HomeMy WebLinkAbout1998-010558 - plumbing � PERMIT
' � OF ORONO PERMIT TYPE: ._
2750 Kelley Parkway- P.O. Box 66 �`�.���'�����'��=
Crystal Bay, Minnesota 55323 Permit Number: _ - _�
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(612) 473-7357 Date issued: �Y,;;�.�;:�;,__,,_;
SITE ADDRESS:
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FEE SUMMARY:
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P A %PERMITEE SIGNATURE � ISSUED BY:SIGNATURE �f--�C ,
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CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMATION
1. You may apply for plumbing pernuts by mail or in person at the City offices.
2. Pernut cards will be sent by return 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 ONLY to licensed plumbing contractors and to property owners residing
in the dwelling.
4. When any new construction or remodeling is involved, a sepazate building pernut 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
the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call 473-7357.
Please check one: �New Addition Repair Replace
�r Residential Commercial
Jos srrE: �q0 CyD�O�Nv�E.l�S De�u E z�P:
Owner's Name: Telephone Number:
Mailing Address: City: Zip:
Contractor'sName: HOK.�►aSo�.� �+N1 TelephoneNumber: "1$Q—q'1 Z�
MailingAddress:q�'10 3'iAi.nZ SR�� City: $lA��.11G Zip: SS�1�S
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
�Nate: Closet Q.t 2 2 Sewer Eject�r
Lavatory R� 2 . Laundry Tray 1
Bathtub 2, Washer ',
Shower Q 1 � � Water Heater ',,
Kitchen Sink 1 Water Softener
Disposal Wet Bar
Dishwasher 1 Floor Drains 1
Sillcocks 2 Misc (list)
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PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
Iq,Soo X �.2s � �;) ��- -� �
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $ '� ;f' �
(contract price)
3. Posta�e and Handlin� (Only mail-in applications) $ --�-:5�6°
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 charged 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 contraci price for permit fee purposes. In the event that thPre is a disgute 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 Ciry 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.
Applicant's Signature: ��`..== Date: �'Z�"9 �
.
. . . . , ; , .
DATE T� TIME
CITY OF ORONO CALLED IN c �" —�u /�,���
INSPECTION NOTICEL /� SCHEDULED /O—�� -�j�Y ;�.: c'�7�
PERMIT NO. �'t Q _JJ7 � COMPLETED � �
ADDRESS ( �� -��� ���.P�t,2� ���
OWNER y�� ��-��CONTR. � ' �
TELEPHONE NO. � �� �f 7 JZ-- -�-�✓��
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 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 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 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� EET YOU:_YES_NO
� COMMENTS:
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d ORKSATISFACTORY:PROCEED C PROJECTCOMPLETE
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� ❑ CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
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O ❑ COR.RECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS.
INSPECTOR WILL REfURN �' PHOTO TAKEN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
=�� Call for the n t inspection 24 hours in advance.473-7357
Owner/Contr�o ite:
Inspector. �
White Copylinspector's File Canary CopylSite Notice