HomeMy WebLinkAbout1998-009881 - water heater PERMIT
� ��ITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 ;, ''
Crystal Bay, Minnesota 55323 Permit Number:
(612)473-7357 Date Issued:
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: ' ' - OWNER:
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APPUCANT,�PERMITEE SIGNATURE ISSUED BY:SIGNATURE ,`��''��
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CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, i�IN 55323 .
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GENERAL 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. A11.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 APFLICATIONS �JVILL 1e10T BE pROCESSED. If you have
questions, call 473-7357.
Please check one: New Addition Repair ✓ Replace
Residential Commercial
JOB SITE: �o� I� U��-��rar �ca-� Zip: 5S3ai
Owner's Name: Ma�l� p���I�e- Telephone Number: `�� -�S��16
Mailing Address: 26S I�i�uNci�.�r KQ�t� City: C;�r;;�� �ip: 5�3`t l
Contractor'sName: �'U.cGuA�e �S� TelephoneNumber: ��`3�-R6�6
MailingAddress: i��; �2fin 1'� S�, City: 1��;'i�.;�,` Zip: ;�3�+�
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
`.x�ar�: C:�set Floor Drains
Lavatory Sewer Ejector
Bathtub Laundry Tray __
Shower Washer
Kitchen Sink Water Heater � _
Disposal Water Softener
Dishwasher Wet Bar ,
Sillcocks Misc (list)
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PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00) • �� �
_�� �-�- r x .0125 $
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $ . S�
(contract price)
or $.50, whichever is greater
3. Posta�e and HandlinQ (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ �� J�'�
* CONTRACT PRICE or JOB COST means the actual or estimated dollaz amount charged for the permitted
work including materials, labor, profit, and other fixed costs. It is the amount to be charged to the
customer ior the work doue. ii sny.:.ateri:l, e�siYr^e^t, �abor,or insta113tiott 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 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 City and the regulations of the State of
Minnesota, and certifies that all statements made on this application are complete, true and
�a�rect.
� ��t Date: ������
Applicant's Signatur : '
DATE TIME
CITY OF ORONO CALLED IN �I �Y
INSPECTION NOT� SCHEDULED C� � `� : �c�
PERMIT N0. � COMPLETED 3 � ��
ADDR�SS �
OWNER_ CONTR. � �c�
TELEPHONE NO. . '�(��- S� 4� 3 � � �� f' -��gGe
� DESCRIPTION ��=•
� 01 FOOTINd 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
y 02 FRAMING 13 MECHANICAL FINAL 19 LAI�SHORE/WETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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= OS FINAL 14 SEWEF HOOK-UP 06 PROGFESS
~ 07 DEM�SITE 27 SEPTIC MAINT. 21 COMPLAINT
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� 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLU RI " 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10lBING FINAL ) 28 CEDAR SHI ES 3f FOUNDATION REMOVAL
MT?tICCT�TO MEET YOU: YES NO
� MMENTS:
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�d WORK SATISFACTORY:PROCEED
� �OJECT COMPLETE
W ❑CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING pERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. -, pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CAIL INSPECTOR — CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnedContract n t :
Inspector.
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