HomeMy WebLinkAbout1999-011692 - plumbing PERMIT
CITY OF ORONO PERMIT TYPE:
.. 2"Y50 Kelley Parkway- P.O. Box 66 ��;_i r;•;:�:�t:�iw,
Crystal Bay, Minnesota 55323 Permit Number:
.";i i ���:;�"+
Date Issued: �`�`.` `�'�`��
(612)473-7357 �.�; ;''m:'�':'�:':_�
SITE ADDRESS:
_,_`-!t f i yf_';(�` f i i �����__�+.``.�.� �:3�i
i y,�
_ . . . . . _ .. _. _ . L_—1�1_.t�i t 7 i i_i
DESCRIPTION:
-— F i �. _. ._ �
`'�.}.,fCIiC31�"?'� i'=?'ti4 i T. !t�`. � ` �{j��E_3j-s`�'-,`•_,
�`11����1�;t i �-��� ;�i:T;.�F:. #:��� ','�`_�j�.i���f�:�-
_ �f�i t�i=i i_�i i'._�E'� _ L�<`v H S i i;�i Y _ 1.`is�i�i-!!�_'��
1i .`�.t-ii_l���'i t'.,: 1 [.r'�t;�.5 _.i r1fl��., 9 f: `.-�i-`I,,€:_,;_::.-
L�r!i t1i'�S:�;i'TL�;`���. �f _+�t_�y.�.��.��s_f'•.•_+ y Ye'�•_��#�i�.
_ t�1H :r�' !-:��?Tt�:
REMARKS:
FEE SUMMARY:
i�j-i�,,:3�; � �:_f�y i•1 ,:�.j;1i3(!
��.�r Tt,= �-ur� �:x 1 ri _;_}t J
`.-�t�:i t"Ic?j''1'�` _._.__._._. _...�� `.s{.s
i F_t f.:{: �r F�= '•I��__�._�f)
CONTRACTOR: — r=-�:=��� =:�:��-�i. — OWNER:
_ :. . _'`°��:�:�;:�;���if:r��, ����,�,��i�,::ii � -.���t::���:�:�' +�������ij� t; }"��_;��,�=fi:T;�;�=:�,
_ . .._ r�;=t::'4 �i�`-�l� i�i'd� i�`. _ -::;,�;_i i:�i_sii�i� ���1�EI�� l.�•1;
�.:�i'i�i.�='1 !_: �'>#�v ;:i:'_'�.:: _.ti-i:_#:'y1_t tr:�i ��.•:=�ma;
_ ...._. . '_'__."'��`�i=
f�� T�•!�{#..�t,.!'i.,��,��_i<'��� :��F����r�� :'l��a�i:F' . . �'_..�'iF'�1 . W�.�.;...�tK �:�,f �'i�*�'•.� !i St'. .'t.�7-'�.... � .f . .. .',..i�. .e., f�,t . _
�_�'��I�I EC# �tyQ A�"��EE^_ �"�wr �:i��►�::i.�;M t.�:i���=;{:: i[e( ��;`�'.�','T�:T �.€��!'?�'!._�.;a;..is�:::: _ : -� �'�� ; W . . i i�
� �:��'����r�i :����IN�l+I�:�'=; ��t�?C� �:�`.� � r_ ___� �" � _.- _ . . } _ _ _.- -t�t; � �_;��_- �: . _ _ . .�.. �. . . w . �
�� ����i
APPLICA /PERMITEE SIGNATURE ISSUED BY:SIGNATURE
I
�//��� j
. ^ !
' i
� /,�� � �
;
CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
;
Box 66 (2750 Kelley Parkway) �
Crystal Bay, MN 55323
GENERAL INFORMATION
1. You may apply for plumbing permits by mail or in person at the City offices. ;
2. Permit cards will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID i
UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS I
POSTED ON THE JOB SITE. �
i
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. Ali 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 249-4600. 24-hour notice required.
Instructions Complete all items on this application. Compute the permit fee. Sign and date ,
the cert�cation. INCOMPLETE APPLICATIONS WII,L NOT BE PROCESSED. If you have
questions, call 249-4600.
Please check one: New Addition Repair Replace �
� Residential Commercial
JOB SITE: �j�p g� Zip:
O�vner's Name: �, :��1,�_.a �ac_.�,�,_.,,,^�:�, Telephone Number: .
Mailing Address• /... �,=,.�{.� - • �, City: Zip:
Contractor's Name: �;��� �n��-,,•C�,,,-< ,�T °� Telephone Number: � ��:.� ;���:'�
Mailing Address: �Y/<�� �,. '?, ? A'///� City: !,�1'`�-, Zip: �s���%�
P�.UMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet '' Floor Drains
��
Lavato � � -
ry � Sewer Ejector
Bathtub ,1 Laundry Tray
Shower ! � Washer J
Kitchen Sink '"� Water Heater ;�
Disposal ," Water SoBener
Dishwasher __, Wet Bar
Sillcocks � � Misc (list)
PERMIT I+�E CALCULATION
1. 1.25% of Contract Price* or Minunum Fee ($35.00)
� �.�'��l, -�? x .0125 $
(contract price)
2. State Surcha�e• ** Add the State Building Code Division
Surcharge to each permit. x .0005 $
(contract price)
or $.50, whichever is greater
3. Postage 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 dollar 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 mazket value of such items must be added to the estimated cost
or contract price for pemut fee purposes. In the event that there is a dispute on the amount of the job cost,
the Ci�y 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
conect.
,
Applicant's Signature: r��`�A , �� �-�'�`'"� Date: � �7' `�%
;
,
� v
� DATE TIME
CITY OF ORONO I� � CALLED IN
INSPECTION NOTICE , SCHEDULED ` �� �� ' �'���
PERMIT NO. (b I 1�I � � COMPLETED •—� •�"% �C1
ADDRESS ��`�''l-C� t�=�'-n'ti �c+f �� i�'.
OWNER CONTR. �� � ��' � •
TELEPHONE NO. C� � � �`'�t l(_-S
� DESCRIPTION
LL 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
� 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
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J1 UMBIN 36 FOUNDATION/REMOVAL
Q OWNERICONTRACTOR O MEET YOU:_YES_NO
Z
c„ COMMENTS: � � ' l -
� -
� C-� 'SS R-'r : �'
o ���� ���-� ��-�,S �-
�
� �
� �� '�`% �'1 �t ��. � Gt o�.s
Q 11 � � C�?
� c� S �= sC �sS
z
W
�
W
�
�
d ❑WORK SATISFACTORY:PROCEED C PROJECT COMPLETE
W
� �CORRECT WORK&PROCEED f: ISSUE CERTIFICATE OF OCCUPANCY
W
O Cl CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
Cl CORRECTUNSAFECONDITIONWITHIN HOURS. ,-, pHOTOTAKEN
INSPECTOR WILL RETURN
�' CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
C INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Cali for the next inspection 24 hours in advance. 249-46��
OwnerlContractor on site:
Inspector.��.�� �"�
White Copyllnspector's File Canary CopylSite Notice