HomeMy WebLinkAbout1994-005912 - water softner PEI�MIT ,,
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway • P.O. Box 815 Permit Number: ' � '� ' `'"'
Orono, Minnesota 55356-0815 - -��-�-� ,
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(612) 473-7357 Date Issued: _ �- =
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PLICA�IT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
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CITY OF ORONO APPLICATION FOR PLUMBING PERMIZ`'
Box 66 (2750 Kelley Parkway)
Crystal Bay, NIlv 55323
GENERAI. 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 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: ; 1 3�__ f�c=��, �.i�� �� � � Zip:
Owner's Name: /,/-��.�-=���,��.,� Telephone Number:
Mailing Address: -�3 i/�>I�Ji��t G-' City: Zip:
Contractor'sName: ' r -< ,,� �.>�- .� -< ���-� TelephoneNumber: �� "��/ -� `f`f S�
MailingAddress:��-�� /y��i��:- �1,'� . City ��%;��,� F=: Zip �4_�X��
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT iST 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 Misc (list�j�/�2�_ �
�q/2 �
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PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Min�mum Fee ($35.00)
���'�,� x .0125 $
(contract price)
2. State Surchar� ** Add the State Building Code Division
Surcharge to each permit. x .00QS $
(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 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 ordinances of the Ciry 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:r�- � �
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. COMPLETED�
ADDRESS � `� `_- � �`
OWNER CONT .
TELEPHONE NO.
� DESCRIPTION a� r
ly� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
O 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 FOLLOW-UP
W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBIN 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� Cl WORK SATISFACTORY:PROCEED �PROJECT COMPLETE
W 7�GDRRECT WORK 8 PROCEED _ ISSUE CERTIFICATE OF OCCUPANCY
O��CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN NOURS. `- pHOTOTAKEN
INSPECTOR WILL RETURN
Cl CITATION ISSUED
�STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for tne next inspection 24 hours in advance.473-7357
OwnerlCo actor on s' e:
Inspecto
White Copyllnspector's File Canary CopylSite Notice
DAT TIME
CI fY OF ORONO CALLED IN �� 9'�
INSPECTION NOTICE SCHEDULED � i'S�/:'� � �30
PERMIT NO. =� `�/J-i COMPLETED �� x
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ADDRESS � `�' r � '
OWNER�L�o�� CONT �.�
TELEPHONENO. ���-D `���
� DESCRIPTION ���� — '� �
�U Ot FOOTING 11 MECHANICALRI 16 WEL TESTPUMP
�
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
y 031NSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
�
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINA� 13 METER SETITURN ON 17 SITE INSPECTION
�
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
Q
= 09 PLU 15 SEPTIC INSTALL. 22 FOLLOW-UP
J PLUMBING FINA � 23 SEPTIC FINAL
� RACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W �WORKSATISFACTORY:PROCEED =1 pROJECTCOMPLETE
� � CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY
W
O �i CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
�]CORRECT UNSAFE CONDITION WITHIN HOURS. r- pHOTO TAKEN
INSPECTOR WILL RETURN
1 CITATION ISSUED
C STOP ORDER POSTED.CALL INSPECTOR
i; INSPECTIONREQUIRED.CAILTOARRANGEACCESS.
Call for the next'nspection 24 hours in advance.473-7357
OwnerlContr on it : _
Inspector. �
White Copyllnspector's File Canary CopylSite Notice