HomeMy WebLinkAbout1996-007653 - plumbing �'ERMIT
, � Ci�Y OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 Permit Number: `�� '"�-
Crystal Bay, Minnesota 55323 s��:x���__�+�='
(612)473-7357 Date Issued: _
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SITE ADDRESS�
DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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APPUCANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE �, '
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C1TY OF ORONO APPLICATION FOR PLUMBING PERMIT
I3ox 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENGRAL INI'ORMATION
1. You may apply for plumbing permits by mail or in person a[ the City offices.
2. Permi[ cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIIV UNTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. I'lumbing permits may be issued ONLY to licensed plumbing contractors and to property owners residing
in the dweliing.
4. When any new construction or remodeling is involved, a separate buildi��g permit must bc obtaincd.
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.
Instructions Complete all items on this application. Compute the permit fee. Sign and date
the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCFSSED. If you have
questions, call 473-7357.
Please check one: New �Addition Repair �V Replace
+�Residential Commercial
JOB SITE: J �� � � - � ���� Zip:
Owner's Name: Telephone Number:
Mailing Address: City: Zip:
Contractor'sName: �.{� � -t � d-. TelephoneNu>>ber: �3 -9,�Z�
l�iai(ingAddress: � � g x _City: �it� Zip: ���iu.�5�`�C
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PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OT�iER FIX'I'URE BSMT 1ST 2ND OTHER
TYPE PL FL TYPE FL FL
Water Closet Floor Drains
Lavatory Sewer Ejector
Bathtub � Laundry Tray
Shower � Washer j
Kitchen Sink Water Heater �
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Misc (list)
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PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or 'nimum Fee 35.00
a��'��O: �%'� x .0125 $
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $
(contract price)
or $.50, whichever is greater
3. Posta�e and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $
* CONTRACT PRICE or JOB COST means the actuai or estimated dollar amount charged for the permitted
work including materials, labor, profit, and other fixed costs. It is the amount to be charged to the
customer for the work done. If any material, equipment, labor, or installation are furnished by the owner,
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 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.
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n sSi nature: /1�-E%�X ✓� Date: � ��
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DATE TIME
CITY OF ORONO CALLED IN '"����
INSPECTION NOTICE SCHEDULED `� " / % 3 G
PERMIT NO. '7G-`�3 COMPLETED L t i�
ADDRESS �� � ZL�-`�- '��.-�� ���
OWNER �'7�r_��,yv.1� CONTR. � cc�a. �
TELEPHONE N0. � 7 3'� ������
� DESCRIPTION �/���
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/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 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
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? �-PCUM�ING RI ` 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J �TO PLt7�JIBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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d ,F�WORKSATISFACTORY:PROCEED C PROJECTCOMPLETE
� ❑CORRECT WORK R PROCEED G ISSUE CERTIFICATE OF OCCUPANCY
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� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ,_ pHOTOTAKEN
INSPECTOR WILLRETURN
❑ STOP ORDER POSTED.CALL INSPECTOR
C CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
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OwnerlContractor r�-si�e:
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Inspector. � -
White Copyllnspector's File Canary Copy/Site Notice