HomeMy WebLinkAbout1997-009277 - plumbing PERIVIIT
CI�Y OF ORONO PERMIT TYPE:
�� 2750 Kelley Parkway- P.O. Box 66 '-. , �
Crystal Bay, Minnesota 55323 Permit Number: �..s��-�.:�.�: :
Date Issued: =��:'�� :� :"w��'
(612),473-7357 "
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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APPLICANT PERMITEE SIGNATU ISSUED BY:SIGNATURE
C1TY O�' UR.ONO APPLICATION FOR PLUMBING PERMIT
B�x b6 (2750 Kelley Parkway)
Cry�tal 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 RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMTT CARD IS
POSTCD 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 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� Complete all items on ttus application. Compute the permit fee. Sign and date
the certi�cation. INCOA'1'PLET� APPLICATIONS WILL NOT BE PROCFSSED. If you have
questions, call 473-7357.
Please check one: � New �b _ Addition Repair Replace
Residential Commercial
JOB SITE:_ .��5.y�S .�.✓h `��GL�.-� ' Zip:
Owner's Name: ,;i`.�-�}� ;��, ,��� Telephone Number:
Mailing Address: .3s'��- ,��_ L City: D��� Zip;
Contract�ir'sName: � ,��� „�,b� t � . TelephoneNumber: -y�7� ��?o�
Mail�ngA.ddress: ���s� �/a.�o��.L� Cit3'� 112,o�rcd Zip:ss'34�
PLUMBING F�TURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet F1oorDrains
Lavatory Sewer Ejectar
Bathtub Laundry Tray /
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishw.�sher Wet Baz
Sillcocks Misc (list)
PERMIT FEE CALCULATION '
1. 1.25°lo of Contract Price* or Minimum Fee ($35.00)
�,S'�7. 3 x .0125 $
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $
(contract price)
or $.50, whichever is greater
3. Postage and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount chazged for the pernaitted
work including materials, labor, profit, and other fiaed costs. It is the amount to be charged to the
customer for the work done. If any material, equipment, labor,or installation are 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 under $1,000,000 or $.50 - 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 Pernait, agrees to do all
work in strict accordance with the ordinances of the Ciry and the regulations of the State of
Minnesota, and certifes that all statements made on this application are complete, true and
correct.
Applicant's Signature• Date: ���S',
DATE TIME
CITY OF ORONO CALLED IN S � 9 �
INSPECTION NOzICE SCHEDULED �' ii /97 9' 3 0
PERMIT N0. `T� ��I COMP ED �_ �._
ADDRESS S`�S -�
OWNER CONTR. ��,�'�
TELEPHONE NO. �%? —S 3f��
� DESCRIPTION �"`���_��//—
� Ot FOOTING 11 MECHANICALRI 18IXCAV/GRADIN(ilFIWNO
�Q 02 FRAMINO 13 MECHANICAL FlNAL 19 LAi�SHORE/WETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL B0. 12 WATER HOOK-UP
Q
Z 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
~ 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
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� 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBINCi RI 23 SEPTIC FINAL 35 HARD COVEH REMOVAL
v /0 PLUMBINCi FINAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL
� OWNERlCONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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d fORK SATISFACTORY:PROCEED - PROJECT COMPLETE
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� ❑CORRECT WORK&PROCEED ` ISSUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. L PHOTO TAKEN
INSPECTOR WILI REfURN
❑STOP ORDER POSTED.CALL INSPECTOR
C CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for th t ins ction 24 hours in advance.473-7357
OwnerlContra o site:
Inspector: ` �
White Copyllnspeetor's File Canary Copy/Site Notice