HomeMy WebLinkAbout2000-P02142 - plumbing , . �
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PERMIT
CITY OF ORONO PERMIT TYPE: Plumbing
2750 Kelley Parkway - P.O. Box 66 Permit Number : �(�� �y�
Crystal Bay, Minnesota 55323 Date Issued: 02/04/00
(612) 249-4600
SITE ADDRESS: 3675 Jacobs Mill Road
Orono, MN 55391
H.N.B.
32-118-23 24 0012
DESCRIPTION: 28 Plumbing
REMARKS:
FEE SUMMARY: Valuation $11,000
Base Fee $137.50
Surcharge 5.50
Total Fee $143.00
CONTRACTOR: Kingsway Mechanical OWNER:
6250 Highway 12 W
Maple Plain, MN 55359
THE UNDERSIGNED HEREBY REQUESTPERMISSION�TO��MA�KE THE REAL IMPROVEMENTS SPECI�FIED AND �� �
AGREES TO DO ALL WORK IN���STRICT COMPLIANCE WITH ALL�CITY�OF ORONO ORDINANCES AND STATE�OF �
MINNESOTA BUILDING CODE REQUIREMENTS:
APPLICANT/PE ITEE SIGNATURE SSUED B : SIGNATURE
. . ..
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CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMATION
1. You may apply for plumbing permits by mail or in person at the City offices.
2. Permit cards will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECEIVE 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 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. Call 249-4600. 24-hour notice required.
Instructions Complete all items on this application. Compute the permit fee. Sign and date
the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call 249-4600.
Please check one: %New Addition Repair Replace
Residential Commercial
JOB SI'TE• �(o����, ,a Zip:
Owner's Name: — �� � ,J Telephone Number:
Mailing Address: City: Zip:
Contractor's Name: r v ;�-� �� � Telephone/Nu�nber:
Mailing Address: 2 � -L � City: ( �`�Zip: j'"S""3C"�
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet 2-- Floor Drains ��
Lavatory Sewer Ejector -
Bathr.:b / Laundry Tray �
Show er Washer �
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks � Misc (list)
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PERNITT Ii EE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
� �. ��'"v X .oi2s � I 3�7 ..�d
(contract price)
2. State Surchar�e. ** Add the State Building Code Division �O
Surcharge to each permit. x .0005 $ �
(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) � i N3. cx�
* 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 perm.it fee purposes. In the event that there is a dispute on the amount of the job cost,
the Ci�y 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 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 statemen ade on this application are complete, true and
correct.
Applicant's Signature. �✓ Dat • —�-6�
DATE TIME
CITY OF ORONO QP ��aCALLED IN
INSPECTION y,OTICE v°� SCHEDULED �' 3
PERMIT NO. f� � COMPIETED '— �
ADDRESS 3�7� �C�'�� rn��l
OWNER CONTR. ����c��
TELEPHONE NO. �Z� -C�-71�
� DESCRIPTION
ly 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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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 O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
��ORRECT WORK&PROCEED C ISSUE CERTIFiCATE OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. r pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ' CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. 249�46��
OwnerlContr or on site:
Inspector./i���,��/l
Whiie Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN U C�
INSPECTION NOTICE SCHEDULED • �� -` 4�
PERMITNO. oa��a' COMPLETED %'3��� �
ADDRESS �� �
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OWNER CONTR. ` �'� �-��zt-��-
TELEPHONE NO. ��'�I � • �`J�5 '
>- D ESC R I PTI O N '�--��.r.r �'�/L.Q�✓
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lL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINA� 19 LAKESHORE/WETLANDS
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03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WA�L BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
TPLUMBING R 23 SEPTIC FINA� 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR T�MEET YOU:_YES NO
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W [;�WORK SATISFACTORY:PROCEED PROJECT COMPLETE
� O CORRECT WORK&PROCEED i ISSUE CERTIFICATE OF OCCUPANCY
W
� �ORRECT WORK,CALL FOR REINSPECTION TEMPORARY
O '' gEFORECOVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. , pHOTO TAKEN
INSPECTOR WILL RETURN
C STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUEO
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cali for the next inspection 24 hours in advance. 249-46�0
OwnerlContractor on site:
Inspector. •����;'_��' �f
White Copyllnspectar's File Canary CopylSite Notice