HomeMy WebLinkAbout1997-9808 - re-route sewer line .
; PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 : _ --
Crystal Bay, Minnesota 55323 Permit Number:
(612)473-7357 Date Issued:
SITE ADDRESS:
DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: — OWNER:
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APPLICANT PERMITEE SIGNATURE ISSUED BY:SIGNATURE �
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���� C�� �Ft�l`od(3 ���.IC�.�IQI�T�'Oit gI.�J1�EERT�PE�I'F
�iox f�6 (27�0 Kelley Parkway)
Crysta! �a�y, 1�IliT 553�3
. GE1�iE1TAI, INF(}RMAT'FaN '
1. You may apply for plumbing permits by mail or in person at the City o�ces. -�
2. Permit cazds will be sent by return mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YQU RECENE A PERMIT. WORK MUST NOT BEGW 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. Ca11473-7357. 24-hour notice required.
�nstructio��� Coaiplete all items on this application. Compute the permit fee. Sign and date
the certification. INCOA'�PLET� APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call 473-7357.
Please check one: New Addition � Repair Replace
I�esidential Commercial
JOB SI'I'E• - �,ip:
�wner's 1�Ta�me: Telephone rIumber
1Vfailing�ddress: g��,i�- Citys .2ig;
C�ntractor'�Name: ������ � ���,�l�C j��. �eleFhonel`Iumbers �`�4-pl�$�
Maiting�.ddress: �'t05 DANiELS ST City: Zlp;
�.0. �QX 6S4
�������1�'���E SC�YEU�JI..E
FIXTUR.E 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 Baz
Sillcocks Misc (list) � �
1�u�1�et'tt�`�. ��.�'� ���
FE�IT FEE ��.LCTLJI.�.TI�I'�
1. 1.25% of Contract Price* or T�Ii,nim� Eee (S3S•��Z
���.Q/`J x .0125 $
(contract price)
2. State Surcharge. ** Add the Stat� Building Code Division
Surcharge to each permit. x .0005 $ -
(contract price)
ar $.50, whichever is greater
3. �osta�;e and Handling (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (�dd lines 1-3 above) $
* CONTRACT PRICE or 30B COST means the actual or estimated dollar amount chazged for the permitted
work including materials, labor, pmfit, and other fixed costs. It is the amount to be charged to the
customer for the work doae. If any material, equipment, labor,or installation ue fumished 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 Tnspectional Services for the price.
The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do alI
work in strict accordarice with the ordinances of the City and the regulations of the State of
Minnesota, and certifies that all statements mad� on this application are complete, true and
correct.
Apglicant's Signature: � ����� Date: /.� �-Ico-'��
DATE -7 TIME
CITY OF ORONO CALLED IN ��� �- � /
INSPECTION NOTICE SCHEDULED �v� - �� �G
PERMIT NO. �� � coM LETED �l �
ADDRESS �7` �'S �-� ��=� x�
OWNER CONTR. C�'�!.o��s�-v� f�i��
TELEPHONE NO. _ Y� `'f -- G� / 5� �
� DESCRIPTION _�c�-c-`� �c�-�ey� — �'z�-'ti/
� 01 FOOTINd 11 MECHANICAL RI 18 EXCAV/GRADIN�/FILLINO
� 02 FRAMING 13 MECHANICAL FINAL 19 LAF�SHORE/WETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q
� �INAL 14 SEWER HOOK-UP 06 PROGRESS
ITE 27 SEPTIC MAINT. 21 COMPLAINT
v
W 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBINO FINAL 28 CEDAR SHINGLES 3fi FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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d WORK SATISFACTORY:PROCEED
W - PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
0 C CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORE COVERING pERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. -- pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDEF POSTED.CALL INSPECTOR '�' CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContract� it :
Inspector.
White Copyllnspector's File Canary Copy/Site Notice