HomeMy WebLinkAbout1998-010890 - plumbing PERMIT
� CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 '��'--{-'���'�'"�'
Crystal Bay, Minnesota 55323 Permit Number: t�;�.t�;;=;��i�
(612) 473-7357 Date Issued: �:��;j�t�;f�;;;;
SITE ADDRESS:
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REMARKS:
FEE SUMMARY:
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APPLICANTiPERMITEE SIGNATURE ISSUED BY:SIGNATURE
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CITY OF URONO APPLICATION FOR PLUMBING PERMIT
�ios b6 (27�0 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMATION
1. You may apply for plumbing pecmits by mail or in person at the City offices. .
2. Permit cazds 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 separate 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.
Instructioii� Coa�pletP all items on this application. Compute the permit fee. Sign and date
the certificatioii. INCOA9?LET� APPLICATIONS WILL NOT BE PROCFSSED. If you have
questions, ca11473-7357.
Please check one: New _�Addition Repair Replace
� Residential Commercial
JOB SITE: ,�^ � � _ Zip:
Owner's Name: ; elephone Number.
Mailing Address: City: Zip:
Contract�ir'sName: ���, �,� ,c�,� Tele honeNumber: 2,/��/'-a��',S;sr'
MailingA.ddress:�37�.{Jc��r���>���, �, City: � Zip: .�,_ ,�; �
PLUMBING b'IXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND ` OTHER FIXTURE BSMT IST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
Lavatory Sewer Ejector
Bathtub Laundry Tray I
Shower Washer
Kitchen Sink Water Heaier
Disposal Water Softener
Dishw�+sher Wet Bar
Sillcocks Misc (list)
PERMIT FEE CALCULATION
1. 1.25°k of Contract Price* or Minimum Fee ($35.001 �
. 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. Postage and Handling (Only mail-in applications) $ 1.50
4. TOTAL PERNIIT FEE (Add lines 1-3 above) $
* CONTRACT PRICE or JOB COST means the actual or estimated dollaz amount chazged for the permitted
work including materials, labor, profit, and other fixed costs. It is the amount to be chazged to the
customer for the work done. If any material, equipment, labor,or installation aze fumished by the owner,
� tenant or an�y 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 ca11 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: i!�2� Date: l� �U
DATE TIME
CITY OF ORONO CALLED w ���/� s.r
INSPECTION NOT CE SCHEDULED !i��,�/s'd //c C�v
PERMIT NO. I C� COMP ETED
ADDRESS % � � �� '
OWNER CONTR. ��'
TELEPHONE N0. �o�� -�") �•� J
� DESCRIPTION �
L� 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/FIREPLACE 34 TREE REMOVAL
Z 04 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
� 07 D - 15 SEPTIC INSTALL. 22 FOLLOW-UP
Q
09 PLUMBING 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J INAL 36 FOUNDATION/REMOVAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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�ORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W
W ❑ CORRECT WORK&PROCEED C. ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR C CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
Owner/Contractor s :
Inspector.
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