HomeMy WebLinkAbout1997-009751 - plumbing PERMIT
C!-TY OF ORONO PERMIT TYPE:
('�2750 Kelley Parkway- P.O. Box 66 '���
Crystal Bay, Minnesota 55323 Permit Number:
(612) 473-7357 Date Issued:
SITE ADDRESS:
I��S�'RIPTION:
. T T ;f.:_�
.,.. . . •.:�,.;�r f .+r. .-�^� { k ,� i i_iE ..�._
!�� � ?r-? .. �tli, i `it::�; F:`[.;': ^}7_'r}( eG
_.__ _ _ � ^ ., i...�-i"-.- , '•_ti-'.'" i r:�'�i''� ° _
" ''F S':'.e''� t:� -� {��'„i` 3 1 : ����..3'.,�F';�i
�i.��v . . _ _ _ _
:a;..;,-
f_!i�:�i'"f'•.',3`•�1��. �._.". _ .,._...._.�.��_�+_i••.-� � ;"E_%�II_i. . ;���;r?�,%°,s;�
�._. . _�t:.i:" -,`4' :'i-i�-��'� � �s1:''=�}_�i--.;-, � s���� I �;; E�-;'_L-; I �,+;`
R E�����: -----------__.e
` ! — ----- ---------.________ —---------- —
��� �V�i���Y:
.,�
:_".;'i`�._:�':�p•, ��i�;.l `'`_:�
CONTRACTOR: _ .:: ..:. ::. :: .. .: : OWNER:
:-_ , _. �-
- x__ .
, ,.T _. . - -
. _. , �3.: _ . _ .� . _ ,.. - :
_._ . , :
:,. ::�r�: ,:-7 � .: _
,-
.. �
,.
_
�- � , . � , �
����:. _ �; n ...J. .��;. . k4 �. ..���' # 4 T
�
: M..
. ;a.. '..��, ".� . r . . : ' ai. _ . : . ' . ..,
..� .� e,i a nd �:i u � �. .'.
..-�,. r v
_. ..,. r, .. .. .... .�v»l :.. .. .. . . .
. :.. f . � .: ..
..,. : � . ., s .,.. i' .:� . , .. .... . . !-t ... .
,
. _. .-�-n � . . .�, :. .�, p
�` k �r'r �,y� 's -r. �$ui-.� H°� : : , . rt_ . S�5 xir _ti i .. . . . _ ... �
�
3 _ X A-
} v
� ..f .i . . . _ , �� ,��. .
.. _ .. . .. e ,. _ _ _ . . e � . . � '� ..,. ..;";
I �. �r. ., . �.. � _ . .._. . .:.. � � . . �
l_ . . � . . . . . . .. ..� . . . . . .
�/ ��'� �L���' .
APPLICANT%PERMITEE SIGNATURE i ISSUED BY:SIGNATUR
CITY E2�' E)I�.�1�TQ� ��I.I�AT�ON FO�PLiJ1V�B�PTG PE1t1VI�T
Box !� (2750 Kelley Parkway)
Cry�ta! Say, 1V�riT 55323
GENERAL INFORMATION
1. You may apply for plumbing permits by mail or in person at the Ciry offices.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS
POST�D ON THE JOB SITE
3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners residing
in the dwelling.
4. When any new construction or remodeling is involved, a separate building permit must be obtained.
5. All work must be done in accordance with the State Code requirements.
6. All work must be inspected and air tested before it is covered. Ca11473-7357. 24-hour notice required.
Instruction� Coaiplete all items on this application. Compute the permit.fee., Sign and date
the certi�catiou. INCOIVIPLETE APPLICATIONS WILI,NOT BE PROCFSSED. If you have
questions, call 473-7357.
Please check one: >( New Addition Repair Replace
�_ Residential Commercial
JQB SI�'E:�to5 �uir�$�C�-��! °0� Zl�;
Owner's Name: - „Za,r„� ��,,;.\�.�.,� �'elephone Number:
1VlailingAddress:E'So 'SD. �ra�,�� City:l�a Zip: SS'S�$�
Contract�r'sl�am�. \ Tele�h eNumber: ��-����
MailingA.ddress Cit •
Y• t�r�iCo\, ZiP��'�3�k�'
,
PLIJMBIN� FIXTURE SCI�EDULE ;
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1sT 2ND , OTHER
TYPE FL' FL TYPE FL FL
Water Closet Floor Drains �
Lavatory � . e
f
Bathtub Iaund�'ry'��ray , ,�
Shower Washer
Kitchen Sink Water Heater : � 1
Disposal Water Softener;
Dishw�,sher � ' Wet Baz
Sillcocks Misc (list) �
� 9 OGC�r�in�
� - �p a�...��,a���
e _ ��
��'��t� f:�, �,,,�4�
�-- �,v,�.:A° �
�ficQ.
�'��i1Vi� �� �A�.�ITT�.A�I01� ,
1. 1.25% flf �Contract Price* or 11�ani�num �� 35.041x .0125 $ ��. ��
� �
.
' (contract price)
2. State Surcharge. ** Add the State Buildin�g Code Division
Surcharge to each permit. x .0005 $ � v�l�
contract price)
or $.50, whichever is greater
3. Posta�e and Handlin� (Only mail-in applications) � �
4. TOTAL PERMIT FEE {Add lines 1-3 above) � ���—
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted
work including materials, labor, profit, and other fued costs. It is the amount to be chazged to the
customer for the work done: If any material, equipment,labor,or installation aze 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 Ciry may;request the submission of a signed copy of the actual contract.
** 'The STATE SURCHARGE is .0005 of the contract price nnder $1,000,000 or $.SO - 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
correct. _
A licant's Signature��!�n� �D�/�.�°� Date: �• � °'�
PP
ATE TIME
CITY OF ORONO CALLED IN 9�9�'
INSPECTION NOTICE SCHEDULED � �Q �3�
PERMIT NO. �''l �I S� COMPLETED
ADDRESS 'fi�Co 5 ����� lc.do
OWNER CONTR.��
TELEPHONE NO. �13 3 - `7'1/�
� DESCRIPTION �����-
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 D - AL 15 SEPTIC INSTALL. 22 FOLLOW-UP
? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBI FINA cGL2�y� 36 FOUNDATION/REMOVAL
Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO
Z
� COMMENTS:
�
W
a
�
�
O
�.
�
O
�
W
�
Q
�
Z
W
�
W
�
�
d WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W
� �CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR G CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next in pection 24 hours in advance.473-7557
OwnerlContra or sit :
Inspector. \
White Copylinspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN �l� �'
INSPECTION NOcICE SCHEDULED ' L jb" c/�' �C'1
PERMIT N0. > '7 5/ COMPLETEO
ADDRESS J � �
OWNER ' CONTR. ' �i n/
TELEPHONENO. % � 3 �- 7`7/ "7
� DESCRIPTION
� 01 FOOTINd 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAi�SHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q
Z 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
�` 07 DEM�SITE 27 SEPTIC MAINT. 21 COMPLAINT
J
W 07 DEM.,�FIN__� 15 SEPTIC INSTALL. 22 FOLLOW-UP
_`09 PLUMBING RI,' 23 SEPTIC FINAL 35 HARD COVER REMOVAL
�'—�"��! 28 CEDAR SHINGLES
� 10 PLUMBING FINAL 36 FOUNDATION REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
� ��
�
�
�
O
�
�
O
�
W
� '
Q
�
Z
W
�
W
�
�
d WORK SATISFACTORY:PROCEED
W =_ PROJECTCOMPLETE
� ❑ CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
U BEFORECOVERING PERMANENT
�1 CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WIIL REfURN
C 1 STOP ORDER POSTED.CA�L INSPECTOR � CITATION ISSUED
i i INSPECTION REQUIRED.CA�L TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContractor� :
Inspector. �
White Capyllnspector's File Canary CopylSite Notice
DATE ,y (" TIME
CITY OF ORONO CALLED IN �4�G �9 d J .3L��E�
INSPECTION NOTICE SCHEDULED / ' �� -`� � G� ��C'a�
PERMIT N0. �7� � COMPLETED �
A D D R ESS � ���2-f�C� rL-ll✓J
OWNER �" � CONTR��tm;f�-�-r`� -��G�
�; 7 �
TELEPHO N0. / �3 � ✓� % / 7
� DESCRIPTION �� ��-c.e-G' ��
� 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
Q
Z 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
~ 07 DEM�SITE 27 SEPTIC MAINT. 21 COMPIAINT
J
Q 07 DEMa—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
W.�Q9 PLUMBIN 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
w
�
� -
�
0
�
�
0
�
W
�
Q
�
z
W
�
W
�
�
d �ORK SATISFACTORY:PROCEED PROJECT COMPLETE
� C CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY
W
O C CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CAL�INSPECTOR CITATION ISSUED
I INSPECTION REQUIRED.CALI TO ARRANGE ACCESS.
Call for th xt�inspection 24 hours in advance.473-7357
OwnerlContracto n t :
Inspector. �
White Copyllnspector's File Canary CopylSite Notice
D TE TIME
CITY OF ORONO CALLED IN ->/��✓�
INSPECTION N I SCHEDULED `' � �C�
PERMIT NO.��-��� OMPLETED
ADDRESS ��-� � ��A- -�
OWNER CONTR. � � '
TELEPHONE NO. �. � '� --� ��/ �
� DESCRIPTION L�ZC-1 ��il—c�
� 01 FOOTING 11 fv1ECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
Q
? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J PLUMBING FI 36 FOUNDATION/REMOVAL
� TOR TO M EET YOU:_YES_NO
� COMMENTS:
�
W
a
�
J
O
�
�
O
�
W
�
Q
�
Z
W
�
W
�
j
d
W ORK SATISFACTORY:PROCEED PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
;7 CORRECTUNSAFECONDITIONWITH�N HOURS. r pHOTOTAKEN
INSPECTOR WILL RETURN
CITATION ISSUED
C 7 STOP ORDER POSTED.CALL INSPECTOR
I; WSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next' spection 24 hours in advance.473-73�J7
OwnerlContra n s
Inspector.
White Copyllnspector's File Canary CopylSite Notice