HomeMy WebLinkAbout1995-007580 - plumbing . PERMIT
= C�l`Y OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 Permit Number: - '_�';=,`�"`-'
Crystal Bay, Minnesota 55323 Date Issued: «,� � -
(612)473-7357 �. � :`:-;;`;;:.:;-...
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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APPLICANT-PERMITEE SIGNATURE ISSUED BY:SIGNATURE
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C1TY OF ORONO APPLICATION FOR PLUMBING P�RMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMATION
1. You may apply for plumbing permits by mail or in person at ti�e City offices.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID
UNT[L YOU RECEIVE A PERMIT. WORK MUST NOT 13EGIN UNTIL THE PERMIT CARD IS
POSTED ON THr JOB SITE.
3. Plumbing perniits may Ue issued ONLY to licensed plumbing contractors and to property owners residin6
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 SIT�: S�s L,���l' S7� Zip:
Owner's Name: ��� �r��� �,�,,,.p�..,��5 Telephone Number:
Mailing Address: City: ' Zip: _
Contractor'sName:� �..,`z.-- /-'L. �,�, TelephoneNumber:��03 �
MailingAddress:�o,, �;, � _City: v.'�_-�r �� Zip: SS�� 6
PLUMBING FIX1 URr SCIIEDULC
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet � �. Floor Drains � �
Lavatory � ,j Sewer Ejector
Bathtub � Laundry Tray �
Shower Washer
Kitchen Sink Water Heater 1
Disposal Water Softener
Dishwasher / Wet Bar
Sillcocks Misc (list)
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P�RMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
x .0125 $
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $
(con[rac[ price)
or $.50, whichever is greater
3. Postage and Handling (Only mail-in applications) $ 1.50
4. TOTAL PERMII' F�� (Add lines 1-3 above) $
* CON"I'RACT PRICI;or JOI3 COST rncans thc actual or estimatcd dollar amount chargcd for thc ncrrnittcd
work including materials, labor, proCit, and other �xed costs. It is tlie amount to be cl�arged to llie
customer for the work done. If any material, equipment, labor, or installation are furnished by the owner,
tenant or any othcr party the reasonable market value of such items must be added ro 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 1111y request the submission of a signed copy of the actual contract.
** The STATE SURCI�ARGE is .0005 of the contract price under $1,000,000 or $.50 - whichever is
greater. For valuations ovcr $1,000,000 call the Department of Inspectional Services for the price.
'fl�e unciei•signed t�ereby applies to ttie 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 tiiat all statements made on this application are complete, true and
correct.
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Applicant's Signature: �' Date: ,- �" - ��—
DATE l TIME
CITY OF ORONO CALLED IN /=�-,�-- ,�-� a -''0 ,�'h
INSPECTION NOTICE � � SCHEDULED / " �'�S � _�.3v �
PERMIT NO. � COMPLETED �Z"LI S T�
ADDRESS s ' 'v�"
OWNER '�,�'�'�' ° � CONTR�--�r.�� r'�� ��C�t
TELEPHON�NO. ���3 ',..''�C,�3��
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILUNG
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
Q 07 DEM�FJAI,A�_ 15 SEPTIC INSTALL. 22 FOLLOW-UP
�'69 PLUMBING RI \� 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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��NORKSATISFACTOFIY:PROCEED ❑ PROJECTCOMPLETE
W C CORRECT WORK 8 PROCEED �, ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
CJ CORRECT UNSAFE CONDITION WITHIN HOURS. r, pHOTO TAKEN
INSPECTOR WILL RETURN [; CITATION ISSUED
�STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContrac on ' .
Inspector
hite Copyllnspector's File Canary CopylSite Notice
DATE T11�1E
CITYOFORONO CALIEDIN //'.3O-`'1.�' �• �`��
INSPECTION NOTICE SCHEDULED �a-�- 9s /s�n�
PERMIT NO. S � COMPLETED � �
ADDRESS ��S
OWNER �t-�� �-- CONTR. P�c1....
TELEPHONE N0. `� 3 ' �a-�7
� DESCRIPTION r
� 01 FOOTING 11 ECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 ECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 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
v 07 DEM -FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
iPLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLU INAL 36 FOUNDATION/REMOVAL
� OWNERICONTHACTOR TO MEEf YOU:_YES_NO
��., COMMENTS:
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� ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING 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 nex inspection 24 hours in advance.473-7357
OwnerlContra n i e:
Inspector.
White Copyllnspector's Fil Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN a-a a- y�
INSPECTION NOTIC��� � SCHEDULED �- � 3 //:3 a
PERMIT NO. cOMPLETED �_ �
ADDRESS -��S � S�
OWPJER ' ^ � � CONTR. ��'-�w y
TELEPHONE NO. ��I� ^ :� �-�7
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADINd/FILLINd
y 02 FRAMING 13 MECHANICAL FINAL 19 LAI�SHORE/WETIANDS
Q 031NSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z p4 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q
= OS FINAL 14 SEWER HOOK-UO O6 PROGRESS
� 07 DEM�SITE 27 SEPTIC MAINT. 21 COMPLAINT
J
� 07 DEM�FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING Rf 23 SEPTIC FINAL 35 HARD COVER REMOVAL
�+ UMBINO FINAL 36 FOUNDATION REMOVAL
� OWNER/C CTOR TO MEET YOU:_YES_NO
� COMMENTS:
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d WORK SATISFACTORY:PROCEED - PROJECT COMPLETE
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� ❑ CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
W
O C CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ,� pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALI INSPECTOR ^ CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the n 'ns tion 24 hours in advance.473-7357
OwnerlContracto e:
Inspector.
White Copyllnspector's File Canary Copy/Site Notice