HomeMy WebLinkAbout1998-009897 - plumbing �� PERMIT
; � CITY OF ORONO PERMIT TYPE: �
2750 Kelle Parkwa P.O. Box 66 ���-�����;����{�
y y Permit Number. �a��`�!���'_��`
Crystal Ba ,.Minnesota 55323 s ;�' �s�<<
�j 473-73�'��. ' Date Issued: ��F� - :�•�- =-�
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FEE SUMMARY: _ _
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE '�:.
C1TY O� URONO APPLICATION FOR PLUMBING PERMIT
�lox b6 (2750 Kelley Parkway) .
Crystal Say, NIN 55323
GENERAL INFORMATION �
1. You may apply for plumbing permits by mail or in person at the City offices.
2. Permit cazds will be sent by return mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE 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 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.
Instruction� Co:nplete all items on this application. Compute the permit fee. Sign and date
. the certificatioii. INCOlV1PLET� APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call 473-7357.
Please check one: New ✓ Addition Repair Replace
Residential Commercial
JOB S1TE: _ 3$Ys' /'L��L .r�,� 9� Zip; sss 6y
Owner's Name: �'�:3z Telephone Number:
Mailing Address• f,.,k� City: oro-.n Zip:
Contract�ir'sName: G���.� �/6� r.� TelephoneNumber: ��a• a s Y r
MailingA.ddress: �y�o ,?edwo•�l' s/ City:�'.�„ t2��•,��, Zip:' .�y,ss
PLUMBING F�TURE SCHEDULE
FIXTUR.E BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet Z, Floor Drains
Lavatory 3 Sewer Ejector
Bathtub � Laundry Tray / .
Shower � Washer /
Kitchen Sink / Water Heater
Disposal / Water Sohener
Dishw:,sher Wet Bar
Sillcocks / Misc (list)
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
gF9e e�, o� x .0125 $
(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.ge 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 chazged 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 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 wnder $1,000,000 or $.SU - whichever is
greater. For valuations over $1,000,000 call tlie 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 aze complete, true and
correct. . �
Applicant'sSignature: _ �/'� � �• /�--� Date: ... �tZ
�
DATE TIME
CITY OF ORONO ca��Eo iN . /-' ' /'�'
INSPECTION NOTICE SCHEDULED � � %3" �-
PERMIT N0. i_s�`i COMPLETED `�'��� r'
ADDRESS �3 ���a' �/�����_, !� < << �
OWNER �r<:� CONTR. ��� .- � ; �:
TELEPHONE NO. �d C.- -"� ''� �'
� DESCRIPTION :• -�. .� , +"r.. �:,
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLINO
�Q 02 FRAMING 13 MECHANICAL FINAL 19 IAI�SHOREJWETLANDS
Q 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
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W 07 DEMO—FINAL _ 15 SEPTIC INSTALL. 22 FOLLOW-UP
= LUMBING R�i-- 23 SEPTIC FINAL 35 HAfiD COVEF REMOVAL
v BINC�FINAL� 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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d �ORKSATISFACTORY:PROCEED PROJECTCOMPLETE
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� ❑ CORRECT WORK 8 PROCEED C; 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 RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
� CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next i spection 24 hours in advance.473-7357
OwnerlContr te.
Inspector. �-
White Copyllnspector's File Canary Copy/Sife Notice