HomeMy WebLinkAbout1997-008874 - plumbing t_ PERMIT
CITY OF ORONO
PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 °I ;Mc' t t
Permit Number: ;• -�iy::Vr r i
Crystal Bay, Minnesota 55323 Date Issued:
(612) 473-7357 04/09/97
SITE ADDRESS:
80
OLD CH x AL GN Y` RD S
C
DESCRIPTION:
_. F T X TURFS
Plumbing Permit Type FIXTURES
RES
14: Work Tyr' ' F;°i s=:I[')E\JCE
4 WATER ::Lo_E T _ LAVATORY 2 BATH Ti 3R
SHOWER. s I i f.HE_t' i{•`�I . 1 r)i°SiP'OE.;rtL
1 D I.°w•;1 '.E`�F : 2 E=z l_LC j..j!.._KS _ FLOOR R ;,R I N°_
1 L RUNE RY TRAY 1 141A:_SH ,R 1 WATER HEATER
1 W;-.:.1 6 f4H
REMARKS:
FEE SUMMARY:
((-- !'Y!=.L_UA3 iON $"j_, 9C"0
t�..t•_F'�'ti f�_.;i $161 . 58
Surcharge Ao
CONTRACTOR: — Ap_p 1 i c T n 4• — OWNER:
I. _ ;_,. oriY Pi i.3M8 In?( 2zi
79671E, .i RR Y
541 i l Y 9c:-J0 ••••
ULU 1 - v ::w= i AL E IY RD S
MAPLE
i•' I L =L53 ORONO
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THE UNDERSIGNED HEREBY` REQUESTS PERM 1 SON TOMAKE THEREAL ',IMPROVEMENTS
SPEC I FOIE # AND AGREES TO DO :ALL WORK, INSS R IC ANCE T # ALL CITY OF
L_ °RUN° O•IRD ,NOES AND ST TE OF ~ NNESO ` 'BUILD I NG CODE REQUIREMENT
,.
APPLICANT ATURE ISSUED BY:SIGNATURE --"6-X-C-4(•
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: y New Addition Repair Replace
Residential Commercial
JOB SITE: 88O 011 C .Ss,- py ,, C9 Zip:
Owner's Name: J'— r f Telephone.Number
Mailing Address: City: Zip:
Contractor'sName: `� 5
� ,� c ..,4 Telephone ber: - �
7
MailingA.ddress: C 2_...<2 i a w City: Aipiccy aZip: .i-s
PLUMBING FIXTURE SCHEDULE
FIXTURE, BSMT 1ST 2ND OTHER FIXTURE I BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet 2 vZ, Floor Drains' /
Lavatory Sewer Ejector
Bathtub I Laundry Tray r
Shower I j ;Washer 11
Kitchen Sink -- 1 Water Heater /
Disposal f Water Softener
Dishwasher I Wet Bar
Sillcocks Z Misc (list)
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
9.5O 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 at all s -ements ade on this application are complete, true and
correct.
Applicant's Signa Illibor
Date:
•
DAAE
//Til__ Jn^
CITY OF ORONO CALLED IN ' � � !7 / �/
INSPECTION NOTICE' SCHEDULED �Z /g- 97 ,• el-A7
PERMIT NO. Fl COMPLETED 'Z
ADDRESS d r i110
OWN 4,_ 0 ; Co TR.
TELEPHONE NO. 1/7- 7/S
DESCRIPTION / # �/
LL• 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
LQ 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORENVETLANDS
cz 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
= 05 FINAL 14 SEWER HOOK-UO 06 PROGRESS
07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
Q 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i _,Q9 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
0c
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Gilidt 1,<_
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4-
CC
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;S ORK SATISFACTORY:PROCEED -- PROJECT COMPLETE
CC O CORRECT WORK&PROCEED ; ISSUE CERTIFICATE OF OCCUPANCY
W
CZ ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. PHOTO TAKEN
INSPECTOR WILL RETURN
CISTOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the nex inspection 24 hours in advance.473-7357
Owner/Contr cn t e:
Inspector.
White Copyllnspector's File Canary Copy/Site Notice
?ATE TIME
CITY OF ORONO CALLED IN =j' C%
INSPECTION NO ICE , SCHEDULED -' vO
PERMIT NO. ggiCOMPLETED .3-21-ci 3 7. �� -6&
ADDRESS -FT d �i� _ere:, J��; (,1
OWNER ".---).) :04.7_,,--(-1Z,7219-, CONT ��
TELEPHONE NO. A7/75 -(c 7/5
DESCRIPTION , _.41Z-,-- ...&- . ---'
is-
L 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FIWNG
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Q
• 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
= 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
F' 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
J
W 07 DEM INAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= PLUMBING 23 SEPTIC FINAL 35 HARD COVER REMOVAL
-.I 10 PLUMBING FINAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
• COMMENTS:
cc
Lu
Q_
CC
0
a
0;
0
LI-
Lu W
CC
Q
W
Z
W
CC
ORK SATISFACTORY:PROCEED
W PROJECT COMPLETE
W C' CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY
CI El CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
O0 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
Ci INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73557
Owner/Contractor g�site:
Inspector. p1.
White Copyllnspector's File Canary Copy/Site Notice