HomeMy WebLinkAbout1998-010436 - plumbing PERMIT
GI�Y OF ORONO PERMIT TYPE:
' 2750 Kelley Parkway- P.O. Box 66 �'�`.�_'4�'='.=``�`'
Crystal Bay, Minnesota 55323 PermitNumber: t_;;;_;�,__;=, �
(612)473-7357 Date Issued: �;�.,;_;i;�:=;_;
SITE ADDRESS:
=_� i=;;'`Y'=�"���i� S_�`.'=�F:: F`.;1
._s'i�
�:' i j;; . �—i i = _�—� �."':_7i is_i�:'
DESCRIPTION:
=�-, �=;:x Tt i:;�r��.
"-`!i "-t r3 i C�t_ ��,;. t���.s_`•w�
�1i4it. �.i=`� ����'(.4�.� � ,.•�,
S"''1:1[i3t"t 1 }"�': i�:_:r E:; T y�_F.� i-�r:_:�:;�t.lt�:F
x:1. 'y':'�-i i�i�t i�E_t-'•^_�i _ ' ;'�if'}�j;fi'� - ��f'~-1Tt�f i i�°
� '.-:i-?iTlt��;i • j,e }::,i�i�:F-{t�i�� �:f tvt:. _: �,i i°���'t�!_��';L_
s::: _ _ '_ _ _
' i i i i�'1;" ��`_�
� ,,�._:���.:.�:_;.,L�,. : °�:j i i t�i�ii��::.�; �. F�._�_`�: � r.i:'.-,
_ I_�-;�{�;I�:�i4` ��iF;`Y I' �J}-i`._.#-��Fi _. li'i�?"tV�; �"'�F H��'.h.
.t �?��E�.��`t'��`+��:w:
REMARKS:
FEE SUMMARY:
'1�t�i_��;i i;�lt.i y��,_:; i)t;ii_i
�,,;�:�� �,�,_ �1`�,_ . �[? �?i-���_ i�`� ------•---��......�':a:`
` � ��,�i"'� �i i
=e1�;,}=il�i,'�== ______ �t•'= `+t�1 ���j�..�i �=,�,�, i _ . _ _
��4![�T.�i�..��, �'•¢'-`-'�--7��t�-�
CONTRACTOR: - OWNER:
_ : :.: .,� ..-. _ _ � �� � -=�. �t
,�� ; .,�:. -
:,:'T ��: !i�3 yS'_ S'•.'Jt!«.��.�'_�. ��f�3
_ � �1��lt�.,�;�tJ:_ , ,�ij I }+�;� _ _ ---- �:
-�� i=: - t:�;,�=°��t
i :;�iti : G.:L:::� { ili;',' �:;;s :<<_, . . . _ . . ._ _.._.. . �.=;°
- - - �.�i:�'i ii;=(I;;(�,��i 1'�f� �._,.��i_
i_,i;_�=1._:�i i�i� I':ty - - � �.
�,s�,1 ':`? '��'�_'—��'ii;-�
���;L fy;r,;s 1��-"'i;-iE•,��-[`t �}-,:.°-f-��'p` tii ;,�.!Y'��! `•� �-'`1-i't1,�`.: - _:_iE`,� ! i_i ;''1FiF:.;-, .�?�-l�-, �i'�.';f T�'":E-'�id� .�t��°�{-{;!i :_
=;I'���_i i``TE�4�f�`'-��`�i;i j-�:�i!'�',__ �� :_ #_,Ij_`• ri�_�_ tt# #. .��. i lv �� I ±'•.�� � s.t�! � '��{ri ,, t_ .4!.�t"� t���i i i t t_jj-
i ;:r::;•._ ._Z':; G'' ' � - �f',' 1 { ;:'� : r:� f '_
� " ' ' �i ,,,,._j � __S i 3 {`.�{_,i l. {L?'e . .`.�a,�_ �.. ._.�t''W I
;�lFi._i,f`.�l,# i-ii-i;)�i.ti=:�„i_:�`._� ��iF•,:f I _� { -�� s:_ �_.t�' �'`�%,.,��s,-,'.=;I_{ i . . - • �1
�
t
\ �l� .���
APPLICANT PERMITEE SIGNATURE ISSUED BY:SIGNATURE
. �
CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
�lox b6 (27�0 Kelley Parkway)
Crystal Sav, MN 55323
GENERAL INFORMATION
1. You may apply for nlumbing permits by mail or in person at the C:ry of8ces.
2. Pemut 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
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.
Instructioi��� Co:nplete all item5 on this application. Compute the permit fee. Sign and date
the certificatioii. INCO��?LET� APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call 473-7357.
Please check one: � New Addition Repair Replace
Residential Commercial
JOB srrE: '3� C:���,�,\ Cr����: 2� z�p:
Qwner's 11lame: Kp�'����� ���. Telephone Number:
Mailing Address: City: Zip:
Contractc�r'sName:`�.-=?�'a�1Gtt;t_US ��,mj��hr,� ;�� TelephoneNumber: c.-j�L�--(L��
MailingA ddress: l�,C�Lu,K� 1.,Uczi � �. City: � X('�,�;l�t� Zip: �,533�
PLUMBING F�TURE SCHEDULE
FIXTUR.E BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet �. Z- Floor Drains
Lavatory 3 Sewer Ejector
Bathtub � � Laundry Tray (
Shower Washer
Kitchen Sink ` Water Heater '2
Disposal � Water Softener
Dishw��sher Wet Bar
Sillcocks � Misc (list) �
H�o �o �e�'�c;�e�c-
PERMIT FEE CALCULATION
l. 1.25% of Contract Price* or Minimum Fee ($35.00)
� %3��IJ0 x .0125 $ l(�.50
(contract price)
2. State Surchar�e. ** Add the State Building Code Division
Surcharge to each permit. /.3���� .C� x .0005 $ (p•5b _
(con�ract price)
or $.50, whichzver is greater
3. Postage and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ 1�0 �SU
* 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 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 application are complete, true and
cnr_rect.
�
� — �I
Applicant's Signature: ���,fCQ, � Date: ��oj
DATE TIME
CITY OF ORONO CALLED IN 9!
INSPECTION NOTICE scHEou�Eo / �: �o
PERMIT NO. /G �3� COMPLETED � K
ADDRESS
OWNER CONTR. 1
TELEPHONENO. 4�70 � /�D �
� DESCRIPTION � �p��--> .�.�c/
LL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECNANICAL FINAL 19 LAKESHORE/WETLANDS
h
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 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
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
Q
= 09 PLUMBING RI 1 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 0 PLUMBING FINA� 36 FOUNDATION/REMOVAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
Z
D COMMENTS:
� �j i5�a d►� �P.EMQ i� �el� o � e�
�
�
O �' �l
� Pi �i ���a�f� C�C.J _
O
�
ti
�
Q
�
Z
W
�
W
�
�
d MORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W
� [i CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WtLL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �' CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContrac or��ite:
Inspector � v
White Copyllnspector's e Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN .3/'z.��
INSPECTION NOTICE SCHEDULED 1� �.3�9� 3 : O c�
PERMIT NO. /C� '�'3(o COMPLE ED '! K
ADDRESS
OWNER / CONTR.
TELEPHONE NO. �7� ` /�O ?�'
� DESCRIPTION ���.�aJ,��,a-�-�
�
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLWG
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
h
O 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-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTAIL. 22 FOLLOW-UP
� LUMBING Rl�� 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 P AL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
� �
a
�
J
O
�
�
O
�
W
�
Q
ti
Z
W
�
W
�
j
d
W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑ CORRECT WORK R PROCEED != ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITION WITHIN 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
OwnerlCont t on i :
Inspector.
White Copyllnspector's File Canary CopylSite Notice