HomeMy WebLinkAbout1996-007878 - plumbing � PERMIT
`� CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 '='�_i jitE���i�
Crystal Bay, Minnesota 55323 Permit Number: i;�_;�_;�;_,
(612)473-7357 Date Issued: �y}��.-,��^��
SITE ADDRESS:
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FEE SUMMARY:
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
�s
C1TY OF ORONO APPLICATION FOR PLUMBING P�RMIT
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 cards will bc sent by return mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECE[VE 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. Ail �rer;c m�.::t be insl,��ted .u,u ai: teste�: befar;; it is coverect. Cal: �73-7357. i4-iiour notice required.
Instructioii,� Complete all item� an this application. �c;cripu�� t;ie perf.iat fee. ��gn and �late
the certification. INCOn�PLETE APPLICATION5 WILL NOT BE PROCESSED. If you have
questions, call 473-7357.
Please check one: �_ New Addition Repair Replace
�_ Residential Commercial
JOI3 SITE: 23Z�o (_eX1G,u�,�� ��rC.l-2.- Z�P� S 53�Z3
Owner'sName: � �P5 ��,. TelephoneNumber:
Mailing Address: City: Zip:
Contractor'sName: �'�n����� ��,a,rla�, �Sv�� TelephoneNumber: �(70-�/��
MailingA.ddress: l�o t-u1Ce����2�. City: ��C.p�S,�r Zip: 55_33I
PLUMBING FIXTURE SCH�DULE
� � �� rtvTT nr. BSMT � 1ST I 2ND OTHER
FIXTURE BSMT 1S'I' 2NU uTHER .��.�.J....
TYPE FL FL TYPE FL FL
�1��,�P� �'��sP; � i Floor Drains � �
Lavatory �.Z �- Sewer Ejector
Bathtub 1 t Laundrv '�'raY �
Shower Washer
Kitchen Sink ( Water Heater
Disposal Water Softener
Dishwtisher Wet Bar
Sillcocks �. Misc (list)
�
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PEItMTT F�E CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
� l I S�S o o c� x .0125 $ (�-�-�-• �o�
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. � I C, -`j-75 . �c� x .0005 $ �.?�j
(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) $ 15� . �f�
* 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,
tenar.t or any �!?ier Fartj the reasonablf� 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 nf a si�r.ed copy of the il�.tuul c��itract.
** 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: �czc�Q�i � ���'ne�-� Date: `������
DATE TIME
CITY OF ORONO CALLED IN �
INSPECTION NOTICE SCHEDULED �� � 3 `I - w� �'
PERMIT N0. >���� COMPLETED U t�
ADDRESS ��.�o� 4 �'C-c���z-t-c� ��/
OWNER '�lC�.�..��_E.�- CONTR. �����'t-�ccc-�- p�-y
TELEPHO�NO. y `� '�' " �°� C<�
� DESCRIPTION
� 07 FOOTINQ 11 MECHANICAL RI 18 IXCAV/GRADINQJFIWNO
� 02 FRAMINQ 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
Z p5 FlNqL 14 SEWER HOOK-UO O6 PROGRESS
� 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPIAINT
J
W 07 L 15 SEPTIC INSTALL. 22 FOLLOW-UP
2 09 PLUMBING RP 23 SEPTIC FINAL 35 HAAD COVER HEMOVAL
J 10 PLUM FINAI 36 FOUNDATION REMOVAL
� OWNER/CONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
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W L7 CORRECT WORK 8 PROCEED G ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTEO.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALI TO ARRANGE ACCESS.
Call for the next insp�ction 24 hours in advance.473-7357
OwnerlContract e: �
Inspector. �
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN /���E
INSPECTION NOTI E SCHEDULED � / %�=' /� �C�'
PERMIT NO. �� �' COMPLETED � T_
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ADDRESS � � � -��,.-�� , ,-z�.� ; , - � •
OWNER - CONTR. 1�.� /'' r_. :
TELEPH�VE NO. �� �� ` l�C' �
� DESCRIPTION
� 01 FOOTIN(3 11 MECHANICALRI , 18IXCAV/GRADINO/FIWN(i
y 02 FRAMING 13 MECHANICAL FINAL 19 LAI�SHORENYETLANDS
� 03 INSUTATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q
= 05 FINAL 14 SEWER HOOK-UO 06 PROGRESS
� 07 DEM�SITE 27 SEPTIC MAINT. 21 COMPLAINT
J
� 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUblBINGBI.______ 23 SEPTIC FlNAL 35 HARD COVER REMOVAL
�� 10 PLUM1BIfl14FINAL-- 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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d WORK SATISFACTOFiY:PROCEED � PROJECT COMPLETE
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� L COFiFiECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WOAK,CALL FOR REINSPECTION TEMPORARY
� BEFOHECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. r pH0T0 TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR ^ CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnedContr n te:
Inspector.
White Copy/lnspector's File Canary Copy/Site Notice