HomeMy WebLinkAbout1994-006595 - plumbing PERMIT
�ITY OF ORONO PERMIT TYPE: _
, 2750 Kelley Parkway- P.O. Box 66 =��_'�:;`���-`�;`::;�
Permit Number: ��:';;_,'�;��,�
Crystal Bay, Minnesota 55323 - � _
(612) 473-7357 Date Issued: ; R.;;�;�: ;i=-;;;;,
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� APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE �t�-.�
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CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAI, INFORMATION
l. 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
POSTED ON THE JOB SITE.
' i 3. Plumbing pemuts may be issued ONLY to licensed plumbing contractors and to property owners residing
', j 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.
Instructions Complete all items on this application. Compute the permit fee. Sign and date
the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call 473-7357.
` � Please check one: �_ New Addition Repair Replace
Residential Commercial
JOB SITE: �1 a�1 S h�%� �G`�+�v� V�uR-u Zip:
Owner's Name: � ��c,�a - � , s,- � Telephone Number:
Mailing Address: �32 b�5 �f�Q�-�c,_�+ �Ar� City:�. ��, Zip: 55 3 �4y
Contractor'sName: �, K, p[.v��nb���1 TelephoneNumber: (�s 3�22i�S
MailingAddress: �b iv I (Zc�� PIR�.�. City:�'��g,�� Zip: SS ►I U
�, PLUMBING FIX1'URE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
,' ' TYpE FL FL TYPE FL FL
; I Water Closet z Z Z,. Floor Drains �Z
Lavatory �j �- � Sewer Ejector
, I Bathtub ( � Laundry Tray �
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�� � Shower � ( � Washer �
Kitchen Sink � i Water Heater Z
Disposal � Water Softener
Dishwasher � Wet Baz ,
Siilcocks Misc (list)
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PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minunum Fee ($35.00)
I 5 ; r7��U x .0125 $
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(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 dollar 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 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 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 appli�ation are complete, true and
conect.
Applicant's Signature: �vv,r Date: z 9
Dly�E�i� TIME
CITY OF ORONO CALLED IN !"> 'y �
INSPECTION NOTICE � SCHEDULED ��- i�' //. i"�t�
�� PERMIT NO. �5> > COMPLETED �
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'� ADDRESS % � r �`Ii� t.; ��� �'i
IOWNER CONTR. �1� �C���
TELEPHONE N0. �' S �' ���J �
� DESCRIPTION _ (-ti�'`� �.��1`-
� 01 FOOTING 11 MECHANICALR� 1BEXCAV/GRADING/FIWNG
� 02 FRAMING 13 MECHANICAL FINAL 19 LAI�SHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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= OS FINAL 14 SEWER HOOK-UO 06 PROGRESS
�" 07 DEM�SITE 27 SEPTIC MAINT. 21 COMPLAINT
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� 07 MO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING�RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� �WORK SATISFACTORY:PROCEED - PROJECT COMPLETE
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� CORRECT WORK R PROCEED ;: ISSUE CERTIFICATE OF OCCUPANCY
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O Cl CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ,-- pHOTOTAKEN
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
Owner/Cont o ite:
Inspector. -
White Copyllnspector's File Canary CopylSite Notice