Bay, Minnesota 55323 ��-'�. � -=- (612) 473-7357 Date Issued: ,- ; _ i:,,_ ;J.•:, SITE ADDRESS: I -i:, = - - - � _,:�u°�; ;'�� .�� " . ��w . . �:-i rt- -- - =--t_;t>>:::;,� DESCRIPTION: ;� r i ` t;;- ��;.�_�i�lt'_�.i�i F�.1 [';=�����.�4 .^. ; `T. .-__. ��:� � i��!?4'_•_i {'-��;�.iiEi�f�i i�_{ �I�FSz�:, f y��'r_':' �'i}_,"_._'� : �J�°'�ii�f�,,.'Y. _ t��f'i 1 ��l�`. �_��._t_�`=` l _ Lf�i'd';�i;t_s�;°�" =;,:�i�-;T:.��: _. _.:�t_:�,s�`�° _ F;,3 I�:�,:F-;i=�;�.; =?t,i;.:: _ i i:°-:�`i:s°-�;' . 1 L.S� _�:'I,yt!"'�_�lvL�. .i� w'.I.i...�.'�t fE_4'•.��� ..._ I—�._!�1{_'i�. ...�.��.�.i+f•_� ; i�';;f�v '3-j'Y i�',r.`:';��` i sa;':'�— ��-•�, — (1�,:r1;::_ _ :``' — -- - ._. . . _ . ._��"'.__. . _.. _.+�L:__;— y.`,il__7 I t I ' R�MARKS: FEE SUMMARY: -���,������i i�__� u 1°:� , _„_!:_} ' �:.a•;�-• �=�:_�? -,°�='_� , !`-. C°?t�=��. ��`� ___._....._ ��� `�� � _ —: _ " _ �:� _.,._ _= _. . � . . , � `=�'.,ii'[�{i*.':�� �•'•: r.z ( ,_a�.._;�, �:�}� T��!;.'i�:�1:_i _.------;..��.�____ . ��%..�+_.i 5,.i_S�..i� �•a;;,i.`_•.,:i , it S � I CUNTRACTOR: — ,'r•`s:��� i _:�;�+'tii� —• OWNER: . .� 6 x`•�t�..`.i-ji.S`=• i``��:[,; 3�1,t_ ._`.+i�.'t_�1._._�%�� "_:. .. .. . `_s''�''3.'�'':} }a`'� j.;-;i_�i_� I_�;F�._:' t i.{:`t' t;�i _r,=�.h. _{_;I";hs°_, �'` i h;l_i - - r�E,,j a1 .i,;��=1__�(tu = .�`d _ _ _ _ -. _{ ._ _ _ _ _ ' _ __. . `'- �__ � _ � _.. _ _ _.4._.-, �:- -- • -- - _ . . . _ . .-.. ._. _. . . ._ _. ; � �. <,w^, {�, .:�;k: � „��.__ ._._ ___ _ . ._.. .. � _, ._ . . . .. , S {is ,__-� . ;''.{'.:'"}'�4r �..�c..•LL f • i.. 7 {� y.. .y�f- �"�r ;� . ... _ _. _ - . �3 �'il 1 1 f '� ,.,,,.... ._�I--.-. n.,_ " __,.._i__ .y..+, � _3 } " e �:a' _— _ - { i-�I`�:_:' -.'_..i...,u _ '^�`�. t j_f i t t �.ii_�`'�-°-'- ! '_ . ._ . .. ..W }: _. .i'. S� ._ . . ... ... .. .._ . ._ .. . » . ... � � r�� ' � i i-��v.� • � �' :,,r. Li _ `.a_;. ._ _€. .� F{.�c-.�.t__.._ �-'.�'�_, � -. . .._ . �. z '_. .._. _ i ?. _ _�_._,�� f ��__ r _ _. W, i"'.__i` } ._.. _,. „_ . � � ,1 �!'-L�L.�� �-1�, --Yz % i APPLICANUPERMITEE SIGNATURE � ISSUED BY:SIGNATURE ! , < :, � .< CITY OF URONO APPLICATION FOR PLUMBING PERMIT }los hb (27�0 Kelley Parkway) Crystal Sa,v, MN 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 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 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 sepazate 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. Instructiou� Co:npletP all items on this application. Compute the permit fee. Sign and date the certificatioii. INC0:19PLET� APPLICATIONS VVILL NOT BE PROCESSED. If you have questions, call 473-7357. Please check one: � New Addition Repair Replace � Residential Commercial ` JOB SITE• � S5 ' - �--; � - Zip: ' ` Owner's Name: �� � � ;.� Telephone Number: � �' Mailing Address: City: Zip: Contracte�r'sName: � ' ' � ��-� � � ' �� �' C. TelephoneNumber: ��-���-l���� Mailing A.ddress:_��� �,�� �� � � City:_���d���- Zip: ;�5�3y PLUMBING �'�TURE SCHEDULE FIXTURF BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER = TYPE FL FL TYPE FL FL �c;��:��-� Water Closet � � � Floor Drains , Lavatory �' Sewer Ejector Bathtub Z Laundry Tray � Shower ( � Washer Kitchen Sink � Water Heater � Disposal � Water Softener Dishw�sher Wet Bar � Sillcocks Misc (list) 1 � �TCe.Y�IC�C' \���. ��-c�.n d P�� �� � � � ,�.� � � ; , ; i � � '� � ' �_ E, s �' ��.� «?� � �e1 ��+��s, �# �r� � �=r'$�a't-{,��+{�'�'�Y�� "�'�4`�t 3��`r Y�s"� � � '�'�'c� 2, �� �°i ; �e s t. '., f �.�5 . � � }e�,.sym�i-"�` � �'�re� :� `��� � � «�;'^���,��'^x,���y yt'X' �� >Y f�.� '+�'� ��r , : 'Y Y�_ '� � ,r t?�. � �d �,, �`� �. y�- w "� ��. s �, � �'� � '�" �_ .: �.e ��ar ��, � - ���4, � � ;w. ::w �"�" �r r�>, ,:,9 �;a'"'�� � ..v, : C �Y �� t. �, ��� 1,N�„ r;'��d� .,,.�-�v�'�'�' �s.>�T^. � z '?�c"s,. '�'� '�k. W' ,<<t�akY!�-� . �S'�..,�"�a�>�.# �a^7..nn.� ,�S .. . ,. . - . ._ .._ _ .c� ,'a�_ _.�., ,,,3>,�5^ee..=..:�.3^'r r�`.�_,. �1� . .`�> ;�,r....,. , . _ ,r§� PERI�IIT FEE CALCULA�'ION 1. 1.25% of Contract Price* or Minimum Fee ($35.001 � �� ,�C2�• C�� x .0125 $ ����-�� (contract price) 2. State Surcharge. ** Add the State Building Code Division Surcharge to each permit. � ` �'t��C� .1���;: x .0005 $ �- 1� (contract price) or $.50, whichever is greater 3. Postaae and HandlinQ (Only mail-in applications) $ 1.50 � 4. TOTAL PERIVIIT FEE (Add lines 1-3 above) $ `������ y i: t;, * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted � work including materials, labor, profit, and other fixed costs. It is the amount to be charged to the a, �: 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 x. w or contract price for permit 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 contrac[ 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. E: ,, � 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. i; , � � , 9 `��'' � � Applicant s Signature: ��GC�`.0 G� � ,���4���, Date: ���� �J � � i . � �� � ,� , A . .. . 4� , , , .: . , ,. . ,;. , � _ � � . , , . . � � r . - . �. � . ,s � � �� : °+i� � �� ,�.� z r, �` � n � � ��� �� � , '� �Y i§ � �e"bg�v�� � . .. 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M.�. ..: ..: Ff.,.{. .�<o-x�Et4' ..', D TE TIME CITY OF ORONO CALLED IN � �9 INSPECTION NOTICE SCHEDULED �S /r.-30 PERMIT NO. r `� cOMPLETED / - ADDRESS �� �� �� n � - �� " OWNER CONTR. � //�1l'�r����� TELEPHONE NO. -7 l�� "' l� �� � DESCRIPTION i -�� t� O1 FOOTING 11 ME ANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � Q 03 INSULATtON 24/25 WOOD BURNER/FIREPtACE 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 � 07 D�MQ-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP Q ... .. �09 P�LUMBING R� 23 SEPTIC FINAL 35 HARD COVER REMOVAL J- 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � W a � J O a � O � W � Q � Z W � W � j d W WORKSATISFACTORY:PROCEED C; PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED [, ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. �,, pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑INSPECTION REQUtRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-73�J7 OwnedContract n te: Inspector. � - White Copylinspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED ��� PERMIT N0. Q MPLETED C� l Q. � ADDRESS 1�l�� 1Zj � �� OWNER CONTR. ��f���"`�.�.{� ° '�'� r�.� � ��r TELEPHONE NO. �"�~� � �� ! �=` `���'{ � DESCRIPTION � 01 FOOTWG 11 MECHANICAL RI 18 EXCAV/GRADING/FILLWG 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 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP �U 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL ? 10 P�LU�MBING�IR�' 36 FOUNDATION/REMOVAL ��� ,....< Q 01AIf�tER1C MEET YOU:_YES_NO Z fl COMMENTS: a ,��> � e � � J o � Q � �1� �«'� � � C�C.4.t- �� -? ��_ � c) t.,l.�'� W J ) Q (� k T—i l C�C�,��. � O�Ci��-��=f � � � z i s S-�'�c2c�C. w � W � j d ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W � ❑CORRECT WORK 8 PROCEED G ISSUE CERTIFICATE OF OCCUPANCY W O �ORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. n pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �' CITATION ISSUED � ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance.473-7357 Owner/Contractor on site: Inspector/P,IG� �`�93 ,.-.-., White Copylinspector's File Canary CopylSite Notice CITY OF ORONO CALLED IN ��` A�� �5����'�� INSPECTION NOTICE SCHEDULED � �',oC PERMIT NO. ���Q� COMPLETED � �"�''�� ADDRESS ((O�'� ��r1 f1S �C.�t �"1+' �� OWNER CONTR. `^-��n K�v S TELEPHONE NO. � �U - �ZO� � DESCRIPTION V�S'vo�- � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 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 v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP �U 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J1n�P�l l M_BING—FINAL�� 36 FOUNDATION/REMOVAL Q OWNERICONTRACTOR TO MEET YOU:_YES_NO Z � COMMENTS: d � k- � . � - , a � l�Uf�� � f2�r� S �:�n�� Sr' o G�i c�av�'f �yK.f l�f ��:rs�e � V�'�ue� �-tr� � � m � 0 � ��;�. ; ✓(��1 G- (5� /11 �% � c��t� C' " � _S ?8 ✓S Gc � `(7 s ���62 e C ' C�t*J -�Ll � C� v S-L�' d Cl WORK SATISFACTORY:PROCEED L PROJECT COMPLETE W � CORRECT WORK&PROCEED W ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �7 CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 Owner/Contractor on site: Inspector. �����C � �7i White Copylinspector's File Canary CopylSite Notice