HomeMy WebLinkAbout1996-007707 - plumbing ;
. PERMIT
'' rITY OF ORONO
PERMIT TYPE:
%?50 Kelley Parkway- P.O. Box 66 �`�=t�°t�:T f�����
Permit Number: ,.;�;;;;a�
Crystal Bay, Minnesota 55323 _ _ .
(612)473-7357 Date Issued: t�t_Y;�y';%�'��.,
SITE ADDRESS:
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REMARKS:
FEE SUMMARY:
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE A�'-1.
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C1TY OF ORONO APPLICATION FOR PLUMBING P�RMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
G�NERAL INFORMATION
1. You may apply for plumbing permits by mail or in person at the City offices.
2. Pcrmit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID
LJNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL T�IE PERMIT CARD IS
POS'I'ED ON TIiE 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 tlie State Code requirements.
6. All work must be inspected and air tested before it is covered. Call 473-7357. 24-hour notice required.
Instructions Complete all items on this application. Compute the permit fee. Sign and date
the cercification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call 473-7357.
Please check one: v New Addition Repair Replace
� Residential Commercial
JOB SITE: �v��l' �� ���o�/��t Zip:
Owner's Name: �'%�oM�tS ` Telephone Number:
Mailing Address: C .2 q F'�d�C� � City: UQaNJ Zip:
Contractor'sName: /��}��' /,�Qser� P�3� TelephoneNumber: %�� -�L `�l� �`���> -c%o-3
MailingAddress:�j3y/ 1�cLTA /3 �� _City: /�I 77:� Zip: ,.�S3oS
PLUMI3ING F[XTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
Lavatory Sewer Ejectar
Bathtub Laundry Tray
Shower Washer
Kitchen Sink � Water Heater
Disposal � Water Softener
Dishwasher Wet Bar
Sillcocks Misc (list)
._
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1'ERMIT F�C CALCULATION
1. 1.25% of Contract Price* or Mi�iimum Fee ($35.00)
l, Bv✓ x .0125 $
(contract price)
2. State Surcharge. ** Add the State nuilding Code Division
Surcharge to each permit. x .0005 $
(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) $
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount chargcd for the permitted
work including materials, labor, profit, and other fixed costs. It is the amount ro be charged ro [he
customer for the work done. If any material, equipment, labor, or installation are furnished by the owner,
tenant or any other party the rcasonable market value of such items must be added ro the estimatcd 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 sigued copy of the ac[ual 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 Departmen[ of Inspectional Services for the price. a
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 tllat all statements made on this application are complete, true and
correct.
Applicant's Signature: /17'j . Date: — 6 ��
D T TIME �
CITY OF ORONO CALLED IN � % � t-
INSPECTION NOTICE SCHEDULED � � �- -=�- «
PERMIT N0. 7 r/C� � COMPLETED �` ` 3 '�
ADDRESS k��:�; ��/L_����.�r.�'�_����� �/�
OWNER�- ���-zf_� CONTR.'�Jz�..r�._.i
TELEPHONE NO. � ,� - C�� C =3
� DESCRIPTION t <' i�����:.-�--
� O7 FOOTING 11 MECHANICALRI 18IXCAV/GRADING/FIWNG
� 02 FRAMING 13 MECHANICAL FINAL 19 LAI�SHOREM/ETLANDS
Q 031NSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q
Z OS FINAL 14 SEWER HOOK-UO 06 PROGRESS
~ 07 DEM�SITE 27 SEPTIC MAINT. 21 COMPLAINT
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Q FtM 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI.— � 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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d �WORK SATISFACTORY:PROCEED - PROJECT COMPLETE
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� ;_' CORRECT WORK&PROCEED - ISSUE CERTIFICATE OF OCCUPANCY
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O [=l CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. ,- pHOTO TAKEN
INSPECTOR WILL REfURN
C�STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
�� INSPECTION REQUIRED.CA�L TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73rJ7
Owner/Contr r on ' e:
Inspecto .
White Copyllnspector's File Canary CopylSite Notice