HomeMy WebLinkAbout1998-010582 - plumbing 1
PERMIT
� �ITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 �='L���{��I:•�i_
Crystal Bay, Minnesota 55323 Permit Number: �;�,•-:c;^;•_
(612)473-7357 Date Issued: _ _ --- E_-_
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SITE ADDRESS:
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FEE SUMMARY:
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APPLICANTiPERMITEE SIGNATURE � ISSUED BY:SIGNATURE
CITY OF URONO APPLICATION FOR PLUMBING PERMIT
�Sax h6 (2750 Kelley Parkway) �
Crystal Bay, NIN 55323
GENERAL INFORMATTON
1. You may apply for plumbing permits by mail or in person at ttie 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 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 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.
Instrucfiona Coalplete all items on this application. Compute the permit fee. Sign and date
the certificatioii. INCOA�PLET� APPLICATIONS WILL NOT BE PROCFSSED. If you have
quesfions, call 473-7357.
Please check one: New Addition Repair Replace
� Residential Commercial
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b� JOB SITE: � � i2 - ZiP:
,� Owner's Name: � Telephone Number:
J� Mailing Address: City: Zip:
M Contract��r'sName:�' . . c �� � TelephoneNumber: ����;��t�-�
�' MailingA.ddress: ,� � �_ City: '� ;� /�Zip:_�:5-y�;,a�
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� PLUMBING ���TURE SCHEDULE
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� FIXTUR.Fs BSMT-; 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet ( Floor Drains
Lavatory ( Sewer Ejector
Bathtub � Laundry Tray
Shower Washer
Kitchen Sink ' � Water Heater
Disposal � Water Softener
Dishw.�sher � Wet Bar
Sillcocks Misc (list)
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.001
� `�, ?lfr;``��:-- x .0125 $
�(contract price)
2. State Surcharge. ** Add the State Buildin� Code Division
Surcharge to each permit. t' `� .��;�.f�` _ x .0005 $
' (contract price) �
or $.50, whichever is greater
3. Posta�e and HandlinQ (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 inciuding materials, labor, profit, and other fiaed costs. It is the amount to be chazged to the
customer for the work done: If any material, equipment, labor,or ir.stallation are fura+shed 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 peruut 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 $.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 t�iis application are complete, true and .
correct:
Applicant's Signature: �� Date:
f�ATE TIME
CITY OF ORONO CALLED IN U � � � '2�
INSPECTION NOTICE SCHEDULEDQ_ � -�'�
PERMIT NO. Ul U.J B�y COMPLETED !/� _ • ���'
ADDRESS .3��� /5�0. �✓�-�'
OWNER�Q�n/ �4-P��� CONTR. .�-�b'��@-f.�.`�L �(��(�t�►.y� '
TELEPHONENO. X�� � OS?
� DESCRIPTION — �L
� 01 FOOTING 1 MECHANICAL RI 18 EXCAV/GRAD�NG/FILLING
Q 02 FRAMING INAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 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 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED �; ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WOFK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. �, pHOTOTAKEN
INSPECTOR WILL RETURN
C CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cail forthe ne inspection 24 hours in advance.473-73�J7
OwnerlContra n e:
Inspector.
White Copyllnspector's Fil Canary CopylSite Notice
DATEQ TIM ,,�
CITY OF ORONO CALLED IN /� "-� /� � - � �7
INSPECTION NOTICE SCHEDULED %� -� -�'i� :=�
PERMIT NO. [1�/�� �� connP�ErEo � �_
ADDRESS
OWNER ' z-��-, CONTR,s,��n.-u:��i�-c-c.c-rz. �`/�Jn.
TELEPHONE NO. � S ' ...�U 5')
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FIL�ING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q 05 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 PLUM I 23 SEPTIC FINAL 35 HARD COVER REMOVAL
�� PLUMBING FINAL 36 FOUNDATION/REMOVAL
� �tlVf1ERl6ANiliAGIQRTOIUEET YOU:_YES_NO
� COMMENTS:
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� ❑ CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑ CORRECT UNSAFE CONDITiON WITHIN HOURS. ,`, PHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR '=� CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next ins ction 24 hours in advance.47�7S�J7
Owner/Contra on ite:
Inspector. .
White Copyllnspector's File Canary CopylSite Notice