HomeMy WebLinkAbout1995-007149 - plumbing �, � PERMIT
, CITY OF ORONO PERMIT TYPE: -
� 2750 Kelley Parkway- P.O. Box 66 � � `'` '
Crystal Bay, Minnesota 55323 Permit Number: _ .. :'i=F�,-�
(612) 473-7357 Date Issued: . _ .. :. _
SITE ADDRESS:
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APPLICANT�PERMITEE SIGNATURE ISSUED BY:SIGNATURE � '
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CITY OF ORONO APPLICATION FO���UA�.IN��PERMIT
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 Ciry offices.
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 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 separate building pemut 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'ueiorc ii is covered. i,all 473-i 357. 24-hour noiice 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 473-7357.
Please check one: ��New Addition Repair Replace
�Residential Commercial
JOB SITE: � ' � � ZiP� `���1 I
Q�v�2P,.��N�ne; TelephoneNumber: 4"ll � 8�q 1
Mailing Address: �G�� F(��rr�sS_�`� r� �cL City: �nn Zip: ���,�G�
Contractor'sName:_��v�1,'�n _TelephoneNumber: G�_�;�—��
MailingAddress:t��Z Cvl� � �ka�n tA�cq-u City:m,�n }�A�ip: �`-�345
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
Dishwasher Wet Bar
Sillcocks Misc (list)
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PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
��. I(�_ x .0125 $ ��;.p,( _
(contract price)
2. State Surchar�e. ** Add the State Building Code Division
Surcharge to each permit. x .00QS $ . ��
(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) $ '��1 ,`�(�
* 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 parry the reasonable market va[ue of such items must be added [o �he esciniaced cost
or contract price for pernut 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
correct.
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A licant's Si nature: ` �'�'� �� � � �- � - Date: ���-� 1�- ��5
PP g
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7 DATE TIME
CITY OF ORONO CALLED IN / ��� ' v�
INSPECTION NOTICE SCHEDULED 7 � �� /� •�-��
PERMIT NO. �� �� COMPLETED �� �—
ADDRESS l�I yS T`�-9���Ju'-,r-�r— � K�G�
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OWNER �:"��.�.- ���"�r�'•:.s'-�CONTR. ��r�/_�.�-� -�
TELEPHONE NO.
� DESCRIPTION ����'�'� -���`���'�h�
lL 01 FOOTING 11 MECHANIC RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
Q 03 INSULATION 24/25 WOOD BURNER/FIREPIACE 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
'� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 P ING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINA� 36 FOUNDATION/REMOVAL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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GW WORKSATISFACTORY:PROCEED PROJECTCOMPLETE
� C CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
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� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPEC�OR WILL RETURN
C: CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the t i pection 24 hours in advance.473-7357
OwnerlContrac on si e:
Inspector.
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