Loading...
HomeMy WebLinkAbout1994-006155 - plumbing . PERMIT � � - CITY OF ORONO PEl�MIT TYPE: f 2750 Kelley Parkway • P.O. Box 815 Permit Number: `�=-�'`-'�`t-��"`� Orono, Minnesota 55356-0815 `-"'`_'=�=�' (612) 473-7357 Date issued: f;. � - - _er-.1 _;Ii'_ SITE ADDRESS: _ _ DESCRIPTION: 1`_ _..-, I�S i r;i--':. .-., •;- +• .�-� Cs,:,� ' : '1";�,�,�: _ .y i�l.L�lCii:_'.�!;-, � :>? f!:i _. !-' li.j;;.�i_'i'�� ;.;'�;lj''4:; (� C�F_ t;i_:- ..._`�'.i ._.z_ ��J;�S{=tn' ti:L_f.:'•_�}�� � �_'-3'�H�'% li1`' � . � -, -. r:r_.,. , - �� .� . _ , � .e u.:�.�� .. s 'L.: E � ::r..:E ����i ��. i . . '..' ! -�' _ .. . .• :�. .� . �."�. .. . . . .. - : � � �..�, . , . ._. ,. - _:.. ...''..� ::. .. . _ . I ...___.. ..._ - il l:1 ! ! V1� L•.''IV!tL' ' �.:p;i�-(; i�i'4_...- lL�1f�^ftLL V!: li�?_ � f':•z ':'.j}:if'lil ��;1 1w'S�+JVVVLV 1!1 LL.Tt 1 uJ�VY � 1 r�.C.i..i..�VVtV l.�V n 1r71 LLlt JaVli ' . C.�7 R�'—��—._—!!!t REMARKS: `�!�"�f' _ _«_ ,�•<<. � ' f�!_..'f.i:iA?F' �4'i.'ii %t4LL17 t .:fRf�i\ !L'l' reitil:irl ili1T EJif! txT_ fit.J1L'1TV L•Vt�l tt�:l t 1T•lil' i::� =i%�s: VV:�3.J:!'T FEE SUMMARY: . .'.t..f.}c=`: �1_.lt4 �`_;.f l.';_it_) � �:_;_,N' �__ ::��i� i_'�i_7 _--{ �! t=t}'��t+-' --.,.__,,..._ _=t) i t_i�'.�;� `-t�F� iy- . £i�_} . CONTRACTOR: -- r=�r=�> ?�=�.;3}. - OWNER: � _ _ - - - - �,:r.r�� �•-:; �:, � � • :: -��-� -- - _.. _.�_i.f[:?_,: t.__�.;i L;f �...? �' f7 _.. . . _. _ ._... . .'i�.s��?, .. . _.. ..?4"`:L_ . _ (' -i . . .�.�1� (_(�ii_jl:Y�j�v 'i1� ••�f' . .w_.__ �'•.�..'<...!..�,! i'?'.�f� �''l,:=E:-�i �'; E; :,i�.� LCC'!::C.; ! _�#�I�" �:ii:� C.r.'_'-: . __. __. .''�+� - -. _. _ _ _��'`•.�..�:4_� . �. _:_. _��. '• _i-,-- - _ ._' . ._ :. _ -. - - ... i 't�s• :!"t.,s[. � i ; J �C r �:t":= � - �- r -�� 1 - ;i"s 'r:�I';::t- t �-�:- - �t-i`.�i-:'; i a , i .€,'` �. . . ._... _ : _ . .._ _. _ . .�..... . .C_.. ..._ .. r �'•.�..•._.�_:,.__ �_� . , _. �. . . _3 f'u . .. . .. . . __ . ._._. ._.. _ .. _. . _.. ...,. . _ ,-,:_,a-_-,..;___,�-:-, .,. ,. _ .,_.,._-- - � - - _ � - - - - - - •+; - -- �. __S_. �.. i f-syi ;.;;tt�_! f.�.att.._�_.� ' iVl iji_; . �._._ �.!_. .. , i 5'' � ' ��._'. ._ . .�`_�:"'`�_ _i:�;`•.`i_-�� `r _. . . , {._.__ _ _ .�'( ._ .�.�- �.:r: - ; r .,� _ ..3 ; _ r _ _ �... .__�, v ;n.� Fl�;�..+ _ �'}.�.. � •e_ F:�1 : . _.. ��"' �.�_�,!_.... _. t r � �..!. .�.. � }_ .t�t- r._.. ` ��.. .�__ �C i�€ - ;� � C •:'�', :t -. �, _ . , , .: � > �-� ` ; `�`" _ . f _ . _. ... .. . . . :.. .,, � 1 � J f ��������//!/��� ) _ / i� APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE � �`J . ! `� �! 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. Pemut 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 473-7357. 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 473-7357. Please check one: New _� Addition Repair Replace �� Residential Commercial JOB SITE: ,-����` - 'P��� I ( ,.! � �1 � n �c � Zip: S5 "�s�! Owner's Name: ,�-}r=R �;';_ � � �'vyA K Telephone Number: �-? � � - ��� � Mailing Address: .;: -�-� 1�.� (; ; i�; e City: r x r��(�;�:•r��_ Zip: ��3�� Contractor'sName: �� e � � ' n g! ''� � TelephoneNumber: �'�q-/�j/.�. MailingAddress: -��:�� � ('{<<�;�� ir;->� n -�,� ` City: /�'t�.j,/� ���r��,Zip: �-�=�.. C c- � PLUMBING FIXTURE SCHEDULE FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER TYPE FL FL TYPE FL FL Water Ciuset �;! Sewer Ejector Lavatory ,� Laundry Tray Bathtub / Washer Shower � Water Heater Kitchen Sink � Water Softener Disposal � Wet Bar �'P� '�'� Dishwasher Floor Drains �c� Sillcocks Misc (list) y,� K� - ! pERMIT FEE CALCULATION 1. 1.25% of Contract Price* or Minimum Fee ($35.00) �O�OGC� c�,�'%. x 1.25 $ �`�� O� (contract price) 2. State Surcharge. ** Add the State Building Code Division Surcharge to each permit. x .0005 $ � � c> (contract price) 3. Posta�e 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 charged for the permitted work including materials, labor, profit, and other fixed costs. It is the amount to be chazged to the customer for the work done. If any material, equipment, labor,or installation are fumished 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 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 $1,000,000 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. , , � Date: ' � � �J Applicant s Signatur� y � DATE TIME CITY OF ORONO cn��E�irv �' � ' � � ��% "%�� INSPECTION NOTICE SCHEDULED (�L=L� /l : 3� PERMIT NO. La l 5� COMPLETED � L� ADDRESS �.S � OWNER <' �`� K-- C TR. �— �`I 'C,i` � � ,,���'l TELEPHONE NO. "�� 1 << � � '� �} �-- � � � DESCRIPTION � 01 FOOTING 11 MECHANICALRI 16WELLTESTPUMP Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADINGIFILLING y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS O Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL Q 05 FINAL 13 METER SET(fURN ON 17 SITE INSPECTION � 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS J 07 UEM — L 27 SEPTIC MAINT. 21 COMPLAINT W LUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP J 10 PL INAL 23 SEPTIC FINAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: a 1�I S VICt, Q � ' � O >. � O � W � Q � Z W � W � j d W� ORK SATISFACTORY:PROCEED �, PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED C; ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. r pHOTO TAKEN INSPECTOR WI�L RETURN ❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next in pection 24 hours in advance.473-7357 OwnerlContract it : Inspector. White Copyllnspector's File Canary CopylSite Notice INSF'tG I ICJN REQUIRED.CALL TO ARRANGE ACCESS. Call for the next'nspection 24 hours in advance.473-73�J7 Owner/Con a on it : Inspector. � White Copyllnspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED � PERMIT NO. c MPLETED �_ � ADDRESS ��� � OWNER CONTR. TELEPHONE NO. � DESCRIPTION � 01 FOOTING ��� 11 MECHANICAL RI 16 WELLTEST PUMP 02 RAMIN �� 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING y SULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS � 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL Z Q 05 FINAL 13 METER SETITURN ON 17 SITE INSPECTION � 07 DEMO—SITE �.' 14 SEWER HOOK-UP O6 PROGRESS v 07 DEMO—FINAL �j( 27 SEPTIC MAINT. 21 COMPLAINT = 09 PLUMBING RI D� 15 SEPTIC INSTALL. 22 FOLLOW-UP J 1 MBING FINAL 23 SEPTIC FINAL Q OWNERICONTRACTOR TO MEET YOU:_YES_NO Z � COMMENTS: � W � � � O a � O � W � Q � Z W � W � � d �WORK SATISFACTORY:PROCEED PROJECT COMPLETE W � ❑ CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORECOVERING PERMANENT C7 CORRECT UNSAFE CONDITION WITHIN HOURS. _ pH0T0 TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �' CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 OwnerlContr r ite: Inspector. White Copyllnspecto's File Canary CopylSite Notice Y I v DATE 9'/ TIME CITY OF ORONO CALLED IN �I'ad �" INSPECTION NOTICE SCHEDULED �J-� � I� PERMITNO. �1�� COMPLETED � ADDRESS �'J�a� , .1�� OWNER ,�� CONTR. �-/" TELEPHONE NO. �? � — ����' � DESCRIPTION ��'`� ��' � 01 FOOTING 11 MECHANICALRI 16WELLTESTPUMP Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING y 03 INSULATION 24l25 WOOD BURNER/FIREPLACE 19 LAKESHORENVETLANDS Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION � 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT = 09 PLUMBING 15 SEPTIC INSTALL. 22 FOLLOW-UP J 10 PLUMB NAL 23 SEPTIC FINAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W a J 1C�t/�.Ll/ � O a � O � W � Q � 2 W � W � � d /ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W � O CORRECT WORK 8 PROCEED O ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTIOM TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED �INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next'nspection 24 hours in advance.473-7357 Owner/Con on it • Inspector: .- WhHe CopyMspector's File Ca�ary CopyfSHe Notice � pATE TIME CITY OF ORONO CALLED IN /.ZS�� INSPECTION NOTICE scHE�u�E� __1���L� G��— PERMIT NO. ..5 COMPLETED '�I. �_ ADDRESS OWN ER CONTR. TELEPHONE NO. �"1 � 7"--35�7 � DESCRIPTION �p�2�,� ty� 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP � 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADINGIFILLING � 03 INSULATION 24125 WOOD BURN /FIREPLAC 19 LAKESHORFJWETLANDS � 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL Z Q 05 FINAL 13 METER SETITURN ON 17 SITE INSPECTION � 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT ? 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP J 10 PLUMBWG FINAL 23 SEPTIC FINAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J O � � O � W � Q � Z W � W � � d WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W � L] CORRECT WORK&PROCEED S ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ` pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR r' CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-73�J7 OwnerlContract Inspector. ' White Copy/lnspector's File Canary CopylSite Notice