HomeMy WebLinkAbout1996-007705 - plumbing � � PERMIT
� CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 �`?�3t�:�: ��i.�
Crystal Bay, Minnesota 55323 Permit Number: - �i'�i
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(612)473-7357 Date Issued: t is�r's��;����,
SITE ADDRESS:
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REMARKS:
FEE SUMMARY:
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APPLICANT%PERMITEE SIGNATURE ISSUED BY:SIGNATURE �C.C.
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CITY OF ORONO APPLICATION FOR PLUMBING P�RMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAI. INFORMATION
1. 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 VAL[D
UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS
POSTED ON TIIE JOB SITE.
3. Plumbing permits may be issued ONLY to licenscd plumbing contractors a��d ro property owners residin�
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.
Instructions Complete all items on this application. Compute the permit fee. Sign and date
tl�e certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call 473-7357.
Please check one: New � Addition Repair Replace
�C Residential Commercial
JOB SITE: ��`�� J�C�X ��? / Zip:
Owner's Name: L�,�,5 ✓;E'S Telephone Number:
Mailing Address: City: Zip:
Contractor'sName: ���,����2u> f'��-�,a, ,�,,_, TelephoneNumber:�/-2�?�
MailingAddress: ���c �� j<<, L_��,, /'�1, v City: i-;��e.ls <<, - Zip: $`:3? �
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT IST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
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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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PLRMIT FCE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
��;� �<5 G-��-- 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
4. TOTAL PERMIT FEE (Add lines 1-3 above) $
* CONTRACT PRICE or JOB COST melns the actual or estimated dollar amonnt 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 permit fee purposes. In the event that[here is a dispute on the amount of the job cos[,
the City may request the submission of a signed copy of the actual contract.
** The STATE SURCHARGE is .0005 of the contrac[ 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: �" ���
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� �' f �, �� CHECK OFF LIST FOR ISSUANCE OF PERMITS
� FOR OFFICE USE ONLY
��DRESS OR LEGAL: ='���� `j��%�, �J c� ,� � _" .
' -�'ID:
DESCRIPTION OF WORK: �-�,-�- `'
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ZONING REVIEW BY: DATE APPROVED: �, Z�-�i�:
BUILDING REVIEW BY: �,,,�;,,,` DATE APPROVED: � - �� -`i�'
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes ✓' No
PLAN REVIEW Yes ✓ No SEWER CONNECTION
STATE SURCHARGE Yes ✓ No WATER CONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC Units OTHER (specify)
------------------------------------------------------------------------------------------------------------------------
ZONING CHECK LI5T zoning District: f:' �-I�
Fire Department: (ro.v � �.G Post Office:���j C��L' School District: C��-�'%/`r�
Lot Area: Sq.ft. ,�� �lH+�r�cres Width Depth
� Survey Submitted: Yes � No Date of Survey: d•v i=��-L= %o i D 77
Proposed Setbacks:
Frent (Lake): 3c�c � ';" Right Side: 1 l�C `{'
. r ; ..�
Re�tr-(Street): -1 v u – Left Side: ��>�
Adjacent Structures: � �� Wetland: fl.' I t°! "
Building Height: Def. Hgt. — Peak Hgt. "'
� Lot Coverage:
N Grading: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval Date: By:
Zoning File: # Resolution: # Resolution Date:
Shoreland District: � ��'S
Avg. Setback: U t� 1r– ?�t-�= Bluff Setback: ��l/'�- Lot Coverage: —
Existing Proposed
Hardcover: 0-75'
75-250' U (�
250-500'
500-1000'
Hardcover Variance Required: Yes No �- Date of Council Approval:
REMARKS (in house):
7
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BUILDING REVIEW CHECK LIST '
uBc: �-� �� covsrrxucTTox�rE: r�'"��
Sq Footage $ Per Sq Ft;
Basement x =
lst Floor x =
2nd Floor x =
Garage x =
R =
TOTAL
Estimated Construction Value: $ j Si,��,.J
ar
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechanical Water Connection
,x Footing Septic Sewer Connection
Framing Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Board (Mfg.) Well (State Permit)
_�Final Gradin�/Filling Electrical (State Permit)
Other y �
REMARKS(IN HOUSE):
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REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
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REMARKS (TO BE NOTED ON PERi'�IIT�:
8
DATE TIME
CITY OF ORONO � CALLED IN � � •' k
INSPECTION NOTICE��D� SCHEDULED � % � � ���'
PERMIT NO. � COMPLETED (,/r_ �
ADDRESS � � � �' ��`�%t � �� �
OWNER ,�`�r'� n,�Y;1-'' CONTR. ^� T"� ,,:�` ,: � ��. , � '"�.
TELEPHONE NO. `� -f f � � � ��
� DESCRIPTION �' �� �'-
� 01 FOOTING 17 MECHANICALRI 18IXCAV/GRADING/FIWNG
y 02 FRAMING 13 MECHANICAL FINAL 19 LAI�SHORE/WETLANDS
Q 031NSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WqLL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q
= 05 FINAL 14 SEWER HOOK-UO O6 PROGRESS
� 07 DEMC�SITE 27 SEPTIC MAINT. 21 COMPLAINT
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Q 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
_ �09 PLUMBING RI . 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� ORK SATISFACTORY:PROCEED PROJECT COMPLETE
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� L CORRECT WORK&PROCEED �- ISSUE CERTIFICATE OF OCCUPANCY
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� Cl CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
�1CORRECTUNSAFECONDITIONWITHIN HOURS. pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR - CITATION ISSUED
i] INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance.473-73�J7
OwnerlContr o ite:
Inspector.
White Copyllnspector's �le Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN �� / � ��'
INSPECTION NOTICE SCHEDULED �s J- /�/ /� �<" �
PERMIT N0. ��� �"S' COMPLETED � �
ADDRESS 3��� �`� S�
OWN ER <��-�'c._ �.� CONTR. ���� �1 �(� � ���C«c�t�.
TELEPHONE NO. � 7 G %>t O,�Y
� DESCRIPTION %���-������- — _���
� 07 FOOTINO 11 MECHANICALRI 18IXCAV/dRADINOJFIWNa
y 02 FRAMING 13 MECHANICAL FINAL 19 LAI�SHORE/WETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPIACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q ,u;� 14 SEWER HOOK-UO O6 PROCaRESS
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J 7 DEMQ—SITE 27 SEPTIC MAINT. 21 COMPLAINT
W 07 DEM AL 15 SEPTIC INSTALL 22 FOLLOW-UP
_�,�.PLUMBINCtB! 23 SEPTIC FINAL 35 HARD COVER REMOVAL
1L 10 PLUMBIN�FINAL �> 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOFi TO MEET YOU:_YES_NO
� COMMENTS:
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d ORK SATISFACTORY:PROCEED � PROJECT COMPLETE
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� CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY
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OO ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITH�N HOURS. LPHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL iNSPECTOR ❑CITATION ISSUED
❑ INSPECTION REQUIRED.C ARR GE ACCESS.
Call for th e ins ct n 24 hours in advance.473-7357
OwnerlContract n si
Inspector. �
White Copyllnspector's File Canary CopylSite Notice