HomeMy WebLinkAbout1998-010052 - plumbing PERMIT
CITY OF ORONO PERMIT TYPE: ��t t_;���;;��i�
2750 Kelley Parkway- P.O. Box 66
Crystal Bay, Minnesota 55323 Permit Number: ;;�,t;�i�?�i°
(612)473-7357 Date Issued: i�:;;��_�;��;:-:
SITE ADDRESS:
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FEE SUMMARY:
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APPLICANT/PERMITEE SIGNATURE � ISSUED BY:SIGNATURE
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CITY OF URONO ' APPLICATION FOR PLUMBING PERMIT
�ox b6 (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 be sent by return mail after a review is completed. PERMITS ARE NOT VALID
� UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE P�RMIT CARD IS
POSTED 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. All work must be done in accordance with:he State'Code requirements.
6. All work must be inspected and air tested before it is covered. Ca11473-7357. 24-hour notice required,
Instructioi�a Coaiplete all items on this application. Compute the permit fee. Sign and date
the certificatioii. INC0119�LET� APPLICATIONS WILL NOT BE PROCFSSED. If you have
questions, call-473-7357.
Please check one: �_ New Addition Repair Replace
�,_ Residential CommerciaT
JOB SITE: I� a'�'h. �rn�,�L. �v`� Zip:
Owner's Name:������.�� ��,�� TelephoneNumber:
Mailing Address:l�scz-aa,,a �.�v.� City�,,�� Zip: ��13
Contrac#��r'sName. � � ��,, 'TelephoneNumber: q�,����'�
MailingA:ddress:�� -t�, v.. � °� Citys '�}� Zip:��_-���
PLUMBING F�1'URE SCHEDULE
FIXTURF 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 f'��-
Kitchen Sink � 'Water Heater
Disposal Water Softener
Dishw,�sher Wet Bar
.s �
Sillcocks Misc (list)
'"� <:��V.��t�" �'�"t'�.�"
_._____________
�--.__�__....._ ....__.... ..______ -------
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee 35.00
'� `� x .0125 $ `�.•� ,� � .
(contract price)
2. State Surcharge. ** Add the �tate Building Code Division �
. Surcharge to each permit. ����� - x .0005 $ ,1 � -
(contract price)
or $.50, whichever is greater
3. Posta�e and Handlin� (Only mail-in applic�tions) $ ''i!�9 '
4. TOTAL PERNIIT FE� (Add lines l-3 above) $ /E,_�.�+�
* CONTRACT PRICE'or JOB COST means the actual or estimated dollar amount charged.for,the permitted
v�o�k including.materials, labor, profit, and ott�er fixed costs. It is the amount to be char"`ged to the'
customer for the work done. If any material, equipment, labor,or instailation are furnished by the ow.uer,
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 Ciry 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 cal�l the Department of Jnspectional Services for the grice.
The undersigned hereby applies to the City for issuance of a Plumbing Perrnit, agrees to do all
work in.strict accordance with the ordinances of the City and the regulations of th� State of
Minnesota, and certifies that all statements made on this ap.plication are complete, true and
correct.
APPlicant's Signature:�i. � � � ' .1/t Date: ` ��
°�i jTE ��
CITY OF ORONO CALLED IN
INSPECTIONNO.TIC SCHEDULED --Z�t�u' �-'O�
PERMIT NO. C�' � S � COMPLETED
ADDRESS �J C�UC�Y�IL ��
OWNER CONTR. � j���1
TELEPHONE NO. ( 3 � -- 7 7�
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRAOING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 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
v 07 - 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBWG RI_ � 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTpACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� ❑ CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. pHOTOTAKEN
INSPECTOR WILL RETURN
C7 STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
C] INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContractor sit�
Inspector.
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN ��
INSPECTION NOTICE SCHEDULED � � � � �?
PERMIT NO. /DC��� COMPIETED
ADDRESS •
OWNERt�Q� CONTR..�� �«-✓
TELEPHONE NO. 9 J�.3 �� �7/ �
� DESCRIPTION �¢.�.c�.,�.�� ���_�jl/�a��,�,
�
l� 01 FOOTING 11 lv1ECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINA� 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
OCORRECTUNSAFECONDITIONWITHIN HOURS. pHOTOTAKEN
INSPECTOR WILL RETURN
' CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
Ci INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContra si :
Inspector. ���� `
White Copyllnspector's File Canary CopylSite Notice
DATE TIM
CITY OF ORONO CALLED IN �sz__,[� � C2� C�rvj
INSPECTION NOTICE SCHEDULED i�-J � � •` ) �
PERMIT NO. D l�0=�� COMPLETED _ir� �_
ADDRESS Y� '-- �LC��- ' C�
OWNER C�-r. �- �LCO CONT . � c- '►�-- � �`
TELEPHONE N0. �.3J�� 7 7 / 7
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING ��lPIAI� 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
� 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
MBING FINAL 36 FOUNDATION/REMOVAL
Q WNERIC TRAC O MEET YOU:_YES_NO
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INSPECTOR WILL REfURN � PHOTO TAKEN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOA RANGEACCESS.
Call for the ion 24 hours in advance.473-7357
OwnedContrac r o � .
Inspector. �
Whiie Copy/inspector's File Canary Copy/Site Notice
/,, DATEq p TIME
CITY OF ORONO CALLED IN w"- 3— ( O �'�Q �
INSPECTION NOTICE � SCHEDULED � �•���
PERMITNO. `�C�Ga� COMPLETED G �
ADDRESS I�3� :�� ' lNv'l'n � .JWv`'��
OWNER CONTR.
TELEPHONE NO.
� DESCRIPTION a��e� `� C�E�I�( V�� ���
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL �SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
Q
�Ly�LUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
�L��IvCPLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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❑CORRECTUNSAFECONDITIONWITHIN HOURS. pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContra si �
inspector. �� �
White Copyllnspector's File Canary CopylSite Notice