HomeMy WebLinkAbout1997-009766 - plumbing PERMIT
°���`��'� OF ORONO
� elley Parkway- P.O. Box 66 PERMIT TYPE:
� Bay, Minnesota 55323 Permit Number:
Date Issued:
����; d73-7357 � - � � �
SITE ADDRESS:
DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: � - OWNER:
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APPLICANTiPERMITEE SIGNATURE ISSUED BY:SIGNATUR
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CITY OF UKONO APPLICATION FOR PLUMBING PERMIT
}���Y bb (27�0 Kelley Parkway)
- Crystal Say, M1V 55323
• GENERAL IlVFORMATION
l. You may apply for plumbing permits by mail or in person at the City offices.
2. Permit 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 pernuts 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 pernut 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.
Instruction,� Co:nplete all items on this application. Compute the permit fee. Sign and date
the certificatioii. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call 473-7357.
Please check one: New _� Addition Repair Replace
Residential Commercial
JOB SITF,• �0�'� \ � Zip: �y`3 9/
Owner's l�Tame: ^r�vZ � -r,'-��L- . '�r.�.1 Telephone Number:
Mailing Address: City: Zip:
Contractr�r'sName: TelephoneNumber: %}7,�- ��D
MailingA ddress: � �c, City:L���j,�, Zip: y'S'3 y',�
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet �- Floor Drains r
Lavatory ,� Sewer Ejector
Bathtub Laundry Tray �
Shower � Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishw.�sher Wet Bar
Sillcocks Misc (list)
� 4
PERMIT FEE CALCULATION
� l. 1.25% of Contract Price* or Minimum Fee ($35.00)
�, ����� x .0125 $
(contract price)
2. State Surchar� ** 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 pemut 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
conect.
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Applicant's Signature: ��� Date:
DATE TIME
CITY OF ORONO CALLED IN ��-l� ��f 7
INSPECTION NOTJCE ! SCHEDULED /i 9� _ �c�c%
PERMIT N0. ����r_��% COMPLETED
ADDRESS �� �t' -�-�` � -z�7� nf
OWNER CONTR. � '�/"r�r�fi
TELEPHONE NO. /�7 � - ��c�e���
� DESCRIPTION .�r'<�f , ZC�c�C���
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLINO
�Q 02 FRAMING 73 MECHANICAL FINAL 19 LAI�SHORE/WETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 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
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�Q 07 DEM�-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
�LUMBIN�G�-'.: 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBINO FINAL 28 CEDAR SHINGLES 36 FOUNDATION FiEMOVAL
Z OWNER/CONTRACTOR TO MEEi YOU:_YES_NO
� COMMENTS:
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d ORK SATISFACTORY:PROCEED
W PROJECT COMPLETE
� C; CORRECT WORK 8 PROCEED - ISSUE CERTIFICATE OF OCCUPANCY
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O C CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
O CORRECT UNSAFE CONDITION WITHIN HOURS. -, pH0T0 TAKEN
INSPECTOR WILL REfURN
G STOPORDER POSTED.CALL INSPECTOR f GTATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next ins ction 24 hours in advance.473-7357
OwnerlContractor ite
Inspector. � �
White Copylinspector's File Canary Copy/Site Notice