HomeMy WebLinkAbout1997-009758 - plumbing ` . �7 � � � � _ - -
� P��MIT
�.ITY OF ORONO PERMIT TYPE:
� 2 i 50 Kelley Parkway- P.O. Box 66 -.
Crystal Bay, Minnesota 55323 Permit Number: _ :
(612) 473-7357 Date Issued:
SITE ADDRESS:
�°a
DESCRIPTION:
-., _ -
,_.
.._ : : . :, ._...- -- -
-.. •
�:,,� ,.. . . .._: .,, �
:;: .-- : '; .,.•'r� .•� r j� ! �_ii�,!
_ ,, . . ... _ :� _ . �;�^'t T 4.J�.'"� : 'i
_ .._�Y;s;:.. . .�.�i"��`i� ._ ... , . _ ... �I
REMARKS:
FEE SUMMARY:
- - � �
_ _ ;_ _ .. .: _f , : ;,;
_ ., _
=., _ . ._ . .. ; ., _, .
.� :..; ;._
�
�
I
CONTRACTOR: -- r`;�::�::;� � :- .-:�.:�;. ..... OWNER:
: . . , , .
, ...
v _ �. . �
,w r:
__ -
� f « � _ .-. .w _ � �..
�- {,
.
.. �� }_t......vt.«_ .�, . �.,x 1 f ' '�= f� .. _ s,.� . :
� . .. __ . z .. �
°m;r-��.:�€�- I�� �t���������°��.���. ��� �FX�..� t ��,�x��'�:' �€� �T�t���"i' �:�W� ..�.;,� .... �. i,� ? . ��� _f,_ ���`�i ¢��
,���-'�:3���:� �rt�:r;��,��,=i.:��. ��.�i�� �=,�`k`'��`�' �. �•" ��I�t��'�"TM����'�' _ � . ... . _ � . .
A f� � ... . r=.
� "� .�'.�. .�• �w£ 5 ., ., J
� .,
� �: .
�.,dY2�(�--�2�' C./ <
APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
.'"'�'°��..'•��
�;,i-�
:x
C1TY OF URONO APPLICATION FOR PLUMB�P�RMTr
Box 66 (2750 Kelley Parkway) � ��
Cry�stal Bay, MN 55323 ""^ � �59j
GENERAL INFORMATION
1. You may apply for plumbing permits by mail or in person at the City o�ces.
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 THE PERMIT CARD IS
POST�D 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 consttuction 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.
Instructioi�� Coa�plete all items on this application. `Compute the permit fee. Sign and date
the certificatioli. INC0119PLE'T� APPLICATIONS WILL NOT BE PROCFSSED. If you have
questions, ca11473-7357.
Please check one: New � Addition Repair Replace
�_ Residential � Commercial
JOB SITE: 7,�p;
Owner's Name:. , Telephone Number:
Mailing Address: City: Zip:
Contractur'sName: '���4 e�� I��,�nn1�+, c�,�j�,.TelephoneNumber: c�7�-/2�
MailingA.ddress: 1�j l�,K-� ���r����. City:���P1s�o�r Zip:y .���31'
PLUMBING F�TURE 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)
s �
�
(� �
-
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minim Fee 3 .00
, x .0125 $ ���,U�
(contr t price) �
2. State Surchar�e,._ ** Add the State Buil ing Code Division
Surcharge to each permit. .� x .0005 $ �. 7J�"
(con t price)
or $.50, wluchever is greater
3. Postage and Handlin� (Only mail-in pplicadons) $ 1.50
4. TOTAL PERMIT FEE (Add lines -� above) $ ��7� 2� .
* CONTRACT PRICE or JOB COST means the tual or estimated dollar amount charged for the permitted
work including materials, labor, profit, and er fixed costs. It is the amount to be charged to the
customer for the work do�e. If any m.aterial, e uip�eat, labor,or installstion are furaished by the owner,
tenant or any other pazry the reasonable marke value of such items must be added to the estimated cost
or contract price for permit fee purposes. In th event that there is a dispute on the amount of the job�`cbst,
the Ciry may request the submission of a sign �copy of the actual contract.
** The STATE SURCHARGE is .0005 of the ntract price under $1,000,000 or $.50 - whichever is
greater. For valuations over$1,000,000 cal! e Department of Inspectional Services for the price.
The undersigned hereby applies to the City fo issuance of a Plumbing Permit, agrees to do all
work in strict accordance with the ordinance of the City and the regulations of the State of
Minnesota, and certifies that all statements ade on this applicadon are complete, true and
conect.
Applicant's Signature: �Gl.u..�� � ��(f��-' Date: l��Z��y�
DATE a TIME
CITY OF ORONO CALLED IN !�- l S!7 a- 3� �i
INSPECTION NOTIC SCHEDULED �a "/(o'C17 �d `- 3v am
PERMIT NO. �S co PIETED �_ _�
ADDRESS � �O� � �
OWNER CONTR. �,-C-c�ic�/1-�.u.�a:e ���
TELEPHONE NO. ��C) � I �'��
� DESCRIPTION ��GGGO��[,�
� 01 FOOTINO 11 MECHANICAL RI 18 EXCAV/(3RADINCi/FIWNO
y 02 FRAMINQ 13 MECHANICAL FINAL 19 LAi�SHOREJWETIANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 1�SITE INSPECTION
Q
= OS FINAL 14 SEWER MOOK-UP O6 PROGRESS
� 07 DEM�SITE 27 SEPTIC MAINT. 21 COMPLAINT
J
W 07 DEMQ—FINAL 15 SEPTiC INSTALL. 22 FOLLOW-UP
Z 09 P 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBINO FlNAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL
� TO MEET YpU•_YES_NO
� COMMENTS:
�
W
a
�
J
O
a
�
O
�
W
�
Q
�
Z
W
�
W
�
�
�d WORK SATISFACTORY:PROCEED
� = PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORE COVERING PERMANENT
�CORRECT UNSAFE CONDITION WITHIN HOURS. ` pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTEO.CALL INSPECTOR
❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next i pection 24 hours in advance.473-7357
OwnedContra si e:
Inspector. —
White Copyllnspector's File Canary Copy/Site Notice