HomeMy WebLinkAbout1998-010272 - backflow preventer PERMIT
, ClTY OF ORONO PERMIT TYPE:
2'50 Kelley Parkway- P.O. Box 66 Permit Number: �`_'.'''����`"��'
�;rystal Bay, Minnesota 55323 Date Issued: s-i��l:ti t :�
;E 12) 473-7357 if`!`:���%''�;��
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: - ��_��? i�_�:.s-�i. - OWNER:
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APPLICANT PERMITEE SIGNATURE � ISSUED BY:SIGNATURE
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CIT�' Q� URONO APPLICA7CION FOR PLLTMBING FE
�lox 66 (2730 Ke11ey Parkway) � �T
�rYsta! Ba,v, 10�IN 55323
GENERAL INFORMATION � .
1• You may aPP1Y for plumbing permits b�mail or in person at the City ��ces,
2• Permit cards wil1 be sent by return mail after a review is cumpleted. PERMITS ARE NOT VALID
UNTIL YOU RECENE A PERMTT, WpRK:MUST NOT BEGIN UN'TIL THE PERMiT�a� Is
POSTID ON TH�JOB SITE.
3' Plumb�ng Permits may be issued ONLY to licensed plumbing contractors and to ro
in the dwelling. P �rty owners residing
4- When any new construction or remodeling is involved, a sepazate building permit must be obtained.
: 5• . All work must be done in accordance with t}ie State Code requirements.
6• All work must be iaspected, and air tested before it is coveFed. Ca11473-7357. 24-hotu'nptice requued.
Insfruction,� Co�plete all item5 on ttus application. Com ute the ,
. the certificatiau. INC011�'PLET�ApPLICATIONS WILL NOT BE ROCFSSFD�If ou have
c}uestions, call 473-7357. Y
Please check one: New Addition
Repair _ Replace
�Residential Commercial�
Jas srrE:_ �02 ����`��� ,��'.�' i , SS3�i
Owner's Name: ` ZjP•
�`^� � �" a TelephoneNumber:
�a1�lllgA(�f�l'@SS' }�, .� �d'�''�T�Q.'y'/
+ _ Ct`'.�•.Q/"d+�s e! �il .
Carntractur'sName: � TelephoneNumbe r�
MailingA.ddress: a y� � , o���.'` Cityr y `:.�w• Zi ��a—��-��o
!• � � �
' PL�F�TURE SCH�DIJLE
FIXTUR.F BSMT 1ST 2ND OTHER FTXTURE
TYPE FL gL BSMT 1ST 2NA OTHER
'1'YPE FL F�,
Water Closet Floor Drains
Lavatory Sewer Ejector
Bathtub Laundry Tray
Shower
Washer
Kitchen Sink Water Heater
Disposal
Water Softener
Dishw.,sher Wet Bar
—._,
Sillcocks
Misc (list) r•c ca � � �a-c:,��C
�dd� �d't�x�t�/ 4`�`� ��a3 62
��r`�/fs`�lc�
PERMIT FEE CA�.�ULATIOI�t
A .
1, 1,25% of Contract Price* or 1Vlinunun Fep (�35.00) r'�-
/,�D _ x .0125 $
(contract price)
2. Stat�Surchar�e. ** Add the State Building Code Division ,.�
Sureharge to each permit.
x, .0005 $
(contract'price) ,
or $.50, wluchever is greater ma�_� appli�ations) $ 1 50
3. Po�Handlin� (Only $ �� C?
4. TOTAL PERMIT FEE (Add lines 1-� above)
* CT PRICE or JOB COST means the a_ctual or estimated dollar amount charged for the permutted
CONTRA ro�`it, and other fixed eosts- It is t�� �o�i to t�e cliarged to the
work`including materials, labor, P ,
ui ment,labor,or installation are furnished by the owner,
cusiomer for the work done. If any material, eq �P
t:or an othei parcy the reaso�able market value o f s�ch itemsdm �t on th�e�amount a the�j'�.cost,
tenan X
. or coatract pricc for permit fee puzposes• In�the event that there is a :sp.,
ttie Ciry" may t'�luest tlie.,sub"mission of a.sign4d:co�Y of the actual contract.
: rice undei $1,000,,0� or $.50 - whirhe�er'is
** The STA'fE SURCHARGE is .0005 of the contract�ent of lnspection"al Services fo�the price.
greatEr. For valuations over$1,OUO,OOU call the Dep
ereb- a lies ta the City for issuance of a Plumbing Permit, agrees to do:�11
The undersigned h Y PP and the regulations of the State of
work in strict accordanee with the ordinances of the City lication are camplete, t�e a�d '
Minnesota, and certif'ies that all statements.made on ttus app : _ . ,
correet.
Date: �i �
Applieant's Signature:
DATE TIME
CITY OF ORONO CALLED IN 3���y�
INSPECTION NOTICE SCHEDULED --f��`� ��
PERMIT NO. ��'��� COMPLETED
ADDRESS L ��
OWNER CONTR. ��t- ��
TELEPHONE NO.
� DESCRIPTION ��`
l� 01 FOOTING 11 M HANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
� 09 PLUMBING R 23 SEPTIC FINAL 35 HARD COVER REMOVAL
e0 PLUMBING FINA 36 FOUNDATION/REMOVAL
O RACTOR TO MEEf YOU:_YES NO
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� COMMENTS: `'
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d ❑WORK SATISFACTORY:PROCEED �PROJECT COMPLETE
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� ❑CORRECT WORK&PROCEED /� ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING • PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR G CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContracto
Inspector.
White Copylinspector's File Canary CopylSite Notice