HomeMy WebLinkAbout1999-011803 - plumbing - PERMIT
�ITY OF ORONO PERMIT TYPE:
r 2750 Kelley Parkway- P.O. Box 66 Permit Number: '='�'"`='
Crystal Bay, Minnesota 55323 " ",�' � -�
Date Issued: -`�` j�-'S���
(612) 473-7357 _ - . _- . .. _
SITE ADDRESS:
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REMARKS:
FEE SUMMARY:
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APPUCANT,PERMITEE SIGNATURE ISSUED BY:SIGNATURE �a
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C1TY OF URONO APPLICATION FOR PLUMBING P�RMIT
�lox b6 (27�0 Kelley Parkway)
Crystal $ay, 1VIlV' S5323
GENERAL INFORIl1ATION
1. You may apply for plumbing permits by mail or in person at the City o�ces.
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 permits may be issued Oh'LY to licensed plumbing contractors and to property owners residing
in the dwelling.
4. When any new cc�nstruction or remodeling is involved, a separate building permit must be obtained.
5. � All work must be done in aGcordance with the State Code requirements. ,
6. All work must be inspected and air�ested before it is covered. Call 473-7357. 24-hour notice ::qaired.
Instructiou� Co�plete all itein� on this application. Compute the permit fee. Sign and date
the certificatioii. INC0:14PLE'T� APPLICATIONS WILL NOT BE PROCESSED. If ye:i hav�
questions, cal; �7? 735', . �m�,�
Please check one: _� New � Addition Repair Re�laee
�_ Residential Commercial
JOB SITE: /po -����G.�.e �-�-e.� Zip:
O�i�ner'sName:�A,.�,.r ���nr.c� ,9�-.� TelephoneNumber:
Mailing Address: �}01 �, L��,1�.,S-�.,�,�- City: Zip: 55�1 i
Contractor'sName��rn�y„� 1 �c�- c�Q,�„ Teleph eNumber: 1��1 �
NiailingA ddress:l�c��,� 1�l�zk�..���r�.���-r-t���itY: ����Zip: —S �l
PLUMBL4G �LXTURE SCHEDULE
FIXTUR.6 BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
'�'YPE FL FL T'�P� FL FL
Wa.,er Closet � �t''lo0c D�a`�.s � /
Lavatory �y Sewer Ejector
Ba[htub � Laundry Tray � _^
Shower � ��F r� J __
Kitchen Sink � Water Heater
Disposal Water Softener
Dishw.sher � We� B�
Sillcocks Misc (list) �
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PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
�d f C1G�c> �" x .0125 $ ��J�o•�`��
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. /O� qCX�� x .0005 $ �j �%-{.�
(contract price)
or $.50, whichever is greater
3. Posta�e and Handling (Only mail-in applications) $ —i-59-
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ j� � • `7(�
* CONTRACT PRICE or JOB COST means the actual ar 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 in_stallation are furnished by the owner,
tenant or any other party the reasonable market value or such items must be added to the estimate� cost
or contract price for permit fee purposes. In the event that there is a 3ispute on the amount of the job cost,
the City may request the submission of a signed copy of the zctual contract.
** The STATE SURCHARGE is .0005 of ihe cor:ract 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 ihe City for issuance of a Plumbing Permit, agrees to do aIl
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.
Applicant's Signature��.(���-���1�p� Date: �-���
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED �G .a
PERMIT NO. ����� COMPLETED �� ���
ADDRESS � �
OWNER CONTR.
TELEPHONE NO. �� ^ �7I /
� DESCRIPTION
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
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
J -FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
TPLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J PLU FINAL 36 FOUNDATION/REMOVAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� COMMENTS:
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d �ORK SATISFACTORY:PROCEED f- PROJECT COMPLETE
� �t7 CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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� Cl CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ,__ pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR i-� CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContractor on site:
Inspector. ��c �'�-��-�l I
White Copyllnspector's File Canary CopylSite Notice