HomeMy WebLinkAbout1998-010940 - plumbing PERMIT
� CI i Y OF ORONO PERMIT TYPE: ��;�i it�E;�t��:.;
2750 Kelley Parkway- P.O. Box 66 -
Crystal Bay, Minnesota 55323 Permit Number: :s��.s���i.�:�
(612)473-7357 Date Issued: i ������r:''�_�
SITE ADDRESS:
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REMARKS:
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APPLICA T'PERMITEE SIGNATURE ISSUED BY:SIGNATURE
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CITY OF URONO . APPLICATION FOR PLUMBING PERMIT
}�oY b5 (27�0 Kelley Parkway)
Crystal Ba,v, NIN 55323
GENERAL°�INFORMATION
1. Yo� may apply for plumbing permits by mail or.in person at.the Ciry,offices. �
� 2. Permit cazds 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 constructi0n or remodeling is involved, a sepazata building permit must be'obtained.
5. All work must be done in accordance with the State Code requirements:
6. Alt work must be inspected and sir tested before;it is covered. Ca11473-7357, 24-hour notice required.
Instructfoi�� Coa�plete all items on this application. Compute the permit fee. Sign and date
� the certi�icatioii. INCOh�PLET� APPLICATIONS WILL NOT BE PROCESSED: If you have
questions, ca11473-7357.
Please check one: New � Addition .____T Repair � R�place
_� Residential Commercial
JOB S�'I'E: 7/D ..� �r Zip: •
Owner'sName: iF [ ��c' � ega,� : TelephoneNumber; �(��:- �6 �'7 .
Mailing Address:�i0 �tJc���k l�,Qv� �011!v� City:ruo . �1 Zi .
� SS'36 y
Contractar'sName: ��,,,e,��L �rr,i,� 1�i/c TelephoneNumber: �a -3Yo/
MailingA ddress: ,ssy� G{.g'l�f�ti �� t2 s�' City:�fJ�law� '�1-r�rJ ZYp: ss 3 s5' :
_ PLUMBIlYG �'iXTURE SCHEDULE
FIXT`�R� BSMT 1ST 2ND OTHER FTXTURE BSMT 1ST 2ND < OTHER
TYPE. ; FL ;FL TYPE : FL FL
Water;Closet ' ( � ;�- F1oor.Drains �
Lavatory � j : � `Sewer Ejector
� Bathtub � Laundry Tray ` f
Shovver : ( 'Washer
Kitchen Sink � Water.Heater �;
Disposal � Water Softener
Dishws�sher � Wet Baz
_._.::,�- ,
Sillcocks p2 Misc (list)
PERMIT FEE CALCULATION
1. 1.25°!o �of Contract Price* or M'uiimum Fee ($35.00� `
� 9 7DD �— x .0125 $
(contract pr�ce) ' .
. Z; State Surchar� **Add the State Building Code Division
Succharge to each:permit. � x :0005 $ ; � , �
_ . , � : (contract price) _ :
or $.50, whichever is greater
�. Postage and-Handling (Only mail=inap�lications) $ i.50
4. , TOTAL PERMIT FEE (Add lines 1-3 above) ' $,
* CONTRACT PRICE or JOB COST means the acival or estimated dollar amount charged for'_ttie permitted
work including materials, labor, profit, and other fiaed costs. It is the amounf_to be charged to the
customer for the work done. If any material, equipment,labor,or i�stallation aze.furnished�by the or�+ne"r,
• tcnant or•any other party the reasonable market value of such items must be added'to the estiwnated cost
or conuact price for permit fee:purposes. �In the event that there is a dispute on the amount"o�the jab cost,
the Ciry may request the submission of a signed copy'of the actual contract. ;
** The STATE S.URCHARGE is'.0005 of the contract price under $1,000,000 or $.50 -'whiehever is'
.greater. �or valuations over$1,000,000 cail the Department of Ins�ectional Services fof":We ptice:
Tl�e unders,ign�d h�reby appli�s to the City for issuanc� of a�lumbing:Perinit, agrees to do all
work�in strict accordance with the ordinances of the City and- the regulaiidr�s of the State of:
�VSi�,nesota, and certifies that all statements made or� this app�ication are complete, true and
corr�ct.
APPlica�nt's Signatur.e: Date:� r�a�il. :��
_
DATE TIME
CITY OF ORONO CALLED IN l/2-9� �-�' O�
INSPECTION N TI �/� SCHEDULED �/3��` - � ,�o a
PERMIT NO. ��T�' COMPLETED � M
r
ADDRESS ��� I`��l���C� �� ✓�^�-
OWNER CONTR. ��r�.� �
TELEPHONENO. _ __ � 7 �— 3 �� �
� DESCRIPTION Z n —�c _ _
� 01 FOOTING 11 M ANI AL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WEfLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 D 15 SEPTIC INSTALL. 22 FOLLOW-UP
i9 PLUMBiNG RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 P L 36 FOUNDATION/REMOVAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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Q COMMENTS:
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� �KSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
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� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next ins tion 24 hours in advance.473-7357
Owner/Contractor e•
inspector. -
White CopyMspector's File Canary CopylSite Notice
DATE �q TIME
CITY OF ORONO CALLED IN —�O- (J ��
INSPECTION NOT CE SCHEDULED `1- a 3-98 .��
PERMIT NO. COMPLETED �
ADDRESS
OWNER ��c.d-o�-�_ CONTR. J
TELEPHONE NO. �7�- �3�U /
� DESCRIPTION ' `
� 01 FOOTING 11 MECHANICAL RI /I GU a 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 AL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 D - L �^t„A� 15 SEPTIC INSTALL. 22 FOLLOW-UP
� 09 PLUMBING RI u�� 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 P AL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMME S:
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d ORK SATISFACTORY:PROCEEO ❑ PROJECT COMPLETE
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� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFOREC01/ERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WiLL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cali for the n xt inspection 24 hours in advance.473-7357
OwnerlCon or s' e-
Inspector:
WhNe Copyll�spector's FlI Caeary Copy/Site Notice
DA E TIME
CITY OF ORONO CALLED IN 3 — � I � �
INSPECTION N TICE SCHEDULED �� ��.'.�"d
PERMIT NO. � O COMPLETED
ADDRESS N�� �- ����
OWNER�� �R.�.6''U CONTR. �����'"R'�'`t� `{�9`"
TELEPHONE N0. T �_�� �'�
� DESCRIPTION
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
h
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-LP
= 09 PLU 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OW CTOR TO MEET YOU:_YES_NO
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� COMMENTS:
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d WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for e n t inspection 24 hours in advance.473-7357
OwnerlContr r
Inspector.
White Copyllnspector's F � Canary Copy/Site Notice