HomeMy WebLinkAbout1997-009805 - plumbing PERMIT
GI'i"Y �''F ORONO PERMIT TYPE:
y ,R7�0 Kelley Parkway- P.O. Box 66 I
Crystal Bay, Minnesota 55323 Permit Number: -
(612) 473-7357 Date Issued: II
I
SITE ADDRESS: I
DESCRIPTION:
. ... _,�'�;��... ... . � . .._ . .-`T. .. r . .. .
. . ,.,. �',e, . ' ,. . . .. . ..
. . ' . , .. ..�.',. .._ j ...- . . . . .. . . ... . , . .
. � . � ... . . . „ . .. ._..
... _. � .�._. . :�� . -�.
i ;_� ; �. ._ . ._ ....; :; .:':
.:
, � � :
, .•._ , r • . ., ; �_. i_ : .:_....,.
REMARKS; ��
FEE SUMMARY:
CONTRACTOR: - . . _ . - OWNER: ,
_ _ _ _ _, ,
�; _
y..
....�� ;. . .", �. ,. : : . ,.,. ... : . ... �,; .
[
. .... .: .-.�. r ... _, .... ..- ....
1!�}_, i+�'� , ,��s.�_ tst�„� r � �i` �,». . _.. "� #+� �i�Y�`.�` n�t�. £":W .'� �:$� . . ...
'=;�—F� �.3 �i?r�1'�� l�� ': �"#.:J �`t�:t ��a}�� �.;.�{Ea��►�� It'� 'w �'��'�` � t`�f��'�,,����� G�� ;�: g� �.._ IT`=
{ ��",1_!F i¢ S !-2r.$i 1�'PI-���d�,C... �t'f�..� }.�,<!��6.w ���fi` €`i..,�,��;.M��,����yt�_ �°.. �. .. t ���.".» �4�.�,���$S'we ���Y�*,*�'.
_ _
�
R ' �
< .
L -J
��� � ����� �.��
APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
CITY OF URONO APPLICATION FOR PL[TMBING PERMTT
�lox b6 (2750 Kelley Parkway)
Cr3'stal Bay, NiN 55323
GENERAI,INFORMATION
1. You may apply for plumbing permits by mail or in person at the Ciry 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 TH� 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 permif:must be obtained.
5. All work must be done in accqrdance with the State Code requirements.
6. All work must be inspected and air tested before it is covered. Ca11473-7357. 24-hour notice'required.
Instractio�a Co:nplete all items on this application. Con�pute the permit fee. Sign and date
the certificatiail. INC011�LET� APPLICATIONS WILL NOT BE PROCFSSED. If you have
questions, ca11473-7357.
Please check one: �New Addition Repair Replace
: � Residential Commercial '
JOB SITE: 3_�����''� t���C_..�t�►V�`� Zip:
Owner's�1ame:�Vsk Wo�o�1e_��az.. . ' Telephone Number:
Mailing Address:l�kt'1�ortlire.'�,'�W. ' City: O�O��,_ Zip: c�5311
Contract��r'sNam . TelephoneNumber: �, ,.1-�11 :
MailingA:ddress: l�� CitY: CR�ka�: ZiP: �53�#�
PLUMBING F�TURE SCHEDULE
FIXTUR.E BSMT 1ST 2ND OTHER FIXTURE ' ESMT 1ST . 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet ' Floor Drains � `
' Lavatory , Sewer Ejector
Bathtub Laundry Tray �
Shower �
Kitchen Sink ' Water Heater
Disposal Water Softener
Dishw,�sher � . Wet Baz .
Sillcocks Misc(list) �'
� t�'� �Gt�"�+�,�R�
a�Cs.
b Pa�+
�� �����.
-�' t��, �ru�w w "`�`'
PERMIT FEE CALCULATION
1, 1.25% of Contract Price�` or Minimum Fee ($35.00) 1
• ..
x .0125 $ O +�V+ ��
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. 1�s�� x .0005 $ . . ; , _
{contract price)
or $.50, whichever is greater
3. Postage'and Handlin� (Only mail-in applications) $ �
4. TOTAL PERNIIT FEE (Add lines 1-3 above) : $ o /'4.�1
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charg-ed 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 aze 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 o�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,OOO,U00 or $:50 - wluche�er.is
greater. For valuations over $1,OQ0,000 call the Department of Inspectional Services for the price.
The undersigned hereby applies to the City for i�suance of'a Plumbing Permit, �grees-to do all
work in strict aceordance with the ordinances of the City and the regulations of the State of'
Minnesota, and certifies that all statements made on this `application are co�plete, rrue and
correct. � ° <
` w�..��a Aate: o -/ '�
AFPI�c,ant's Signature��
DATE TIME
CITY OF ORONO CALLED IN 3� l'`3�'
INSPECTION NOTIC � SCHEDULED � '� �y �3C 4�n
PERMIT NO. ����5 COMPLETED �
ADDRESS "` � ����
OWNER f�� k-- CONTR. � -
TELEPHONE NO. �_ _l � >� � � ( �
� DESCRIPTION
ly 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 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
? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
�_..._...._.....__....__.,
J, LUMBING FINAL � 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
a
� {
� Q.� Q/
�' �- S '_' In. C� �
��
0
� �
W
� — � �f'a
Q
�
z
W
�
W
�
j
d
� ORK SATISFACTORY:PROCEED i PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED I ' ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. — pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for t e in�pection 24 hours in advance.473-73�J7
OwnerlContract n sit =
Inspector.
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN % /�� �/� ' � ri/:'�
INSPECTION NOTICE - scHEou�E� % �-.� � �r.�l ,�_' _��� �i%
PERMIT NO. ��=�1 � COMPLETED
ADDRESS �;//`� �7/��C� ��, y'�`�; f i1- ��.
OWNER � � c-. �, tl � CONTR. �l� �..��� � c,. �` �: �., ,,_
'-T � �
TELEPHONE NO. �/ � � ' ! � / %
� DESCRIPTION C� "_ t -�: c �� '.� v< <�L �_{ t. i„' r.0� ; f ,� ',
� 01 FOOTINO i i t MECHANICAL RI 18 CAV/GRADING/FILLING
y 02 FRAMING 13 MECHANICAL FINAL 19 LAi�SHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q
2 OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
J
W 07 DEM�FINAL ' 15 SEPTIC INSTALL. 22 FOLLOW-UP
_ ,�PLUMBING RI � 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
� �W0. -
�
J
O
�
�
O
�
W
�
Q
�
2
W
�
W
�
j
d f NORK SATISFACTORY:PROCEED PROJECT COMPLETE
W
� C CORRECT WORK 8 PROCEED ISSUE CERTIFICATE OF OCCUPANCY
W
� [:; CORRECT WORK,CA�L FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. - pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR -1 CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next in pection 24 hours in advance.473-7357
OwnerlContract r sit :
Inspector.
White Copyllnspector's File Canary Copy/Site Notice