HomeMy WebLinkAbout1999-011530 - plumbing PERMIT
� ��ITY OF ORONO PERMIT TYPE:
� 2750 Kelley Parkway - P.O. Box 66 Permit Number: � '-{ �''= "" -
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Crystal Bay, Minnesota 55323 ':�� i.�::=r;:i
(612) 473-7357 Date Issued: _ Y _
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REMARKS:
FEE SUMMARY:
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APPLICANTPER I E SIGNATURE ISSUED BY:SIGNATURE ��
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CITY QF ORONQ APPLICATIQN FOR PLLTMBING PERIVIIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMATION
1. You may apply for plumbing permits by mail or in person at the City o�ces.
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.
3. Plumbing pemuts 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 249-4600. 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 249-4600.
Please check one: New Addition Repair Replace
Residential Commercial
�OB SF�'EE:_ Q �`��� � �h c_o�c�1�� � ��� Zip:
Owner's Id'ame: t� ��,�� 6� 7Celephane Number:
Mailing Address: i��t� C ��nL� :�;�_ 4��'►��. �� City: ��t��,;� Zip: �����_.�
Contractor's Name: �L � � ` 0�� - Tele hone Number: (� ��� � ��� ��-p �
Mailing AddresS:3�,C� � ` _ , S'� Cit3'� �- r� �iP� �-�� r-�
PL�JMBING FIXTTJR� SCH�I��JLE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
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
Dishwasher � Wet Bar
Sillcocks � Misc (list)
PERMIT I�'EE CALCULA�'ION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
� ���'� "� 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 fued 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 Ci[y 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.
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� ��� Date: �
Applicant s Signature: c �,-'�� � �_ �
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/_ DATE TI E
CITY OF ORONO CALLED IN �G -�-� C' �
INSPECTION NOTICE SCHEDULED � v
PERMIT NO. �' l�.�?' �� �
COMPLETED
ADDRESS I� G�� (� )� �-�
OWNER 7�t--�-P--� CONTR. �(�cl ''• .�ll��
TELEPHONE NO. � �� �- � ���' � - C�
� DESCRIPTION
l� 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 WA�L 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
Q 07 DEM -F1�L9L�` 15 SEPTIC INSTALL. 22 FOLLOW-UP
9 PLUMBIN RI ___ � 23 SEPTIC FINAL 35 NARD COVER REMOVAL
J PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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ORKSATISFACTORY:PROCEED C PROJECTCOMPLETE
W C.'. CORRECT WORK 8,PROCEED -; ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. - pHOTOTAKEN
INSPECTOR WILL RETURN
❑ STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContract n s'
inspector.
White Copyllnspector's File Canary CopylSite Notice