HomeMy WebLinkAbout1998-010866 - plumbing PERMIT
CITY OF ORONO PERMIT TYPE: ° � -
�750 Kelle Parkwa - P.O. Box 66 � ����}`.�'-'�}A I
y y Permit Number: ��}i s_��-�`�'�
Crystal Bay, Minnesota 55323 -� :1 _�;:_;::
- (612) 473-7357 Date Issued: _�F J �•_�. _ -
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FEE SUMMARY:
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APPLICANT-PERMITEE SIGNATURE ISSUED BY:SIGNATURE
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' CITY OF URONO APPLICATION FOR PLUMBING PERMIT
��x h6 (27�0 Kelley Parkway)
Crystal Sav, MN 55323
GE�TERAL 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 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.
Instructioii� Co:npletP all items on this application. Compute the permit fee. Sign and date
the certificatioii. INC0�9PLET� APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call 473-7357.
Please check one: New _� Addition Repair Replace
Residential Commercial
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JOB SI1'E: � 1-� '�Ck. -r.,i�� �\\� Zip: J�� a�
Owner'slltame: �z. �-�i h �S� rr�:�+'"kTelephoneNumber: �}"]3 -�i']o�:
Mailing Address: ? 1 �1c�� �k��'�r►�-u 1-1`i�1 City: �,cx� �. Zip: �� 3 C; f�
Contractc�r'sName: �1��e �:r v��=►- �- Telepl neNumber:
MailingA ddress: City: Zip: _
PLUMBING �IXTURE SCHEDULE
FIXTURE BSMT 1ST 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
Dishw;sher Wet Bar
Sillcocks Misc (list)
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PERMIT FEE CALCULATION -
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
I �::C1_ �` x .0125 $ ' �
(contract price)
2. State Surchar� ** Add the State Building Code Division
Surcharge to each permit. x .0005 $ `- �J
(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 aze 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 Ciry 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 tnspectional 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 �f
Minnesota, and certifies that all statements made on this application are complete, true and
conect.
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Applicant's Signature: ����(,�/��'� �j�/j���� Date: �d J � Z� �i �
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DATE TIME
CITY OF ORONO CALLED IN %� �:/% %
INSPECTION NOTI�E_ scHEou�Eo c-' "�` _ {�':L� C
PERMIT NO. �c- . C ' "' COMPLETED /�O `� �''`�
ADDRESS ' ✓�_"� `� �'-E"c���'-;_-
OWNER �'��2�z/"'���� CONTR.
TELEPHONE NO. � � -?' " �� F�C':'
� 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 O5 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
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W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
_� 10 UMBING FINAL �. 36 FOUNDATION/REMOVAL
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OWN TRACTOR TO MEET YOU�YES_NO
D COMMENTS:
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d ORKSATtSFACTORY:PROCEED ROJECTCOMPLETE
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� ORRECT WORK 8 PROCEED ��
W ISSUE CERTIFICATE OF OCCUPANCY
O ❑ CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS.
INSPECTOR WILL REfURN � PHOTO TAKEN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.47�73�J7
OwnerlContractor on site:
Inspector. �������1�
White Copylinspector's File Canary Copy/Site Notice