HomeMy WebLinkAbout1998-010636 - plumbing PERMIT
C�T`��F ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 `�' �"='='���`�
Crystal Bay, Minnesota 55323 Permit Number: i s�,i ii�=:=i-,
(612) 473-7357
Date Issued: iiif,;''�.�'.''=::?
SITE ADDRESS:
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REMARKS:
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APPL NT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
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CITY OF URONO APPLICATION FOR PLUMBING PERMIT
}sox b6 (27�0 Kelley Parkway) �
Crystal Ba,v, 1VIN 55323
GENERAL INFORMATION �
1. You may apply for plumbing permits by mail or in person at tYie City offices.
2. Permit cards will be sent by refum mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECENE A PERMIT. WORK MU�T 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 pernut must be obtained.`
5: . All work must be done in accordance with the State�ode requirements.
6. All work must be inspected and air tested before it is:covered. Ca11473-7357. 24-hour notice required.
Instructioii� Co�plete all items on this applicatiori. Compute the permit fee. Sign and date
the certificatiaii. INC0:19PLET� APPLICATIONS�WILL NOT BE PROCFSSED. If you have
questions, call 473-7357. , .
Please check one: New �C_ Addition Repair Replace
_� Residential iCommercial
;
. ; _
JOB si't'E:��14,.�i.��s�.s�.. fl � _ � ziP� 553`l t
Owner'sName:_�h�c�A � P�_��--c�r� ; _TelephoneNumber:�1�__
MailingAddress: City: Zip:
Contractor'sName: 11 nr� e � TelephoneNurnber:
MailingA:ddress: City; Zip:
PLUMBING �'�TUR� SCHEDULE
: f
r
FIXTURF BSMT 1ST 2ND OTHER �IXTURE BSMT 1ST 2ND " 'OTHER .
TYPE FL FL : YPE FL FL
�:
Water Closet �loor Drains
Lavatory ' � Sewer Ejector
Bathtub �.,aundry Tray
Shower , asher
3
Kitchen Sink �Vater Heater ��
Disposal NVater Softener
;
Dishws�sher ;Wet Baz
Sillcocks 1vlisc (list)
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.001
�_ Soc� X .oi2s $ 3 � a a
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $ � ��
� (contraet pnce) �
or $.50, whichever is greater
3. Postage and Handlin� (Only mail-in applications) $ �'�""
4. TOTAL PERMIT FEE (Add lines 1=3 above) $
* CONTRACT pRICE or JqB COST means the actual or estimated dollaz amount chazged for-the permitted `
work including materials, labor, profit, and pther fixed costs. It is the amount to be charged to the
customer for the work done. If any material, equi.pment,labor,or insfallation are furnished by t�e owner,
tenant or any other party the reasonable market vaiue of such items must be added to the estiraated cost
or cqntract price for permit fee purposes. In the event that there is a dispute on the amvunt 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 uader $1,000,000 or $:5� - whichever is �
greater. For valuations over $1,000,000 ca11 the Department of Tns�ectional Services for the price:
The undersigned hereby.applies to the City for issuanee of a Plumbi�pg Permit, agrees to do all
work in strict accordance with the 'ordinanees of the City and the regulations of the State of
Minnesota, and eertifies that all statements made on this ap�lication are complete, ttue and
co�rect. ;
APPlicant's Signature; D�te: �3-1.�-� �
DATE TI��I
CITY OF ORONO CALLED IN ��" � �'�" ���
INSPECTION NOTICE � �I� SCHEDULED J/" �3"j / �����i�i
PERMIT NO. '� COMPLETED
ADDRESS � �� -�� �r-�-��
OWNER ' ''�� CONTR.
TELEPHONE NO. `��� " �I�� '��L'
� DESCRIPTION
L� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
Q 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 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
Q 07 D - � 15 SEPTIC INSTALL 22 FOLLOW-UP
� PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBI AL 36 FOUNDATION/REMOVAL
Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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d �ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
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� ❑ CORRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS.
INSPECTOR WILL REfURN � PHOTO TAKEN
O STOP OflDER POSTED.CALL INSPECTOR � CITATION ISSUED
� INSPECTION REQUIRED.CALlTO ARRANGE ACCESS.
Call for the ne inspection 24 hours in advance.473-7357
Owner/Cont or n ite:
Inspector.
White Copy/inspector's File Canary Copy/Site Notice