HomeMy WebLinkAbout1999-012150 - plumbing � � �'ERMIT
�`� OF ORONO PERMIT TYPE: - - - -_ .
2750 Kelley Parkway - P.O. Box 66 '�'i,'"�-
Crystal Bay, Minnesota 55323 Permit Number: _ ..:,}'.#.����
(612) 249-4600 Date Issued: _
SITE ADDRESS:
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DESCRIPTION:
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APPLICANTPERMITEE SIGNATURE ISSUED BY:SIGNATURE
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CITY OF ORONO APPLICATION FOR PLU1�iBING PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, 1VIN 55323
GENERAL INFORMATION
1. You may apply for plumbing permits by mail or in person at the City offices.
2. Permit cards will be sent by retum mail after a review is completed. PERMITS :�RE NOT VALID
UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMTT CARD IS
POSTED ON THE JOB SITE.
3. Plumbing pemuts may be issued ONLY to licensed plumbing contractors and to property owners residing .
in the dwelling.
4. �Vhen 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 before it is covered. Call 249-4600. 24-hour notice 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 249-4600.
Please check one: New r/ Addition Repair Replace
Residential Commercial
JOB SIT'E: � �� ��� `V� Zip:
Owner's Name: �// Telephone Number:
Mailing Address: �� ��� City: Zip:
Contractor's Name: Telephone Number: �Z 3- 3��D
Mailing Address: rD �f S f�il�d�'/1� �1'l . City: � Zip: S S �S-��
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Wa�er Closet � Floor Drains
Lavatory Sewer Ejector
Bathtub Laundry Tray
Shower � Washer
Kitchen Sink Water Heater
Disposal Water Softener
Disrwasher Wet Bar
Sillcocks Misc (list)
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PERMIT I�'EE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.04)
'� � x .0125 $
contract price)
2. State Surchar� ** Add the State Building Code Division
Surcharge to each permit. x .0005 $
(contract price)
or $.50, whichever is greater
3. Postage and Handling (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 charged for the permitted
work including materials, labor, profit, and other fixed costs. It is the amount to be chazged 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 permit fee purposes. In the event that there is a dispute on the amount of the job cost,
the Ci[y 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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Applicant's Signature: t Date: / /7
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DATE TIME
CITY OF ORONO CALLED IN l/-a-�-Y y
INSPECTION NOTICE SCHEDULED �� -1 y�`�"°
PERMIT NO. i J-i S � COMPLETED �=�—�-1- �O c!
ADDRESS / 3 ��' �s���� C.�..�z_,� �,�_�
OWNER - CONTR. Q�t��z-a..�-.� ������.��.�,t
TELEPHONE NO. �/7 � � 3 ���'�' �s�"`� s�z� � ����/��
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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Q 05 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 PLUMBING RI � 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBI AL 36 FOUNDATION/REMOVAL
� OWNEHICONTRACTOH TO MEET YOU:_YES_NO
� COMMENTS: ��ti cf-n �4:X"Lc., ��C.��,.� - � '
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d �IORK SATISFACTORY:PROCEED � PROJECT COMPLETE
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� C]CORRECT WORK 8 PROCEED I_; ISSUE CERTIFICATE OF OCCUPANCY
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O �l CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS.
INSPECTOR WILL RETURN � PHOTO TAKEN
❑ STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContr t,or on site: .,
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Inspector. G( G��� L%�-�`�
White Copyllnspector's File Canary Copy/Site Notice