HomeMy WebLinkAbout1997-009717 - plumbing , . PERMIT
' �IrtY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 -
Crystal Bay, Minnesota 55323 Permit Number:
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(612) 473-7357 Date Issued: _
SITE ADDRESS:
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DESCRIPTION:
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I REMARKS:
FEE SUMMARY:
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CONTRACTOFi: - � - �— OWNER:
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE � �
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C1TY OF URONO APPLICATION FOR PLUMBING PERMIT
Box fi6 (2750 Kelley Parkway) � ��
Cry�stal Bay, MN 55323
GENERAL IN��'ORMATION .
1. You maY ap�ly for plumbing permits by mail or in person at the Ciry offices. -
2�. Permit cards will be sent by retum mail after a review is completed. � PERMTTS 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 properry owners residing
in the dwelling.
4. When any new construction or remodeling is involved, a separate building permit must be obtained.
5.. AIl 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.
Listructioi� Complete all items on this application. Compute the permit fee. Sign and date
the certificatioii. �1VCOMPLET�'APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call 473-7357.
Please check one: ; � New Addition Repair Replace
�_Residential � Commercial
JOB srrE:�Rd i�a�h �rr�,��,v� z�p:
Owner's Name���. C`�.,�:sQ ��- TelephoneNumber:
MailingAddre.ss; 'l�nz i.�� �c��"'��.,✓. City:v.'� Zip:��1,�;
Contractor'sName: � r TelephoneN er:
MailingA.ddress:l�d► �(`cl:��n�k,,-a c,a P� City: M;rv��'�aZip: � ��.4�
, . PLUMBING F�TUR�.SCHEDULE
; FIXTURE BS�VIT 1ST 2ND OTHER FIXTURE BSIVIT 1ST. . 21�;D OTHER
TYPE FL FL TYPE FL FL
Water Closet , Floor Drains `
I.avatory � : �
. Bathtub _ . l
� ' Laundry Tray '.
Shower � � Washer
� Kitchen Sink Water Heater ` �
Disposal Water Softener
Dishwt�sher J Wet Bar _
Sillcocks Misc (list) �
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PERNIIT FEE CALCULATYON
1. 1.25� of Contract Price* or Minimum Fee ($35.00)
�fl� dUl� x .0125 $ ��j�j `
(contract price)
2. State Surcharge. ** Add the State Building Code Division
' Surcharge to'each permit.: �1�, dp3 � x .0005 $ �,'�
(contract price)
or $.50, wluchever is greater
3, Posta�e and �Iandling {Only mail-in applications) $ " `i"�'6-
4. TOTAL PF.RMIT FEE . (Add lines 1=3 above) : $
* CONTRACT PRICE or JOB COST meaas the actual or estimated doIIar amount chazged for the permitted
: work including materials, labor; profit, and other fixed co�ts. It is the-amount to be charged to'the
customer for the work done. If any mater'tal, equipment,labor,or iastaliation aze furnislied by the.owner,
tcnant or aay other party the reasoaable inarket value of such items must be added to th�.esumated`cost
or contract price for permit fee purposes.'In the event that there is a dispute on the amount of ihe job cost,
the Ciry may request the submission of a signed copy of the actual contsact,
** The STATE SURCHARGE is '.0005 of the.contract price under$1,000,000 or $.50 - whichever is
greater. For valuations over�1,OOO,U00 call the Department of Inspectional. ServiCes for,�lie�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 3tate of
Minnesota, and certifies that all statements made on this application are complete, true'aad
' ,correct. �
` Applicant's Signature:���,�.:�.�,��,� �Date � ��
DATE TI E
CITY OF ORONO CALLED IN //-a�-97 ��
INSPECTION NOTICE SCHEDULED 1/ -d6-91 '�Y
�ERMIT N0. COMPLETED �_ '7.
T
ADDRESS O
OWNER CONTR. �
TELEPHONE NO. __ 7 3� �7 � 7
� DESCRIPTION (,�l/f //�,�7�f
� 01 FOOTINO 11 MECHANICAL RI 1 B IXCAV/(iRADIN(3/FILLINO
y 02 FRAMINCi 13 MECHANICAL FINAL 79 LAI�SHORENNETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE HEMOVAL
Z 04 WALL BD. 12 WATER MOOK-UP 17 SITE INSPECTION
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= OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
�` 07 DEM�SITE 27 SEPTIC MAINT. 21 COMPLAINT
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�Q 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
9f'Cl7AI 0 R 23 SEPTIC FINAL � 35 HARD COVER REMOVAL
v 10 PLUMB AL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO\
� COMMENTS:
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� �WORK SATISFACTORY:PROCEED �ROJECT COMPLETE
W �CORRECT WORK&PROCEED u ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. L PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR =CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next ins ction 24 hours in advance.473-7357
OwnerlContract �te:
Inspector.
YVh1te Copyllnspector's File ` Canary CopylSite Notice