HomeMy WebLinkAbout1999-011138 - plumbing PERMIT
CI�Y OF ORONO PERMIT TYPE:
�750 Kelley Parkway- P.O. Box 66 - .. -��x-:f;��+�:
Crystal Bay, Minnesota 55323 Permit Number: V-
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(612) 473-7357 Date Issued: _ _ - _ _ "'- _
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SITE ADDRESS:
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REMARKS:
FEE SUMMARY:
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APPLICANT-PERMITEE SIGNATURE ISSUED BY:SIGNAT RE
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C1TY OF URONO APPLICATION FOR PLUMBING PERMIT
�.tnx fi6 (2750 Kelley Parkway) �
Crystal Ba,v, NIN 55323
GENERAL IlVFORMATION -
1. You�may apply for plumbing permits by.mail�or in persoa at ttie Ciry offices.
2. Permit cards will be sent by return mail after a review is completed. PERMTTS ARE NOT VALID
UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Pli:mbing p�rmits may be issued ONLY to licensed plumbing contractors and to property owners residing
i.; che dwelling.
4. When any new construction or rcmodeling 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. Ca11473-7357. 24-hour notice required.
Instructio�i3 Co�plete all items on this application. Compute the pernut fee. Sign and date
the eertificatiou. INCOA�PLET� APPLICATIONS WILL NOT BE PROCFSSED. If y�u have
questions, cail 473-7357.
Please check one: New Addition Repair ✓Replace
� Residential Commercial
JOB SITE: 3:�c� �ar�r� S�.ov�� �s'>. Zip►
Owrier's Name: , Telephone Number:
Mailing Address: Cit3': ZiP:
Contractor'sName: ( TelephoneN �b��er: 3�6 - 5y3-3�95�
MailingA.ddress: Ssdd s . City: f��u��'�c-Zip: S`�s a Y p
PLUMBING �'1XTURE SCHEDULE
FIXTUR.F BSMT 1ST 2ND OTHER FIXTURE BSMT 15T 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet � Fioor Drains
Lavatory t Sewer Ejector
Bathtub Laundry Tray �
Shower � Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwa�sher 'Wet Bar
Sillcocks Misc (list)
PERNIIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee l$35.00)
gas, °� x .oi2s $
(contract price)
2. State Surcharge. ** Add the State Building Code Division .
Surcharge to each.permit. x .0005� $
(contract price) _ .
or $.50, wluchever 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 actual or estimated dollaz amount chazged 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 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 $.30 - whichever is
greater. For valuations over$1,a00,000 call the Department of Jnspectional 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: Date: I' �' p �
_DI AT_ E _ „ rTl�
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CITY OF ORONO CALLED IN «. �
INSPECTION NOTICE SCHEDULED I - �1 - �/�t //.'av am
PERMIT NO. C�(� � 3� COMPLETED .�_
ADDRESS �
OWNER CONTR.� �
TELEPHONE NO. ��3 " 3`�9 �
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� DESCRIPTION �
W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WEfLANDS
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O 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
Vt�09 P�MBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J ��P 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
c�n COMMENTS:
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W� �WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
�CORRECT UNSAFE CONDiTION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the ext inspection 24 hours in advance.473-7357
OwnerlCon o site:
Inspector.
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