HomeMy WebLinkAbout1998-010827 - plumbing -� �ERMIT
� � CITY OF ORONO PERMIT TYPE:
�275G Kelley Parkway- P.O. Box 66 Permit Number: `�'=}k'�`;i�Ji;
'�rystal Bay, Minnesota 55323 i_��,;;;�i?;
Date Issued:
�61�473-7357 �:: :-'i:�.'_ �.
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APPLICANT-PERMITEE SIGNATURE ISSUED BY:SIGNATURE �'�
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���Y �F ��.��� ����������F����.������
�los �i6 (2750 Kelley Parkway)
�rysta! kiay, 11�F1V 55323
GENEItAL INFORMATION
1. You may apply for plumbing permits by mail or in person at tfie 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
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 permit must be obtained.
5. All work must be done in accordance wit� the State Code requirements.
6. All work must be inspected and air tested before it is covered. Ca11473-7357. 24-hour notice required.
instructio��� Co:nplete all items on this application. Cornpute the permit fee. Sign and date '
the certificatioii. INCOli4�LET� APPLICATIONS WILL NOT BE PROCFSSEB, If you have
questions, call 473-7357.
Please check one: � New Addition Repair Replace
�_ Residential Corrunercial :
30� SI�'E: Zip: `
' Qwner'sl'+tame; : �, TelephoneNumber:
MaiIing�s.ddress: -�� . Cit :
Contractor'sNam . y Zip:��
��+�('�,�,,, Teleph 1Vumber:�33.:Z-���
11�ailingA.ddress:/5b�1 �x�__fl...;� 4�d�.. U �ty:� Zip:�t��
_ 1°LUIVIBIIi�G I�'IXT�T�ZE SC�iEDULE
FIXTUR.E BSMT 1ST 2ND OTHER FIXTURE $SMT 1ST 2ND ' OTHER
TYPE FL FL TYPE FL FL
Water Closet � Floor Drains �
Lavatory � � � 6
Bathtub � l � Laundry`Tray �
Shower Was er� �� �
Kitchen Sink �' Water-Heater �
Dispos�l � Water Softener �
Dishw�sher ( Wet Baz � ,
Sillcocics Misc (list) �`
1�.�
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PE��' �'+'EE C�.�LTL�.T��I�
1. 1.25% of Contract Price* or I��im.� �ee���5.00� .-�-
fg°� �� x .0125 � ���` ���
(contract price)
2. State Surchar�e. ** Add the State Building Code I?ivision
Surcharge to each permit. /����,�� x .0005 $ ����
(contract price)
or $.50, whichever is greater $ �
3, P'osta�e and Handline (Only mail-in applications) $ ��� �
4. TQTAL PERMIT FEE (Add lines 1-3 above)
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount chuged 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 furnished by the owner,
tenant or any other party the reasonable market vaiue of such iiems 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,OU0,000 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.
t� licant's 5ignature: �J i�lir�t'k..���°�e. Date: ����
PP
DATE TIME
CITY OF ORONO CALLED IN � U�✓
INSPECTION NOTICE SCHEDULED v -�� �.-3 �'
PERMIT NO. S� COMPLETED � �_
ADDRESS S =� ����
OWNER � CONTR. � ..�r'-' -�%���
TELEPHONE N . �I1.�3 � �� 7
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� DESCRIPTION
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
h 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
W 9'�tUfvTBTRlE�3J` 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBING FINAL � 36 FOUNDATION/REMOVAL
Z HACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W WORK SATISFACTORY:PROCEED _1 PROJECT COMPLETE
� ❑ CORRECT WORK&PROCEED C7 ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
f'CORRECT UNSAFE CONDITION WITHIN HOURS. G pHOTO TAKEN
INSPECTOR WILL RETURN
'- CITATION ISSUED
Cl STOP ORDER POSTED.CALL INSPECTOR
C l INSPECTION REOUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContract on e:
/
Inspector.
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