HomeMy WebLinkAbout1994-005968 - plumbing -
PERMIT
� _ ;. Y OF ORONO PERMIT TYPE:
2750 Kelley Parkway • P.O. Box 815 Permit Number: r't!$t�i��I;�L�
Orono, Minnesota 55356-0815 Date Issued: �-``r��=��=�°�°
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SITE ADDRESS:
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APPLICANT/PERMITEE SIGNATURE ISSUED BY: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. Pernut cards will be sent by return 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 pemuts 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: X New Addition Repai�AR ? �., l���e
Residential Commercial
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JOB SI'I`E:��� L��C�-� ���� ZiP� ��JCo
Owner's Name: ��� ('��iK'P. Telephone Number: i-�-7(0 �j g' (�
Mailing Address: ��`� L.�c.�� 1 � City:� � Q-�C� Zip: � ���(o
Contractor'sName• �►� '���° • Telep oneNumber: - ,L�'
� MailingAddress: — �u •�'� �"�"` ° City: Zip:
t �.:�
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet Sewer Ejector
Lavatory Laund,y Tray
Bathtub W asher
Shower Water Heater
Kitchen Sink Water Softener I
Disposal Wet Bar
Dishwasher Floor Drains
Sillcocks Misc (list)
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PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
x 1.25 $ `�`� ;C�
(contract price)
2. State Surchar�e. ** Add the State Building Code Division �
Surcharge to each permit. x .0005 $ , lJ�'
(contract price)
3. Posta�e and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ 37,C�C�
* 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 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 pernut fee purposes. In the event that there is a dispute on the amount of the job cost,
ihe City tuay r�quest the submission of a s:gned copy of t�'�e actual co..t.ac�.
** 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.
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Applicant's Signature: �' �° '(� � �''-��' Date: ;- c�'�--�`��`
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DATE TIME
CITY OF ORONO CALLED IN �
INSPECTION NOTIC�g 6 � SCHEDULED �l- !/ �3 d
PERMIT NO. COMPLETED _�_ �
ADDRESS ��� s�
OWNER (�-��� CONTR. L�y�v�'`�
TELEPHONE NO. ��� " �3 9�
� DESCRIPTION ��ti �����%�2�
� 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADING/FILLING
y 031NSULATION 2M25 WOOD BURNER/FIREPLACE 19 LAKESHORFJWETLANDS
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 O6 PROGRESS
� 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
10 PLUMBING FIN 23 SEPTIC FINAL
� OW TO MEEf YOU:_YES_NO
� COMMENTS: .������L GL��-�- ,�,rr-�-� �- �� °�''
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W� WORK SATISFACTORY:PROCEED PHOJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT YYORK,CALI FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN _n_,eITAT10N ISSUED
�STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the n t inspection 24 hours in advance.47�73�J7
Owner or ite:
Inspector: .-
White CopyAnspector's Fik Ca�ary Copy/SiN NoHce