HomeMy WebLinkAbout1993-005231 - plumbing PERMIT
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CITY OF ORONO PERMIT TYPE: PLUME:ING
2750 Kelley Parkway • P.O. Box 815 Permit Number: DOS2:741.
Orono, Minnesota 55356-0815
(612) 473-7357 Date Issued: OF./0 C4/CI:::
SITE ADDRESS:
R25 OLD CRYSTAL BAY RD S
LSV
P . I . N. : Oq-117-2::.:-21-0001
' DESCRIPTION:
10 FIXTURES
Plumbing Per Type FIXTURES
Plumbing Work Type RESIDENCE
2 WATER CLOSET 2 LAVATORY 1 BATHTUB
1 KITCHEN SINK 1 DISHWASHER 1 LAUNDRY TRAY
1 WASHER 1 WATER HEATER
REMARKS:
CITY OF ORONO
FEE SUMMARY: FINANCE OFFICE
VALUATION $4, 500 1313300000 4
'7
(.)1 CEN 56.25
Base Fee $56.25 122.'200000 4
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Surcharge 12...25. 01 GEN 2.25
Total Fee $58. 50 CHECK TL 573.:0
iitECEIP T-THANK YOU
#275230 0001 Ii01 707:54
06/09193
CONTRACTOR: - Applicant - 3Mq
FADDEN CLIFF & SONS 24731657 191 . JLID
208 N BERRY 825 OLD CRYSTAL BAY RD S
WAYZATA MN E.5:7491 ORONO MN 55391
(612) 473-1657
THE' UNOERS I SNEI) HEREaf..REQUESTS PERKISS IOW TO MAKE THE REAL IMPROVEMENTS
SPECIFIED AND AGREES 'TO 00 ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF
ORONO-;OROINANCES,ANO'.STATE'OF MINNESOTA BUILDING ettbE REQUIREMENTS.
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APPLICANT/PERMITEE SIGNATURE ISSUED BY SIGNATURE
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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 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: L 5 0 /<,Q C y (.714 / /' ✓� y 2 4 S6 Zip:
Owner's Name: TY,i k D y,1 0 Telephone Number:
Mailing Address: City: Zip:
Contractor'sName: c 56)--) s TelephoneNumber: y 7j- i‘ 5- 7
MailingAddress: 2_ 0 F �o. ,8 A r r 7 City: A 2 ,,�, Zip: - r& 9 1
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet / / Floor Drains
Lavatory / j 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)
ys6b , G 0 x .0125 $
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $
(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) $
* 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.
Applicant's Signature: i�.'e'f .`� Date: tV�/9 i
DATE TIME
CITY OF ORONO CALLED IN (Q —
INSPECTION NOTICE SCHEDULED (o - 9 / D•'4'O
PERMIT NO. / COMPLETED
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ADDRESS ��qqa 1 2JI e� /�-� .(
OWNER /UCONTR. L'� f�i2�C �ry
TELEPHONE O.
J 73 "lO`'r7 !1Q
E DESCRIPTION
L 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP
14.
02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
ti 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
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
07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 9 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
10 G FINAL 23 SEPTIC FINAL
• OWNER/CONTRACTOR TO MEET YOU: YES_NO
ccl COMMENTS:
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actr_ E <IAA-
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WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
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CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
Ou BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR r CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next'n ion 24 hours in advance.473-7357
OwneNContr sit :
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice
D TE TIME
CITY OF ORONO CALLED IN W/ii 93
INSPECTION NOTICE SCHEDULED J7//2./9.3 0 0�
PERMIT NO. 3/ COMPLETED j,l [I
ADDRESS si.a5 Obi
OWNER J ._ CONTR. i . ou -
TELEPHONE O. '4/73-/6, 5-7
31. DESCRIPTION ✓ro2.---0CvC�
▪ 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
(4 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
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
v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PL 15 SEPTIC INSTALL. 22 FOLLOW-UP
.= 23 SEPTIC FINAL
• '`NERICONTRACTOR TO MEET YOU:_YES_NO
V) COMMENTS:
cc
W
C
CC
O
CC
O
U-
W
CC
W
W
CC
d
LU WORK SATISFACTORY:PROCEED Cl PROJECT COMPLETE
CC
❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
• BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURNEl CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for t - • - t" Lpection 24 hours in advance.473-7357
Owner/Contra•o • sit :
Inspector. 42.9.
White Copy/Inspector's File Canary Copy/Site Notice