HomeMy WebLinkAbout1993-005573 - water softner PEI�MIT
CITY OF ORONO PERMIT TYPE: �,����.�������
2750 Kelley Parkway • P.O. Box 815 Permit Number: i3i.;��;:ti
Orono, Minnesota 55356-0815
(��� 473-7357 Date Issued: 1 +:3�i.x�I�i:_;
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APPLICANT/PERMITEE SIGNATURE ISSUED BY�SIC NATURE
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CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, NIN 55323
GENERAI, 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
UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Plumbing pemuts 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 pemut 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. Cail 473-7357. 24-hour notice required.
Instructions Complete all items on this application. Compute the permit fee. Sign and date
the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, ca11473-7357.
Please check one: � New Addition Repair Replace
Residential Commercial
JOB SITE: � �'1 Y d�1 V' Zi���j(p�}
O�er's Name: ,Y rt_,� Telephone Number: �}�I - �}y I 7
MailingAddress: ��(`�1�. � Ve City: Zip:
Contractor'sNam� _ TelephoneNumber: q33 �1�C�Ca
MailingAddress: ' ` ` ' ' City: Zip:
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Minr�ct�� ���'��.�„�`��['URE SCHEDULE
FIXTURE 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 `
Dishwasher Wet Bar
Sillcocks Misc (list)
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PERMIT FEE CALCULATION �
1. 1.25% of Contract Price* or Minimum Fee ($35.00) •
x .0125 $ �j�-� Q�
(contract price)
2. State Surchar�e. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $ 4� �L
(contract price)
or $.50, whichever is greater
3. Postage and Handling (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ �� �D�
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged 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 materiai, equipment, labor,or instal:ation are fu:nish�d 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 pernut fee purposes. In the event that there is a dispute on the amount of the job cost,
the City 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.
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Applicant's Signature: `' � �� �'`" Date: ���21 �r�
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I ATE TIME
CITY OF ORONO � � CALLED IN �
INSPECTION NOTIC� , SCHEDULEO � � %/=4 a
PERMIT N COMPLETED l� l�
ADDRESS
OWNER CONTR. ^
TELEPHONE NO. - /
� DESCRIPTION
� 01 FOOTING � 11 MECHANICAL RI 16 WELL TEST PUMP
y 02 FRAMING � 1'I MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
Q 03 INSULATION 2p125 WOOD BURNER/FIREPLACE 19 LAKESHORFJWETLANDS
O�BD. �, 12 WATER HOOK•UP 34 TREE REMOVAL
1�METER SETITURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO—FINAL 2T�SEPTIC MAINT. 21 COMPLAINT
� � 15'SEPTIC INSTALL. 22 FOLLOW-UP
J PLUMBING FINAL 23 SEPTIC FINAL
� OWNER OR TO MEET OU:_YES_NO
y COMMENTS:
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W ORK SATISFACTORY:PROCEED' �'PROJECT COMPLETE
� ❑CORRECT WORK 8�PROCEED I �I ❑ ISSUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WORK,CALL FOR REIN P�CTION TEMPORARY
� BEFORECOVERING i ' PERMANENT
❑CORRECT UNSAFE CONDITION W H�fJ HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN I
❑STOP ORDER POSTED.CALL INSP TQR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO RF�ANGE ACCESS.
Call for the next'nsp �ion 24 hours in advance.473-7357
OwnedContra n i :
Inspector.
White Copyllnspector's F i ! Canary Copy/Site Notice
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