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HomeMy WebLinkAbout1994-006597 - drinking system �'ERMIT CITY OF ORONO PERMIT TYPE: 2750 Kelley Parkway- P.O. Box 66 � ' � _� � �`='�"� Permit Number: '_`�"' - Crystal Bay, Minnesota 55323 " ; � ~_ ` . � (612) 473-7357 Date Issued: ; ; ,�_; ; ; ,�_ SITE ADDRESS: _ =�`m :_]i';`�:`` , . ._..___ :':f..., .. . . — - - , , _ .. � - - , : ; : ._.. . � :_. ; �_ -- DESCRIPTION: -:� '�f:`i ; -'`t L:: . ...._. _.- _-. ._._..}._..�.... .� . _.t+-'...x. 1 � E.'``_'.. ! � - - �`' F�Ji`.�i:' '� ' :��F:'� �-;�'-�iS?;'I:i;_, . _._.....__ _.. _ .., . , , .. _._._ ._ ... ..•�"_ _ `_li+'��"_C":j�:�=�.� s_';Y t;� t"�=�%t�f+i �.i i t vr ve�sr�:u ~d.':1?t'L '• 'L !�i tTP!l71�•L 4'��! 1 LL •i�i y�':t};}ili? x' 1 r!J..Js'L':`171J� T� ' ' i LAi _.. t}i'. �.%.1. L L!t �.h x V L• . �..�ii}i'::ii1f� � J.�:..a:.Ci.tJ1J\f V V TT �'1 LLl7� +J�' 4..•1�1 L\ !L - t�J�: T'f... �f:�iF� l•ifj+i /\L.L�LJ.! ! 1!!7!!T(1 I IJU •`.i:..—..'t i:i{!i iur}'i Tj iae i ..a��2UV�JV L•1�V1 f14'.L 111.��1.� !T: S 1:•1f 1:�t . REMARKS: FEE SUMMARY: � ;-�� t �-,: -:r:� -_- - ��r:z.�._,�_ . . _ . . . . __�. t.,:•.; _-_..:�=_ t�=._ .=_•:t . _ . >>t.;'i'C;F'?c:t!"'_'=' _____.__.__._____�:€3 i i_!I.�-! :, �"F=F" . . _. . . _ CONTRACTOR: - �l�=°�=�� �==��� - OWNER: : ; _ , T_-:� .,.,:_ - : -. � - _ - - ��::� �.-. - �..._,�.;.,<<,..:._; .,�..;; , '_.. .- ;�:�:;` : -- • - , - ��' •y-;;=- -;i .. _ _ . __��.�s ;1 i-a�y`Y tsi;,� 1''- _ _ �.7^°�`._',i �i ...__.._ _ . . .._ _. . ...'.L"� i`;3`v -.�. _ _��f �`i'ir' i i iP:i C'� -_';. ` _.:. ` .:�',.. :�. . FG"-,..; ; ,� _ '-t W r.• . _ . .. ., ._ . . �._ i: !"": ;r �� . .����.���e }' # �L ; . . V . ... _.�.:.-� .._ .. .. . . « . =. . . . . , . . _:E . . .. . ._, ... ..._ . •�s._. S ._ .€ _�_.,� � f. � .' "� . , � -� ( ti____ s:` ""`.�'=. ._3 _ . ,�.s ._ , -��? � i �� �-.�.. -_�t v , ... :;. .-��. "�' . _.__.. .. . . . _.._ _ , , .... ,..,. . .. .�A. . ,.. . ; f ;iY:;�If;;;:,; t i �.�: .. ._ ;a � -F- � _ � �.. ,�a }r ='r't-. F M � � �; ; _�r.. _ : . :.. . . .... . � :: ... _ � r y _,� � � _. _'_�= _ ..... . . _ _ ::�_.a . . . _! . ._. ._. ...., . __ .. .�-:. . _ .. .� _. . L � � . r � � / ANT%PERMITEE SIGNATURE ISSUED BY:SIGNATURE CITY OF ORONO APPLICATION FOR PLUMBING PERMIT Box 6f (2750 Kelley Parkway) Crystal Bay, MN 55323 GENERAL INFORNLATION 1. You may apply for plumbing permits by mail or in person at the City o�ces. � 2. Permit cazds 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 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 �, Residential Commercial JOB SITE• ��� �� Y�'� =� Zip: Owner's Name: � � �� � - Telephone Number: Mailing Address: 'i City: Zip: Contractor'sName: � � Tele hon Number:��o��_� MailingAddress: /' � / '� City: ��' Zip: �'��ci� _.. , PLUM�ING FIXTURE 5CHEDULE FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHEI� TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sink Water Heaier Disposal Water Softener �� Dishwasher Wet Bar � Sillcocks �t�CTi's� . ��r�-c� y , /� ���C� � � Y s�,� j.�x. r t ':�� ���',3�,�,y�s�,X�:YS;��;' YS�� 'k.'�''' •vY'� j,}r'�;;���,t a�; .�'Sj�,'+a.���.• Y.+�i�F.,6'� x� '�`k,�(�,�,.,, .,. '�N�v�...�:y.:.x ��.y�,, � �9�r L,,��'.-Y��n�;. � Y� � �'- .� , �,��e �, �, � �.� a�a�,:�� y��4 ��,����, + +�,, ,� �.� �,�- �#' � � � � ��x � � t � x'41'�+�,v:.����{����e�"��"�.�q»"���"qv,,n"cp�as:���:,C����� '�`;��'����'��+'�.. < ,�s,.�.F ;� � ��„�� �. . . . � . . . ..��5� a,�_Y -�.'Yz'°�'. .P...�"� n?A.:Ei> PE1tMIT FEE CALCULA'TIOl�T 1. 1.25% of Contract Price* or Minamwm Fee ($35.00) _ �-�`: 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. Postage and Handlin� (Only mail-in applications) $ 1.50 4. TQTAL PERMIT FEE (Add lines 1-3 above) $ * CONTRACT PRICE or JOB COST means the actuai 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 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 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 ordimances 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. ���' � ,� 's Si ture: , �" �-��=��- Date: Applicant gna �" / �., �, _ ,�� � ;; ��_ t .. ,s � � ty f,� 4� .u�ry��y.J...."- ,� �' i.Z _ x J:F �,,LCla' , ;��. � � . � � _ . ..�- . . . . . . _ 3 : �..� . . .� �„ ��, ,n, . �: . .. 6.E, _ � � . , . . ,_ '.. , u ^" i�lsfi�iir` - ...�Y �� -� � ' �A... - _+i. .. . .� �� y�.n 1' '�{f � � �Y,• � � ��f ������ ^ i a'• � � ����� ;+a� � �b'� ���`��'3 � '� - ���td�S� ��; �} � �1. 4 .A�y"�� i �1 _ � s� �iJ � E.�� � � � ? .;g. �r'` ��a A � �� A ' „, <. , .��, � ._ �_:.. a � �. . �+. ,� �` . . �j� .� � � �� � .xT .� �� '�n i,.��.'' - f r E�v 4#a.� a. �, ar�� fae - '. a ,. � .,i .r • ��",�'�r�t`�`� `..�� �u � � �, � +� �. 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'•a� _ _ ._....._ . .a. .�. ... .. -�.,<< .:�,.�...a�*.- DATE TIME CITY OF ORONO CALLED IN / /`l j"� INSPECTION NOT C scHEou�E� i � � "' PERMIT NO. ����� COMPLETED f Z���� S 5 %� � ADDRESS `�S ��.�a1-� '=� ,�.�� OWNER F��_�_�� CONTR. t-� � � TELEPHONE NO. ����-`� ' ������ � DESCRIPTION .��r�2��-��r�'2 .r�-�� lL 01 FOOTING_S 11 MfCHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING' 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOL�OW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Q OWNERICONTRACTOR TO MEET YOU:_YES_NO Z � COMMENTS: � � ��.��� r; �� ,- ;�� � � � O � �� � �;^ <���%l l��J ��—<�f� - �J /:�_ O � W � Q � Z W � W � � d �ORK SATISFACTORY:PROCEED f PROJECT COMPLETE W�" � f-� CORRECT WORK&PROCEED C: ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ` pHOTO TAKEN INSPECTOR WILL REfURN ❑STOPORDER POSTED.CALL INSPECTOR � CITATION ISSUED C INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 OwnerlContra ite: Inspector. ��� - White Copyllnspector's File Canary Copy/Site Notice