HomeMy WebLinkAbout1997-008920 - plumbing PERMIT
C''.TY OF ORONO PERMIT TYPE: -
�2g50 Kelley Parkway- P.O. Box 66 `��--'`'='�`��`_
� Crystal Bay, Minnesota 55323 Permit Number: s_�z�s;;�-�:_�i_�
(612) 473-7357 Date Issued: :-i r;:v���� .°:==W:
SITE ADDRESS:
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REMARKS:
FEE SUMMARY:
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
C1TY OF URONO APPLICATION FOR PLUMBING PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Say, MN 55323
GENERAL INFORMATION
1. You may apply for plumbing permits by mail or in person at the City offices.
2. Permit cazds will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECEIVE A PERMTT. 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 sepazate building pemut 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. Ca11473-7357. 24-hour notice required.
Instructiona Co:nplete all items on this application. Compute the permit_fee. Sign and date
the certification. INC0119r LET� APPLICATIONS WILL NOT BE PROCFSSED. If you have
questions, call 473-7357.
Please check one: New � Addition Repair Replaee
� Residential Commercial
JOB SI1'E: .��3 ��1�tr��1PY- �c�. ZiP:
Owner's 1Vame:�,�iC� �pS. ' Telephone Number:
Mailing A ddress: 333 d, City: 'Zip:K,��'i�r.c�('
Contract��r'sName: . , TelephoneNumber: ��-IZb�
Mailin A.ddress: Cit • �av Zi
g l�0 L,aKe Z�.0 C��! Y• �C��S' p: �5�1
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PLUMBING �'II�TURE SCHEDULE
FIXTUR.6 BSMT 1ST '2ND OTHER FIXTURE BSMT 1ST 2NI) OTHER
TYPE FL ' FL' TYPE FL ;FL
'`Water Closet F1oor Drains
Lavatory; Sewer Ejector
Bathtub Laundry Tray
Shower Washer'
Kitchen Sink Water Heater
Disposal Water Softener
' Dishw�,sher Wet Baz
_ k4.�r `
Sillcocks Misc (list) �,; �
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PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
-��000 X .oi2s � -�5.bo
(contract price)
2. State Surchar� ** Add the State Building Code Division
Surcharge to each permit. x .0005 $ . �jp
(contract price)
or $.50, whichever is greater
3. Posta�e and Handling (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 abo�e) $ 3(0,5O
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount chazged for the permitted
work including materials, labor, profit, and other fixed costs. It is the amount to be chazged to the
�usto�er fer ttLe vvork�one, If any mater�Pl, equinment, labor,or ir.stallation are furnished by the owner.
tenant or any other pazry 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 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 Jnspectional Services for the price.
.
The undersigned hereby applies to the City for issuance of a Plumbing Pernut, 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.
APPlicant's Signature: f C�l.�-c:QG �- �Z�/�? Date: �'ZI—�7
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�JATE TIME
CITY OF ORONO CALLED IN s -.�3� y
INSPECTION NOTICE SCHEDULED ��2_ / = � �%
PERMIT NO. �y� � COMPLETED (�, �_
ADDRESS J� 3 3 ���-�+��-�. /��
OWNER ��Q,��� CONTR. ��,P����z�v� ���
TELEPHONE NO. �� 7 C ' /���'
� DESCRIPTION vG�Ut�'
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FIWNG
� 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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= 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
�' 07 DEMO�ITE 27 SEPTIC MAINT. 21 COMPLAINT
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� 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
- —�' 28 CEDAR SHINGLES
v�0 PLUMBING FINA� 36 FOUNDATfON REMOVAL
Z OWNER/CONTFG4CTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� ORK SATISFACTORY:PROCEED PROJECT COMPLETE
W C RRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY
� CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. r pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
� CITATION ISSUED
G INSPECTION REOUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
Owner/Contra n ' e:
Inspector.
White Copyllnspector's File Canary Copy/Site Notice