HomeMy WebLinkAbout1996-008001 - plumbing .�
� , . PERMIT
� CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 ���t��.;�;���
Crystal Bay, Minnesota 55323 Permit Number: i}t.�;;{���i
(612)473-7357 Date Issued: ����Y+�f ��
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REMARKS:
FEE SUMMARY:
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�- APPLICANT/PERMITEE SIGNATURE � ISSUED BY:SIGNATURE C`�ti
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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 cazds will be sent by return mai� after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECEIVE A PERMIT. �VORK 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 sepazate 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. INCOA�PLETE APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, ca11473-7357.
Please check one: New Addition Repair � Replace
Residential ' Commercial
JOB srrE: 3 yj � L,��,%����i� f�e z,p: 5����I/
Owner's Name: .e Telephone Number: �6- �qSS"
Mailing Address: �/ ,'v.h vQ City: 0,�,?o Zip: >S�g/
Contractor'sName: TelephoneNumber:
MailingA.ddress: City: Zip:
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet � Floor Drains
Lavatory Sewer Ejector
Bathtub. � Laundry Tray
Shower Washer �
Kitchen Sink Water Heater
Disposal Water Softener
Dishw.�sher Wet Bar
Sillcocks Misc (list)
PERMIT 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 $
(contract price)
or $.50, whichever is greater
3. Post�e and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $
* CONTRAGT PRICE or JOB COST means the actual or estimated dollaz amount chazged 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 aze furnished by ihe owner,
tenant or any other party the reasonable market value of such items must be added to the estimated cost
or contract price for pemut 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.
Applicant's Signature: Date:
:/
DATE TIME
CITY OF ORONO CALLED IN _�
INSPECTION NOTICE SCHEDULED �C%�'
PERMITNO. ��-��� �' COMPLETED -Lr4L����/ YIi
ADDRESS '� -vz _
OWNER �i'�/.�'c-'1-e� � CONTR.�,
TELEPHONE NO. �D�D � �S 7 �
� DESCRIPTION �./���
� 01 FOOTINO 11 MECHANICALRI 18IXCAV/CiRADINQ/FIWNO
� 02 FRAMINO 13 MECHANICAL FINAL 19 LAI�SHORE/WETLANDS
Q�$3iR50 1�0 " 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q
= OS FINAL 14 SEWER HOOK-UO O6 PROGRESS
~ 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
J
W 07 DEMo--FINAL 15 SEPTIC INSTALL 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTiC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBIN�FINAL 36 FOUNDATION REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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d WORK SATISFACTORY:PROCEED ` PROJECT COMPIETE
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� ❑CORRECT WOFiK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. L PHOTO TAKEN
INSPECTOR WIIL RETURN
❑STOP ORDER POSTED.CALL INSPE TOR r'CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO RRANGE ACCESS.
Call for xt i 'on 24 hours in advance.473-7357
OwnedContra r on sit :
Inspector. .�
White Copyllnspeclor's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN = ��/i%
INSPECTION NOTICE SCHEDULEO --�-� � ` !'�
PERMIT N0. ` / COMPLETED
ADDRESS �:���3��-:�t��..�.�6.� /-�, t' , -c
OWNER ���-��%'�7�-�-eJ CONTR.
TELEPHONE NO. ;�, ���'� - �7 �>�-> =�
� DESCRIPTION
� 01 FOOTINO 11 MECHANICAL RI 18 IXCAV/ORADIN�/FIWNQ
y 02 FRAMIN� 13 MECHANICAL FINAL 19 LAI�SHORE/WETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q
Z p5 FlNAL 14 SEWER HOOK-UO O6 PROGRESS
~ 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
v
� 07 DEM�EIPIAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
� 09 PLUMBINCi RI-' 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBIN�FINAL 36 FOUNDATION REMOVAL
Z OWNER/CONTFiACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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OO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
C CITATION ISSUED
�INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for t xt i s ction 24 hours in advance.473-7357
OwnerlCont n site.
Inspector. �
White Copyll�spector's File Canary CopylSlte Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION N��.,,� SCHEDULED � �i -' �
PERMIT N0. ' f c PLETED
ADDRESS } � ��V i vl �a�
OWNER NL��� i�� CONTR.
TELEPHONE NO.
� DESCRIPTION
� 01 FOOTINO 11 MECHANICAL RI 18 IXCAV/dRADINC;/FIWNO
y 02 FRAMIN� 13 MECHANICAL FlNAL 19 LAI�SHOREJWETLANDS
Q 03 INSUTATION 24/25 WOOD BURNERIFIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATEH HOOK-UP 17 SITE INSPECTION
� p5 FINAL 14 SEWER HOOK-UO O6 PROORESS
_
� 07 DEMO�ITE 27 SEPTIC MAINT. 21 COMPIAINT
v
Q 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i�IUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBINO FINAL 36 FOUNDATION REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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0 BEFORE COVERING PEHMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ` pH0T0 TAKEN
INSPECTOR WIIL RETURN
❑STOPORDER POSTED.CALL INSPECTOFi
❑CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cali for the in pection 24 hours in advance.473-7357
OwnerlCon �on si :
Inspector. �>�
White Copylinspector's File Canary CopylSite Notice