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HomeMy WebLinkAbout1993-005743 - plumbing PERMIT CITY OF ORONO PERMIT TYPE: PLUMBING J 2750 Kelley Parkway - P.O. Box 815 Permit Number: 00574:3 Orono, Minnesota 55356-0815Date Issued: 11/16/93 "12) 473a357 SITE ADDRESS: 521 NORTH STREAM RO (1H P . I . N . ; 25-118-23-34-0007 DESCRIPTION: 41 FIXTURES Plumbing Permit Type FIXTURES Plumbing Work Type RESIDENCE 4 WATER CLOSET 6 LAVATORY 2 BATHTUB 2 SHOWER 1 KITCHEN SINK 1 DISPOSAL 1 DISHWASHER 4 SILLC OCKS 2 FLOOR DRAINS:* 1 LAUNDRY TRAY 2 WATER HEATER 2 WET BAR 14 UNDEFINED CITT'i; FINAN 11:31ja-k0000c; 01 coy 183. -775 1 A Wv Mott VIVO '# 0.,1 ILI EN .35 REMARKS: 01 X 1.55 Ol — i 9121. Liii FEE SUMMARY: VALUATION $14, 700 C,0014 R014 -709:37 11 Base Fee $183 . 75 MAIL IN --------- Surcharge Subtotal. $191 . 41" MQ -, i 28663067 6636 PENN AVE 5500 LINCOLN DR MINNEAPOLIS MN 5542:3 EDINA MN 55436 (612) 866-3057 936-8482 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL 1MPROVEM----'N-1S SPECIFIED AND AGREES TO DO ALL WORK 114 STRICT COMPLIANCE WITH ALL CITY OF OR13NO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS . APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE Z CITY OF ORONO APPLICATION FOR PLUMING 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 return 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 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. Call 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, call 473-7357. Please check one: New Addition Repair Replace Residential Commercial JOB SITE: - /'��,� x�: �2 ;� � Zip: Owner's Name: Telephone Number: Mailing Address: Ll -4, City: Zip: Contractor'sName: TelephoneNumber: MailingAddress: City: Zip: PLUMBING FIXTURE SCHEDULE FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER TYPE FL FL TYPE FL FL Water Closet Sewer Ejector Lavatory Laundry Tray I Bathtub Washer Shower Water Heater Kitchen Sink Water Softener DisposalWet Bar I Dishwasher Floor Drains J77 Sillcocks Misc (list) i ; PERMIT FEE CALCULATION 1. 1.25% of Contract Price* or Minimum Fee ($35.00) //A '/CC'',c%C.' x 1.25 $ (contract price) 2. State Surcharge. ** Add the State Building Code Division Surcharge to each permit. x .0005 $ (contract price) 3. Postage and Handling (Only mail-in applications) $ 1.50 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ 4Z2 &cn * 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 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 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 correct. /6 Applicant's Signature: Date: l PATE TIME CITY OF ORONO CALLED IN Al? INSPECTION NOTICE SCHEDULED /� X73 ' 30 PERMIT NO. .�_R 3 COMPLETED ADDRESS OWNER CONTR. TELEPHONE NO. DESCRIPTION �r W 01 FOOTING 11 MECHANICAL RI dWELL TEST PUMP U_ 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORENVETLANDS Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS J j07DE — 27 SEPTIC MAI NT 21 COMPLAINT PLUMBING R 15 SEPTIC INSTALL. 22 FOLLOW-UP J ING FINAL 23 SEPTIC FINAL Q OWNER/CONTRACTOR TO MEET YOU:_YES NO Z COMMENTS: cc CA->o v-5 F tN-4 j fl-if O cc O UL W cc Q Z W z W rr- Z) O W ❑WORK SATISFACTORY:PROCEED ❑ PROJECTCOMPLETE cc ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION' TEMPORARY BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 Owner/Contract n to Inspector. White Copy/Inspector's File Canary Copy/Site Notice ATE TIME CITY OF ORONO CALLED IN " INSPECTION NOTICE SCHEDULED � '� /� '• �a PERMIT NO. _75-T73 C MPLETED /2 -Z3 • S i c^ . $2' ADDRESS --::5 OWNER (�i�/�r /LJ CONTR. TELEPHONE NO. �� --0E 7 DESCRIPTION L /Zeis LIze Z=2 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADING/FILLING y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL Q 05 FINAL 13 METER SETlTURN ON 17 SITE INSPECTION 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS 07 DE — L 27 SEPTIC MAINT. 21 COMPLAINT _ 15 SEPTIC INSTALL. 22 FOLLOW-UP J 10 PLUMBING FINAL 23 SEPTIC FINAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMMENTS: CC W C cc J O cc O W cc Q Z W Z W CC kr LlORKSATISFACTORY:PROCEED PROJECTCOMPLETE W CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C3 BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473'7357 Owner/Contract ite: Inspector. White Copylinspector's File Canary Copy/Site Notice �v TIME CITY OF ORONO CALLED IN DAT , flW 4 .� INSPECTION NOTIC9 SCHEDULED PERMIT NO. 3 COMPLETED _ U. ADDRESS 6_9Z OWNER p &. CONTR. TELEPHONE NO. 6:9 6D -3GJ 7 DESCRIPTION 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING y 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS O Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL Q 05 FINAL 13 METER SETlTURN ON 17 SITE INSPECTION h 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT = 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP J 0 PLUMBING FINAL 23 SEPTIC FINAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: cc W Q_ cc J O a cc O W W ac Q ti Z W W j OW WORK SATISFACTORY:PROCEED C PROJECTCOMPLETE W W 11CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY U BEFORE COVERING PERMANENT CORRECT UNSAFE CONDITION WITHIN HOURS. F PHOTOTAKEN INSPECTOR WILL RETURN CJ STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 Owner/Contra i e: Inspector. White Copyllnspector's Fil Canary Copy/Site Notice