HomeMy WebLinkAbout1994-006130 - water softner PERIliII�T
CITY OF ORONO �ERMIT TYPE:
2750 Kelley Parkway • P.O. Box 815 � � �� ^ Permit Number: `�!-'.=��`_�=�`.€�'_
Orono, Minnesota 55356-0815 _``•_'` _-��-'
(612) 473-7357 �ate issued: _ _ :
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REMARKS:
FEE SUMMARY:
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APPLICANTiPERMITEE SIGNATURE ISSUED BY:SIGNATURE
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CITY OF ORONO APPLICATION FOR PLUMBING PERNIIT
Box 66 (2750 Kelley Parkway) MAY 3 1 1994
Crystal Bay, MN 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 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 pemut 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
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JOB SITE: ` i-�C,� CLY"1 � Zip: JJ�C� �
Qwner's N3.me: �� '-11.1�- Telephone Number:��(�-s��c.�
Mailing Address: ��7� �l�Q.�'1 �..�1 City: ti��`i)� Zip: `��,3� /
Contractor'sName: C;,,.��.�:�:G�.!'g !yyr•.�p�„ 4 , "�.s, _T�1�oneNumber:?�/J�QQ
MailingAddress: fiO3C� C!l�L�;��: "v�ti�'ity: Zip:
MINNET4NKfi1y MN 5534b
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 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)
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PERMIT FEE CALCULATION
1. 1.25% of ConTrT Price* or Minimum Fee ($35.00)
�� x .0125 $ ��J .��
(contract price)
2. State Surchar�e. ** Add the State Building Code Division
Surcharge to each permit. X •OQOS $ � C-��(.i
(contract price)
or $.50, whichever is greater
3. Posta_ge and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ ���• C.�L�
* 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 furnished by the owner,
tenant or any other pa,-ty zh� r�asonable market valne af suc� 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 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 of
Minnesota, and certifies that all statements made on this application are complete, true and
correct.
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Applicant's Signature: � �"_I-f�-�%���� Date: ����—�f -�i�
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DATE TIME
CITY OF ORONO CALLED IN �� �'��
INSPECTION NOTICE SCHEDULED '`�� g`�CQ'4•�30
PERMIT NO. �' �..� �� COMPLETED t� N
ADDRESS � � j ������-�� /��
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OWNER�.�� CONTR. ��� :��r✓
TELEPHONE N0. ��1 G�- �'�' L� �Z
� DESCRIPTION /N��t. � -��y���-,
� 01 FOOTING 11 MECHANICALRI 16WELLTESTPUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADINGIFILLING
y 031NSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
� 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
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Q 05 FINA � 13 METER SETITURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
� 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
� 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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d �ORKSATISFACTORY:PROCEED :_' PROJECTCOMPLETE
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� C] CORRECT WORK&PROCEED C- ISSUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. ,� pH0T0 TAKEN
INSPECTOR WILL RETURN
❑ STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance.473-73�J7
OwnerlContracto e:
Inspector.
White Copyllnspector's 'le Canary CopylSite Notice