HomeMy WebLinkAbout1999-011180 - water closet PERMIT
CITY OF ORONO PERMIT TYPE: . ._ ._
2750 Kelley Parkway- P.O. Box 66 i=���i i;�;�T;•�i;
C�;s�al Bay, Minnesota 55323 Permit Number: ;:;# � ; ;_i;_;
� (612)473-7357 Date Issued: -. - -� -
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SITE ADDRESS:
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REMARKS:
FEE SUMMARY:
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APP ANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
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C1TY OF URONO APPLICATIbNFORPLUMBINGPERMIT
}!oY h6 (27�0 Ke11ey Parkway) .
Crystal Bay, NIN 55323
� GENERAL INFORMATION � .
1. You may apply for plumbing permits by.mail or in person at tlie Ciry officies. �
2. Permit cazds will be sent by retum mail after a review is completed. PE1tMITS ARE NOT VALID
UNTIL YOU'RECENEA PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS
POSTCD ON THE JOB STTE.
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. Call 473-7357. 24-hour notice required.
instruction� Coaiplete all items on this application. Compute the pe�nit fee. Sign and date
the certificatiaii. INCOD�lPLET� APPLICATIONS WILL NOT BE P�tOGESSED. If you h�ve
,.
questions, call 473-7357. '
Please check one: New Addition Repair - Replace
' Reside' tial Commercial
IT�• . � � '
JOB S . � P•
Owner'sName: ` TelephoneNumber: _ :
Mailing Address: ` City: Zip: �
Contractor'sName: � TelephoneNi�mber: ` ��� _
MailingA.ddress: ' ,� Q City:_�' IL�Z�p: �S3 Z
PLUMBING FII�TURE SCHEDULE
� � �- : t �
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FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMfi`. 1S'� 2ND O'C�E�t
TYPE FL FL TYPE , , FL FL
Water Closbt ( Floor Drains
Lavatory •, ' _ Sewer Ejector: : :
Bathtub . _ Laundry Tray : �
Shower Washer
Kitchen Sink > Water Heater
Dispbsal . Water`'Softener
Dishws�sher ,' Wet Bar . ,
Sillcocks Misc (list)
PERMIT FEE CALCULATION
1. 1.25% of Cont.�act Price* or M'mimum Fee 35.0 ,-
X .oi2s $ 3 J �oz�
(contract price)
2. State Surcharge. ** Add the State Building Code Division
. . .�
Surcharge to each permit. . x� .0005. $ : • -�-3�
� _ .(contract price)
or $.50, whichever is greater
3. Posta,ge_and Handling (Qnly mail-in applications) $ '�
4. TOTAL PERMIT FEE ' (Add lines 1-3 above) $ ��5. ?3
* CONTRACT PRICE or JOB COST means the actual;or estunated dollar amouat chazged for the.permitted
work including materials, labor, profit,: and othec fiaed costs. It is the amount to be chazged to the:
customer for the work done. If any material,equipment, labor,or installation are furnished by the owner,
tenant or any other parry the reasonable market vaiue of sucti items must be added to the estimated cost
or contract price:for permit fee purposes: Im 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 call the Department of Inspectional Services for'the price.
The undersigned hereby applies to the City for issuance of a Plumbing Pernut, agrees to do all _
work in stri�t accordance with the ordinances of the City and the regulations of the State of :
Minnesota, and certifies ttiat all statements made on this application are complete, true and '
co�rect. . , : :
�
APPlicant's Signature: Date: � —v� -" �
DATE � TIME
CITY OF ORONO CALLED IN '�� ' .�Lv
INSPECTION NOTICE SCHEDULED / � a /CI.'�Ua�i
PERMIT NO. ��IG,� COMPLETED , �
ADDRESS� ��^7� `�-�h-EL"E� `�-� i.-Y��
OWNER CONTR. ����-2'-�� ���..
TELEPHONE N0. �`�� Gl �C - C�"c ��
� DESCRIPTION
t� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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Q 03 INSULATION 24/25 WOOD BURNER/FIREPIACE 34 TREE REMOVAL
Z 04 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 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
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� LUMBING R � 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAI 36 FOUNDATION/REMOVAL
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� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W WORK SATISFACTORY:PROCEED Cl PROJECT COMPLETE
� �CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. i- pHOTOTAKEN
INSPECTOR WILL RETURN [- CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContract n 't .
Inspector. �
White Copyllnspector's File Canary Copy/Site Notice