HomeMy WebLinkAbout1999-012108 - sewer reconnect , . - PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway - P.O. Box 66 - "�=��.�=4��
Crystal Bay, Minnesota 55323 Permit Number. . ;�.=�',,i_:,,;
(612) 249-4600 Date Issued: - _ -
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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�I'FY C�F ���1�� �'�L����C�1��'�R��.�Il'eT� �E�
�ox �C (2750 Kelley Parkway)
Crysta� F�ay, I� 55��3
GENERAL IlVFoxM�iTIo1�T
1. You may apply for plumbing permits by mail or in person at the Ciry offices.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL'FH pgRMIT 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 249-4600. 24-hour notice required.
Tnstructions Complete all items on this application. Compute the permit fee. Sign and date
the certification. FNCQMPLETE APPLIC�TTONS WII.L NOT BE PROCFSSED. If you have .
questions, ca11249-4600.
Please check one: New Addition Repair Replace
I�esidential Commerciai
.�Q'� �I�E: ��� �i ����,. �ig:
O�er's I�ame: 1�e�eghoQe l�iumber: . ,
1V�iailing �c�c€ress• eity; �lP:
�ontractor's l�iame: „� Tele hane RTumber:�,1�-4�7_�-�dJ�dc'r
162a�iling �,ddress: �l �� g��✓ /D 1 ��ty: Zip. ��� 9�
FL�II�� �TFJ�:E SCE3EII�LTLE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
�E FL FL TYPE FL FL
Water Closet Floor Drains
Lavatory Sewer Ejector
Bathtub Laundry Tray
Shower Washer �
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Baz
Sillcocks Misc (list) �--�
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PERI�FT FEE C�L.C��.T��IrT
1. 1.25% of Contract Price* or l�inimum Fee 1�35.4(1Z
��i"3"),,c�� x .0125 $
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(contract price)
�. Stat� Surcharge. ** Add the State Building Code Division
Surcharge ta each permit. x .0005 $
(contract price)
or $.50, wluchever is greater
3. Posta�,.e and Handlin¢ (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE � (Add lines 1-3 above) $ -
* 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 chazged to the
customer for the work done. If any material, equipment, labor,or installation aze fumished by the owner,
tenant or any other pazty 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 Ciry 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 $.SO - whichever is
greater. For valuations over $1,000,000 call the Department of Tnspectional 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 a11 statements made on this application are complete, true and
correct.
Applicant's Signature:
Date: /— �r �
D TE TIME
CITY OF ORONO CALLED IN �'% �o%
INSPECTION NOTICE SCHEDULED � �'��
PERMIT NO. /aZ.i4�' COMPLETED 1 • 0��
ADDRESS �
OWNER CONTR.
TELEPHONE NO. ��� 3�- '>"�� �
� DESCRIPTION
t� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
ti
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL SEWER-Fi6A 06 PROGRESS
� 07 DEMO-SITE 2T'�f�iiC"M171ATI� 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� ❑WORK SATISFACTORY:PROCEED C PROJECT COMPLETE
W ❑CORRECT WORK R PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ��7 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. �, pHOTO TAKEN
INSPECTOR WILL RETURN
CI CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTIONREQUIRED.CAL�TOARRANGEACCESS.
Call for the next inspection 4 hours in advance.473-7357
Owner ontrac r on site: /��J
Inspector. �C2�G -s
White Copy/inspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE b� SCHEDULED �� 'jO 'SS
PERMIT NO. �a� COMPLETED
ADDRESS 1�3� �� L'^'��
OWNER PAT � 5�1��v��CONTR.
TELEPHONE NO.
� 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 OS FINAL �',1�SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 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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��WORK SATISFACTORY:PROCEED `�PROJECT COMPLETE
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W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. �:, PHOTOTAKEN
INSPECTOR WILL RETURN
i CITATION ISSUED
�STOP ORDER POSTED.CALI INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cail for the ne t spection 24 hours in advance.473-7357
Owner/Co tr� r on i :
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Inspecto
White Copylinspector's File Canary CopylSite Notice