HomeMy WebLinkAbout1997-009655 - plumbing ' PERMIT
C�•Y��F ORONO PERMIT TYPE:
275G Kell y Parkway- P.O. Box 66 - _
Crystal By, Minnesota 55323 Permit Number: ;�;_-`�_.��;'y
(612) 473-7357 Date Issued: - -
SITE ADDRESS:
D�SCRIPTION:
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REMARKS:
FEE SUftnMARY:
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CONTRACTOR: . .. . . _ - OWNER:
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APPLICANT%PERMITEE SIGNATURE ISSUED BY:SIGNATURE
C1TY OF URONO APPLICATION FOR PLUMBING PERMIT
�Sox b6 (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 return mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UN'I'IL THE PERMTT CARD IS
. 'POSTED ON THE JOB SITE.
3. Plumbing pemuts 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 permif must be obtained.
5. All work must be done in accordance with the State Code requirements.
6. All work must be inspected and air teste�before it is covered. Call 473-7357. 24-hour notice required.
Tnstruction� Complete all items on this :application. Compute the permit fee. Sign and date
the certificatioii. INCOM?LET� APPLICATTONS WILL NOT BE PROCESS�D. If you lia�e
quesfions, call 473-7357.
Please check one: �_ New Addition Repair Replace
�_Residential Commercial
JOB SI1'E: �fZS ��,'����- Zip:
Owner's Name:s"S'�,��,��5 Telephone-Number:
Mailing Address: City; Zip:
Ct�ntract�ir'sName:-t�����,, �� TelephoneNumber: ���"�
MailingA'ddresss��t�t �i�•e. k.1 ��Cit�s Zip: .-'""s�3�C`
_
PLUMBING �II�TURE SCHEDULE `
FIXTUR.F BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL. FL
Water Closet R-"� � ; Floor Drains '
Lavatory , Qr� , ' . '
� �
Bathtub Laundry Tray,
� � Shower Q,.-�� � � Washer �� �
Kitchen Sink Water Heater
Disposal Water Softener ._ ;
Dishw,+sher � �et Baz
' Sillcocks Misc (li t)
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�� ���t.CI��J►�
PERMIT FEE CALCULATION
1'. 1.25% of Contract Price* or Minimum Fee ($35.0(1)
B l�.:Y l�\" X'.0125 �D ��r��
(contract price)
2. State Surchar�e. ** Add the State Building Code Division
Surcharge t� each permit. � � �.�► x .0005 $ �"."" _
(contract price)
or $.50, whichever is greater '
3. Postage and Handling (Only mail-in applications) $ "��
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ �; .
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amounr chazged 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 aze fiunished by the owner,
ienant 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 Chat 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 .p005 of the contract price under $1,000,000 or $.SU - whichever is
greater. For valuations over $1,000,000 call,the Department of Inspectional Services for the price.
The undersigned hereby applies to the City for issuance of a Plumbiag Permit, agrees to do all
work in strict a�cordance with the ordinances of the Ciry and the regulations of the State of
Minnesota, and certifies that all statements made on this application are co�lete, true a�d `
correct. : , : , ,
APPlica�nt'�Sign�ture � ��11��" -Date: �� ��.
. � . .
��(,�+„ ,��''�.z � _
. -
DATE p�(TIIv�E
CITY OF ORONO CALLED IN / �7- S ��t� �� ��U G"'�
iNSPECTION NOTICE ,� SCHEDULED / a -8- q� �U � � a�
PERMIT NO. CI�o.S� COMPLETED I` �_
ADDRESS �a � r�uh�-P.�s /"aS;
OWNER ��� ' CONTR. �/l�o/�rDS on P�/��
TELEPHO NO. ,7-3 3- 77i 7
� DESCRIPTION �.[/t/
� 01 FOOTIN(i 11 MECHANICAL RI 18 IXCAWORADINO/FILLIN(i
y 02 FRAMING 13 MECHANICAL FINAL 19 LAI�SHORE/WETLANDS
Q 031NSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q
Z 05 FlNAL 14 SEWER HOOK-UP O6 PROGRESS
F` 07 DEM�SITE 27 SEPTIC MAINT. 21 COMPLAINT
v
�Q 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
BINO RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBINQ FINAL 2$CEDAR SHINGLES 36 FOUNUATION REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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d WORK SATISFACTORY:PROCEED �_ PROJECT COMPLETE
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O Cl CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
�STOP ORDER POSTED.CALL INSPECTOR
= CITATION ISSUED
❑INSPECTION REQUIRED.CAIL TO ARRANGE ACCESS.
Call for the ext i s ction 24 hours in advance.473-7357
OwnerlContract r site
Inspector. '
White Copylinspector's File Canary Copy/Site NWfce
DATE TIM
CITY OF ORONO CALLED IN ��f'(� -�/7 �•�
INSPECTION NOTIC �, SCHEDULED �/- 7- 9� '
PERMIT NO. SS COMPLETED VI,
�
ADDRESS S
OWNER � �'�-�- CONT . J-�Zc�ri
TELEPH O. -n/_��j - -77/�
� DESCRIPTION ��,� �� �-�z�-�O
� 01 FOOTINO it MEC NICALRI 18IXCAV/GRADINO/FIWN�
� 02 FRAMING 13 MECHANICAL FINAL 19 LAI�SHOREIWETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER NOOK-UP 17 SITE INSPECTION
Q
2 05 FINAL 14 SEWER HOOK-UP 06 PRO(3RESS
� 07 DEMQ—SITE 27 SEPTIC MAINT. 21 COMPLAINT
J
� 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 P 23 SEPTIC FlNAL 35 NARD COVER REMOVAL
10 PLUMBINO FINAL 28 CEDAR SHINGLES 36 FOUNOATION REMOVAL
Z OFi TO MEET YOU:_YES_NO
� COMMENTS:
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d �WORK SATISFACTORY:PROCEED - PROJECT COMPLETE
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0 Cl CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. r- pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOPORDER POSTED.CALL INSPECTOR '- CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContra e:
Inspector.
Whiie Copyllnspector's File Canary CopylSite Notice