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HomeMy WebLinkAbout1999-012116 - inside sewer connect PERMIT 4 CITY OF ORONO PERMIT TYPE: 2750 Kelley Parkway - P.O. Box 66 Permit Number: vi4, , Crystal Bay, Minnesota 55323 , (612) 249-4600 Date Issued: SITE ADDRESS: .......... n.--. Lf-, 1 2(.1 ORONO ORCHAHu Nu .7..., c:H 0.2-1 17-2:::.-21-0033 DESCRIPTION: TNciIDF SEWER CONNECT -- Plumbi - :.- - -vo,... UNDEFINED .ng r.emit L , .... _ _,,_ ,.....,..ica. Plumbing Work Type F.,;..t.:.,.1.Dt....,... .... REMARKS: FEE SUMMARY: VALUA7ION $719 Rase Fee $35 . 00 Surcharge 1,..„....._:.:. Air Total Fee $35 . 50 CONTRACTOR: „ _ — APplicant — OWNER: Dif,slY PARL. f:—....A.—frsiS , . 24734.03 MERCHANT ORONu Lc1.. ,, „_ ,, 520 RF!IMHALL_ AVE 294 120 UN-.L.HANu iON6 LAKE MN 55356 ORONO MN 55391 (612) 473-8403 , . , Fpm, Eptwrs THF uNDERSIGNED 'HEREBY REQUESTS tERIOStION TO MREAL iii ME THE -WITHL : ___ iciFIED AND AGREES To DO .EILL WuRKJN -STRICT', CPMF1:..-1ANCE' - -A4,'CITY /IF CRI-4n ORDINANCES AND bTATE OF MINNESOTAYSUILDING Cubt' REQU-TE,r1E!*,T! f ,,;. ' , - ... L . , _LI- ietei4te.)<- - Q.,4451,t. 4, 0 / - APPLICA ERMITEE SIGNATURE N'(\. IIIIIIIIIPta . 40- ISSUED BY:SIGNATURE / e....4 41( 12// CITYOF ORONO APPLICATION FOR PLUMBDING PERMIT Box 66 (2750 Kelley Parkway) Crystal Bay, Mhi 55323 GENERAL INFORMATION 1. You may apply for plumbing permits by mail or hi 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 orremodeling 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. Instruction' 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 TOB SITE: I a1) Oromc7o + �P( Z11): 16314 Owner's Name:a 1,011c y TelephoneNumber: r.,}-1 7 Mailing Address: City: d Zip. o' (a Contractor'sName: .U?. • s fine, Teleph• eNumber: 24-73e405 ' MailingAddress: 6ov MI City:t;c l Zip: 6 -5ijr, PLUMBING FIXTURE 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) C///(\61/11'('' erd61/4 i PERMIT`FEE CALCULATION 1. 1.25% of Contract Price* or ""4""....,',"1'ee l$35.�Q0) i x .0125 $ (contract price} 2. State Surcharge. ** Add:the State Building Code Division Surcharge to each permit, x .0005 $ (contract price) or $.50,,uvhichever is greater 3. Postage:atnd Handling, ` (Only mail-in applications) $ 150. 4: TOTAL.PERMIT FEE (Add lines 1-3.above) $ * CONTItA�T PRICE or JOB COST means the actual or estjmated dollar ampunt charged forthe per tte e , 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 most be added to the estutiated host bi coiitractprice for permit fee purposes: in the event thatthre is a dispute on amount of tlie,lol cost, the City y request the submission of a signed copy`of the actual contract. t ** The STAGE SURCHARGE is .0005 oE`the contract price under $1,000,000 or $ 5b whicbe er is _ greater. or valuations-'over $1,000,00Q call the Department:of Inspectio l Sero ce for the primo.x i The undersigned hereby applies to tine City f• or issuance of a3Pltuthbutg permit, agrees to d9 all wo k in strict accordance with the ordinances of the City and the regulations of the St*tea of Minnesota, andf certifies that all statements made on' this. apple anon:are complete, true and collect., _ Applicant s$hg , i 1 D'TE TIME CITY OF ORONO CALLED IN // INSPECTION NOTICE SCHEDULED ' U� PERMIT NO. 44-/i rp COMPLETED / ' r 0 c ADDRESS /736 CO/Li-2-� OWNER CONTR. lQ/,. TELEPHONE NO. X 73 -d 10-3 DESCRIPTION , l�c�CLJ-r% 22'214 LU 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHOREIWETLANDS " 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL • 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP W 9 PLUM 23 SEPTIC FINAL 35 HARD COVER REMOVAL PLUMBING FINAL 36 FOUNDATION/REMOVAL • OWNER/CONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: W cc O CC O U. W CC W W E L 1NORK SATISFACTORY:PROCEED ElPROJECT COMPLETE W ❑CORRECT WORK&PROCEED E ISSUE CERTIFICATE OF OCCUPANCY C) ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY • BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. E PHOTO TAKEN INSPECTOR WILL RETURN IDSTOP ORDER POSTED.CALL INSPECTOR c CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-73557 Owner/Contractor on site: Inspector. /1/1(ti./L 00-1/1 White Copy/Inspector's File Canary Copy/Site Notice