HomeMy WebLinkAbout1994-005885 - plumbing PERMIT
CITY OF ORONO PERMIT TYPE:
t 2750 Kelley Parkway • P.O. Box 815 !='`rt i��! .j Nt
Orono, Minnesota 55356-0815
Permit Number: i ti j58:::,.�
(612) 473-7357 Date Issued: 01 r0/, d
SITE ADDRESS:
1 :t OLD CRYSTAL YSTAL BAY RD S
CH q
P . I .N. : 09-117-23-1 1-0005
DESCRIPTION:
-- FIXTURES
Plumbing Permit Type FIXTURES
Plumbing Work Type RESIDENCE
WATER CLOSET 3 LAVATORY :3 BATHTUB
1 SHOWER 1 KITCHEN SINK 1 DISPOSAL
1 D ISMASHER " „
5 SII LCOCr:.._ 5 FLOOR DRAINS
_. LAUNDRY TRAY = WATER HEATER 1 WATER CLOSET/RI
1 LAVATORY/RI 1 SHOWER/RI 1 WET BAR:RI
1 UNDEFINED
CITYCITY OF Ot ONO1
L1 .'l1IJlt{J
FINANCE i'rl!'C OFFICE
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REMARKS: ' m.,`"'o"''' 44TT
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FEE SUMMARY: - "t""" 44
VIALUA 1I ON $12,225 — 1�1 LLfR J.NVV
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Fee
' MAIL
+� y 411LL•11 IL It..v.Ti
Base (-}:�—'' $152 . 81 I�i-1 I L I[`s r'L!•t. y _!•ilalAlF• YOU% --
'*L•L i ,!llTlTl.. !L'L•
r 1 ••}:vvl 1Tv1 i r•i
Surcharge q 16-11_ T'-'•t•=; Fee `�=•t_'r-. �.� ..-.• i.•-,,,,-..:
:
Subtotal `.3 f iii �.i� lilt •7
CAE:E'�rC(� ' .t & H Tl� INC , ;_' ,i�t TEIMFTEFli ROBERT
l'-)469 Z I N RAIN AVE 1000
OLD CRYSTAL BAY RD = '
SAVAGE MN 55378 ORONO MN 55:31
(61';') 47U 0 473-2588
' s DReEBY REQU STS SIMISS1ON TMAKE THE ' IPR�E7141:8,THEcl E D fi, TO D LL :: I STR C " t ► PLNC ,VIII, I TSITYO
ONU � $• '$ STATE cMIk $ TA - U DING O �
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APPLICANT/PERMITEE SIGNATURE �/ ISSUED BY:SIGNATURE �A '
t r
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
x Residential Commercial
JOB SITE: /irc f'A.O et ✓- A{) - Gves��cc Zip:
Owner's Name: /;-.9 Kati e. ti at `�.� h�-.c _Telephone Number: -y 7, .j
Mailing Address: City: Zip:
Contractor'sName: ,x ;,0 6 Pov43 .4-'E- TelephoneNumber:
MailingAddress: /dy, ; z/, City: Zip: &w
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet /4 R/ 2 I � Floor Drains
Lavatory /4. "21. Sewer Ejector
Bathtub / a2 Laundry Tray /
Shower ��.� I Washer
Kitchen Sink / Water Heater
Disposal / Water Softener
Dishwasher / Wet Bar
Sillcocks � Misc (list) /
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
/), >) a .44 x .0125 $
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. , x .0005 $ •i/
(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) $ /s i' �y
* 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: ,�� Date: J -i y
DATE TIME
CITY OF ORONO CALLED IN ._ 9
INSPECTION NOTIc SCHEDULED a7 9 ,3:30
PERMIT NO. �-S COMPLETED
ADDRESS d7 -1 C/Le � �OWNER i/ i
TELEPHONE NO. Y91(- 7&o)
DESCRIPTION
ty� 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP
ct LL 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
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
Lu 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J NG FIN 23 SEPTIC FINAL
Q OWNER/CONTRACTOR TO MEET YOU:_YES NO
COMMENTS: 1.1cd-k
feArO
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CC
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CC
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W T�IRK SATISFACTORY:PROCEED ElPROJECT COMPLETE
CC '4 CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
• ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
O BEFORE COVERING PERMANENT
LI 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 inspection 24 hours in advance.473-7357
Owner/Contracto sit
Inspector: `\
White Copy/Inspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN / 9/c.
INSPECTION NOTICE / SCHEDULED / of :bd
PERMIT NO. COMPLETED +/l
ADDRESS
OWNERC./, CONTR zA� f4-)
TELEPHONE NO. g 94/-�7_GrP
DESCRIPTION, _e?��e4, 94_,17-e
• 01 FOOTING 146ECHANICAL RI 16 WELL TEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORENVETLANDS
• 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
iPLUMBING R 15 SEPTIC INSTALL. 22 FOLLOW-UP
10 PL ING FINAL 23 SEPTIC FINAL
• OWNER/CONTRACTOR TO MEET YOU: YES_NO
o COMMENTS:
cc
Ct
O
O
W
CC
toW
W
CC
WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W
CC ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
• ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORE COVERING 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 inspection 24 hours in advance.473-7357
Owner!Contr o o ite:
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice