HomeMy WebLinkAbout1996-007995 (plumbing) � PERMIT
� CITY OF ORONO PERMIT TYPE:
�50=`�(elley �arkway- P.O. Box 66 F�i,_i_)fyi�,i�ic�
Permit Number:
rystal Bay, Minnesota 55323 � ��{�7=�'-�,5
�12) 473-7357 Date Issued: � i_}���.�:.�,i�=
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PPLICANT%PERMITEE SIGNATURE ISSUED BY:SIGNATURE .�'`�
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C1TY OF ORONO APPLICATION FOR PLUMBING P�RMIT
13ox 6b (2750 Kelley Parkway) � �;•;� `�� �< <<�����``��
Crystal Bay, MN 55323
GENERAL INI+ORMATION
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 revicw is completed. PGRMITS ARE NOT VAI�ID
UNTIL YOU RECE[VE A PERMIT. WORK MUST NO'I' BEGIN iJNTIL 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 befor� it is covered. Call 473-7357. 24-hour notice required.
Instriictions Complete all items on this application. Compute the permit fee. Sign and date
llie certification. INCOMPLETE APPLICATIONS WILL NOT IIE PROCESSED. If you have
questions, call 473-7357.
Please check one: �j New Addition Repair Replace
� Residential Commercial
JOB SIT�: Zip: �3(�y
Owner's Name: �t • �- _Telepl�one NunYber:__�{-�1 - �_
l�7ailingAddress: ._��_ City: _Q�_ Zi�r. '��y
Contractor'sName: ; �,� _EL,,�,s; �,a�,� ��4� ;��TelephoneNumbei: C{��_�_���
MailingAddress: �J���, ;�� ,; � ,:.��- ��.Cit}�:_ Zip:
rv��t��ro:�-�i�!�,�:�:. �: .
PLUMBING FIX'I'URE SCHI+',DULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTIIER
TYPE FL FL TYPE FL FL
W2t?T (�IncPt Fl;��lZ llr�j.�g
Lavarory Sewer Ejector
Bathtub Laundry Tray
Shower Washer
Kitchen Sink Water Heatcr
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Misc (list)
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PI;RMIT FLE CALCULATION
1. 1.25`lo c�f Cc�ntract Pricc* or Mini�num Fcc ($35.0(l�
��-1 I ,y� x .0125 $ _�5.�D
(contract price)
2. State Surchar�e. ** E1dd 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 melns the actual or estimated dollar amount charged for the permitted
work including materials, labor, profit, and otl�er fixed costs. It is the a�nount to be charged to the
cusromer for the work done. lf a��y n�ateriai, 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 con[ract price for permit fee purposes. In the event that there is a dispute on[he 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.
Tlie undersigned hereby applies to the City t'or issuance of a Plumbiilg Permit, agrees to do all
�vork in strict accordance with the ordiclances of the City and the regulations of tl3e State of
Minnesota, and certifies tliat all statenients m�ide on this application are complete, irue and
correct.
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Applicant's Signalure:` , =�c LJ���--'" ��^� Date: � —�: — `t C
DATE TIME
CITY OF ORONO CALLED IN � ` L�� y�
INSPECTION NOTICE SCHEDULED -�.� - 7 // % �`°
PERMIT NO. � j�� COMPLETED I.I �
ADDRESS ` �'.�� `� � L`�` /��
OWNER �� CONTR. � ��
TELEPHONE NO. �� 7� -5 �`��
� DESCRIPTION
� 01 FOOTINO 11 MECHANICALRI 18IXCAV/dHADIN(i/FIWNO
�Q 02 FRAMINO 13 MECHANICAL FINAL 19 LAI�SHORE/WETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL gD. 12 WATER HOOK-UP 17 SITE INSPECTION
� FINAL 14 SEWER HOOK-UO O6 PROGRESS
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J 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
Q 07 DEMO—FINAL 15 SEPTIC INSTALL. 72 FOLLOW-UP
W 09 PLUMBIN(3 RI 23 SEPTIC FINAL 35 HARD COVEii REMOVAL
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� 10 PLUMBINO NALFl 36 FOUNDATION REMOVAL
Z OWNEA/CD O MEET YOU:_YES_NO
� COMMENTS:
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d WORK SATISFACTORY:PROCEED - PROJECT COMPLETE
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� ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING PERMANENT
❑ CORRECTUNSAFECONDITIONWITHIN HOURS. -, pHOTOTAKEN
INSPECTOR WILL REfURN
❑ STOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED
�; INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the ins ction 24 hours in advance.473-7357
OwnerlContract r site:
Inspector. --
White Copylinspector's File Canary CopylSfte Notice