HomeMy WebLinkAbout1997-009146 - vac valve-sprinkler PERMIT
� C�TY OF ORONO PERMIT TYPE: -<::. : ::
2750 Kelley Parkway- P.O. Box 66 �`=`'``-'
Crystal Bay, Minnesota 55323 Permit Number: ��:1�i�_��_r _
(612) 473-7357 Date Issued: _ _ . - .
SITE ADDRESS:
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REMARKS:
FEE SUMMARY:
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APPLICANT%PERMITEE SIGNATURE ISSUED BY:SIGNATURE
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C1TY OF URONO APPLICATION FOR PLUMBING P�RMIT
�ux 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 offices.
2. Permit cazds 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 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 473-7357. 24-hour notice required.
Instructioii� Co:nplete all items on this application. Compute the permit fee. Sign and date
the certificatioii. INCOr9�LET� APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call 473-7357.
Please check one: Ie1ew Addition Repair Replace
_� Residential Commercial
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JOB srr�: a�I�s ���n� _ ; d� �� . �n L K Zip: ss3 s L
Owner's 1�1ame: � . �,� ur c ` �� Te ephone Number: y�� �v�s y
MailingAddress: ay'�1s �u,.,{�yS1�l� �r. City: I�a L�V.� Zip: �'�3S(�
Contractar'sName: Telepho�l eNumber:
MailingA.ddress: City: Zip:
PLUMBING FIXTURE SCHEDULE
FIXTUR.E 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 W asher
Kitchen Sink Water Heater
Disposal Water Softener
Dishw��sher Wet Bar
Sillcocks Misc (list)
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PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
l �� 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. Postage 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 Ciry and the regulations of the State of
Minnesota, and certi�es that alI statements made on this application are complete, true and
correct.
� Applicant's Signature: ��.�.��cz/ � r��� Date: '�- !-9�
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. �� `�� � COMPLET D � '� 7 _�
ADDRESS �
OWNER CONTR. C7f„y,�,,i',,�r
TELEPHONE NO.
� DESCRIPTION
� 01 FOOTINO 11 MECHANICAL RI 18IXCAV/aRADINQ/FIWNO
� 02 FRAMINCi 13 MECHANICAL FlNAL 19 tA1�SHORE/WETLANDS
Q 03 INSULATION 24/25 WOOD BURNEFi/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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= OS FINAL 14 SEWER HOOK-UO O6 PROGRESS
~ 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
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�Q 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FlNAL 35 HARD COVER REMOVAL
v 10 PLUMBINQ FINAI 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO EET YOU: YES NO
� COMMENTS: — � � � �
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� L ORRECT WORK 8 PROCEED C ISSUE CEHTIFICATE OF OCCUPANCY
O CORRECT WORK,CALL FOR R I SPF�T` TEMPORARY
BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN
INSPECTOR WILL REfURN
O STOP ORDER POSTED.CALL INSPECTOR
❑ CITATION ISSUED
❑ INSPECTION REQUIRED.CALI TO ARRANGE ACCESS.
Call for the next ins tion 4 hours in advance.473-7357
OwnerlContracto e:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED =� �
PERMIT N0. `�•� �' conn ETED '
ADDRESS ,,,��—� � .
OWNER CONTR. O(,rJl�P��
TELEPHONE NO.
� DESCRIPTION � �
� Oi FOOTINt3 71 MECHANICAL RI 18 IXCAV/dRADINa/FILLINO
y 02 FRAMING 13 MECHANICAL FINAL 19 LAI�SHORE/WETLANDS
p 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q
= OS FINAL 14 SEWER HOOK-UO O6 PROGRESS
~ 07 DEMQ—SITE 27 SEPTiC MAINT. 2t COMPtAINT
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� 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBINQ RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
PL BINO 36 FOUNDATION REMOVAL
��AWNC�NTRACTOR TO EET YOU: YES N � l
� COMMENTS:� � � � � /�.
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. r pHOTO TAKEN
INSPECTOR WILL REfURN
O STOP ORDER POSTED.CALL INSPECTOR
❑ CITATION ISSUED
�INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cali for the ext ins ction 24 hours in advance.473-7557
OwnedContracto
Inspector.
White Copyllnspector's Ffle Canary CapylSite Notice