HomeMy WebLinkAbout1994-005957 - water softner PERMIT
C�TY OF ORONO PERMIT TYPE: . .:..j -
275�0 Kelley Parkway • P.O. Box 815 Permit Number: ��;c'='��-'y-�
`� Orono, Minnesota 55356-0815 ='��'"=�-���
(612) 473-7357 Date Issued: ��1:_;f����_�;,
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 I,� ; .
GENERAL INFORMATION
1. You may apply for plumbing permits by mail or in person at the City offices.
2. Permit 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: X New Addition Repair Replace
Residential Commercial
JOB SITE: ' ,� r1 Li � S��►'t, i Zip:
Owner's N�ne: � � = C�x Telephone Number: 4�1 -c��1�y
Mailing Address• City:. Zip:
':<`� ��"` ' ` ' ' •` "�": ��-Tele honeNumber: �3�'7�C�C.)
Contractor'sName: p
MailingAddress• ' "" '` �` ��ty: ' Zip:
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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
Disposai Water Softener
Dishwasher Wet Bar
Sillcocks Misc (list)
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PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
x .0125 $ �J;���
(contract price)
2. State Surchar�e. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $ , �.�'
(contract price)
or $.50, whichever is greater
3. Posta�e and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ �3�7�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 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 Ciry 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
conect.
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Applicant's Signature: � �� h"����k`�`� Date: �� ��� `/ `�
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CERTIFICATE OF SURVEY
FOR: SCHLEE BUILDERS
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-- LEGAL DESCRIPTION:
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_ o Denotes iron monument • Peoposed lowest fJoor elev._
❑ Denotes offset stak• Proposed top of foundation elev.�
x 000.o Denotes existing elev.
(000.o) Denotes Proposed elev. BENCH MAR K: Te p .f' i�o r�
—� Oenotea surface arainags o n.• �,.ies� prsP /;h t 3 2.o
Proposed garoye floor elev.� 9G0�5 ��•t n��'fh o f S w �o�
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. I hereby certify that this is � true and correct representation of a survey o` File No.
the bounJaries of the abov�dascribed land and of th4location of ail buildings, �^
DEMAR9 -GABRIEL if any, thereon, and all visible encroachments, if any, from or on said land. Y�'��
LAND SURVEYOR9, INC. , ,d r-ij - ��� �y� - p� Book — Page
A: surveyed by me thi d 'of , 19�t�
3030 Harbor Lans Na �Z�— �
PEymouth MN 56141 •
Phon�: (612)56�-0� , . Scale
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Minn. Re9.
DATE TIME
CITY OF ORONO CAL�ED W �- 6-9
INSPECTION NOTICE��S-� SCHEDULED �- 7 � %3 °
PERMIT NO. COMPLETED � �
ADDRESS 3��� � �%t— �,��'
OWNER � G`��Z��oC- CONTR. C���'1��
TELEPHONE NO. �7 �' ���y ��7� y����y'���w)
� DESCRIPTION _ �/�� ���/�
�
� 01 FOOTING 11 MECHANICA RI 16 WELL TEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
� 03 INSULATION 24125 WOOD BURNER/FIREP�ACE 19 LAKESHORFJWETLANDS
O
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SETlTURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
J 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
Q
�� � 15 SEPTIC INSTALL. 22 FOLLOWUP
J10 PLUMBING FINAL� 23 SEPTIC FINAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W��WORK SATISFACTORY:PROCEED C PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ` pHOTO TAKEN
INSPECTOR WILL RETURN
� CITATION ISSUED
❑STOP ORDER POSTED.CALI INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the ne inspection 2a hours in advance.473-7357
OwnedCon a r o s te:
tnspector.
White Copyllnspector's Fil Canary CopylSite Notice