HomeMy WebLinkAbout1994-006190 - plumbing PERMIZ' ►
� CI�Y OF ORONO PE�nn�� ��P�:
2750 Kelley Parkway • P.O. Box 815 Permit Number: =�����" `�'"
Orono, Minnesota 55356-0815 `-"-}�=��'��-`
(612) 473-7357 . Date Issued: !v}F_,��,i j:..,,
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
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CITY OF ORONO APPI ICATION FOR PLUMBING PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMATION
1. You may apply for plumbing pemuts by mail or in per•son at the City offices.
2. Pernut cards will be sent by retum 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 pernuts 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 r.iust be done in accordance with the State C'ode requirements.
G. A.i WOin II'iUSt 13C ll1SF.ected and ai:tested before it is r;�,�ered. Call 473-735'. 24-hour notice required.
Instructions Complete all items on this application. Compute the permit fee. Sign and date
the certification. INCOMPLETE APPLICATIONS `�ILL NOT BE PROCESSED. If you have
questions, call 473-7357.
Please check one: New '��Additi on Repair Replace
Residential Commercial
JOB SITE• ' Zip:
Owner's Name: � Telephone Number:
Mailing Address: City: Zip:
Contractor'sName: TelephoneNumber:
MailingAddress: . City: � �Zip:
PLUMBING FIXTLIRE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
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Water Cioset -;� Sewe. Ejecto.
Lavatory � Laundry Tray
Bathtub Washer
Shower � Water Heater
Kitchen Sink Water Softener
Disposal Wet Bar
Dishwasher Floor Drains
Sillcocks � Misc (list)
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PERMIT FEE CALCULATION
1. � 1.25% of Contract Price* or Minimum Fee ($35.00)
x 1.25 $
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $
(contract price)
3. Posta�e and Handlin� (Oni'.y mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (��dd lines 1-3 above) $
* CONTRACT PRICE or JOB COST means the actual or estimated dollaz amount charged for the permitted
work including materials, labor, F�rofit, 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 reason able market value of such items must be added to the estimated cost
or c�r.�.act g:i:,;:fo:per.-nit fez�ury�scs. In t:.e e�ent that therc is a dispute on die unou,it oi the job cos[,
the City may request the submissio�l of a signed copy of the actual contract.
** The STATE SURCHARGE is .00G'S of the contract price under $1,000,000 or $.50 - whichever is
greater. For valuations over $1,OOl�`,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 orciinances of the City and the regulations of the State of
Minnesota, and certifies that all state��ents made on this application are complete, true and
correct. ��� 1
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Applicant's Signature: /
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� � Date:
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DATE TIME
CITY OF ORONO CALLED IN .-Z� 1n
INSPECTION NOTICE SCHEDULED ', � .-Z� �K �—
PERMIT N4. 'G� C MP�ETED � d _
ADDRESS S �Z4-� � ' '
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OWNER CONT[�.
TELEPHONE NO. ��Cc - �JO =�7 �
� DESCRIPTION ���0�:�.��%
� Ot FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GFADING/FILLING
� 03 INSULATION 24125 WOOD BURNER/FIFiEPLACE 19 LAKESHOREIWETLANDS
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Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVA�
Q 05 FINAL 13 METER SETITURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
J 07 D — AL 27 SEPTIC MAINL 21 COMPLAINT
= 09 PLUMBING RI �.�-��-L�5 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMB FINAL 23 SEPTIC FINAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
,� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
j ❑CORRECT WORK,CALL FOR REIN&PECTIGN TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN_ HOURS. C pHOTO TAKEN
INSPECTOR WILL RETURN
C CITATION ISSUED
❑STOP OROER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next ins tion 24 hours in advance.473-7357
OwnerlContracto o ite:
Inspector.
White Copyllnspector's File Canary CopylSite Notice