HomeMy WebLinkAbout1999-011832 - plumbing PERMIT ''-
CITY OF ORONO PERMIT TYPE:
2750 {4elley Parkway - P.O. Box 66
Crystal Bay, Minnesota 55323 Permit Number: �� �,�;
�612) 249-4600 Date issued: `- � - - _ --�.
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SITE ADDRESS:
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REMARKS:
FEE SUMMARY:
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APPLICANT%PERMITEE SIGNATURE I ED BY:SIGNATURE
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CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFOR1�iATION
1. You may apply for plumbing pemuts 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 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 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 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 Addition Repair Replace
Residential Commercial
JOB SITE: (� - Zip:����� S�
Owner's Name: � � Telephone Number: " )
Mailing Addressi City: ip:
Contractor's Name: > Telephone Number: — 7 �
Mailing Address: City: Zip: �� ��S 6 �
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL �
Water Closet � Floor Drains �
Lavatory Sewer Ejector
Bathtub Laundry Tray
Shower Washer
Kitchen Sink � Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks "5 Misc (list)
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PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
�,�a C7 x .0125 $
(cont ct 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 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 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 pemut fee purposes. In the event that there is a dispute on the amount of the job cost,
the Ciiy 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: Date:
DAT IM�
CITY OF ORONO CALLED IN l� � ' �
INSPECTION NOTICE , SCHEDULED -
PERMIT NO. �� COMPLETED f����
ADDRESS i P(� Ol ��f �ec�> ,Or .
OWNER ��'-1"�1�'II CONTR. �l�'4-E-F U�'���
TELEPHONE NO. ���� �7��
� DESCRIPTION
� 01 FOOTING 1 L 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 O5 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINA� 15 SEPTIC INSTALL. 22 FOLLOW-UP
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PLUMBING RI � 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� C MENTS:
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d �WORK SATISFACTORY:PROCEED C PROJECT COMPLETE
� �❑CORRECT WORK&PROCEED Cl ISSUE CERTIFICATE OF OCCUPANCY
O G CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑ CORRECTUNSAFECONDITIONWITHIN HOURS. r-, pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR r' CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContractor on site:
Inspector. ����G��ct ,vJ�i
White Copyllnspector's File Canary CopylSite Notice