HomeMy WebLinkAbout1998-010106 - plumbing PERMIT
CITY OF ORONO PERMIT TYPE:
2��Kelle Parkwa P.O. Box 66 L,F_�_�P��=`=�'h.ii;
y y Permit Number: ��� ��-'�s-'�"�
! Crystal Bay, Minnesota 55323 Date Issued: �-�i�%���!`_��=�
(612)473-7357
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 UI�.ONO APPLICATION FOR PLUMBING PERMIT
���s bb (27�0 Kelley Parkway)
Crystal Sav, MN 55323
GENERAL INFORMATION
1. You may apply for plumbing pemuts 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 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.
Instruction,� Co:nplete all items on this application. Compute the permit fee. Sign and date
the certification. INCO:���LETE APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call 473-7357.
Please check one: New �Addition Repair Replace
� Residential Commercial
JOB STI'E: ..�6.zv �•L;,�,�v,� �;'/ee� s� Zip: SS�39
Owner's l�Tame: �j,�.��•, Telephone Number:
Mailing Address: �6.� f:�%<r sf City: o ro� Zip: ss3S-9
Contraetc�r'sName: 6ro-baw �/6y .�c TelephoneNumber: �g6•..�s�-�
Mailing A ddress: £�Y�u ��(�„tl�./ � City: C�o� R�:�s Zip: ssy�.3
PLUMBING FIXTURE SCHEDULE
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
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)
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. Posta�e and Handlin� (Only mail-in applications) $ 1.50
t 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 fumished 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 Ciry 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
i 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
i correct.
Applicant's Signature: ,��/� �� � Date:
��
� DATE TIME
CITY OF ORONO ca��Eo iN `� "J�:- i ° / •�
INSPECTION NOTICE SCHEDULED ` ' , :� {��.
PERMIT NO. - � ' �." COMPLETED
ADDRESS -,�'�-���� t� � ! �'. . .�...i�
OWNER :�—='=----!� ��.�C..�;,,CONTR. `�� N /�.: , ��f'/�,-�
TELEPHONE NO. %� << � -,`. ` /
� DESCRIPTION
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINA� 19 LAKESHOREM/ETLANDS
�
Q 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
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� �ORK SATISFACTORY:PROCEED _" PROJECT COMPLETE
W C CORRECT WORK&PROCEED �- ISSUE CERTiFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. r pHOTOTAKEN
INSPECTOR WILL RETURN
❑ STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
C] INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next ins ection 24 hours in advance.473-73�J7
OwnerlContracto���,,,���^^^ ite
Inspector. \ � �''�
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