HomeMy WebLinkAbout1993-005004 - plumbing PERMIT �
� �II�Y OF ORONO ��aru-� ;YP�.
1335 Brown Rd. South • P.O. Box 66 Permit Nun,c�; #�`�.ljf�i��1 t���
Crystal Bay, Minnesota 55323 Date issued: ''{'�`}+'�
(612) 473-7357 ���:=�:':�,°�?�a:=t '
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
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CITY OF ORONO APPLICATION FORPLUMBING PERMIT
Box 66 (2750 Kelley Parkway) .
Crystal Bay, MN 55323 M A R � 8 ��ac��
GENERAL 1NFORMATTON
1. You may ap�ly 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 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 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.
Instructions Complete all items on this application. Compute the permit fee: Sign and date
the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call 473-7357.
Please check one: � New Addition Repair Replace
Residential Commercial
,Jos sTrE: /�CvO /�o`eT 1�e,m � zip: 553Z�
Owner's Name: q Telephone Number:
Mailing Address: �,�.,.,,,� City: OQp�j Zip:
Contractor'sName:'���10;�,����„S�,y�,TelephoneNumber: ����5�,(�
MailingAddress:`L.Z� �wcJ /D ,�1� City. ' Zip: ��S/?�Z.
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet '�, Sewer Ejector
Lavatory Laundry Tray
Bathtub / Washer
Shower Water Heater
� Kitchen Sink , Water Softener
Disposal Wet Baz
Dishwasher � Floor Drains
Sillcocks Misc (list)
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PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
�. 8bo .oo X i.2s $ �7. 50
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. �,�300• 00 x .0005 $ J�• ��
(contract price)
3. Posta�e and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERNIIT FEE (Add lines 1-3 above) $ /d o�� g�
* CONTRACT PRICE or JOB COST means the actual or estimated dollaz amount chazged for the permitted
work including materials, labor, profit, and other fued costs. It is the amount to be charged to the
customer for the work done. If any material, equipment, labor,or installation are fumished by the owner,
tenant or any other party the reasonable market value of such items must be added to the estimated cost
or conuact 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 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 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: Date: � '
!�
AT TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDUIED 3 .3:8a
PERMIT NO.��4b S� COMPLETED k '�
ADDRESS �
OWNER CONTR.
TELEPH NE NO. '�Ig.3 '�'lO�O
� DESCRIPTION,�Z�i�_iZ�J
� 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
y 03 INSULATION 2M25 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SET(fURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
J 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= UMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J UMBING FINAL 23 SEPTIC FINAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� �WORK SATISFACTORY:PROCEED O PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL REfURN
�STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance.473-7357
OwnerlContra r site:
inspector.
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