The URL can be used to link to this page

Home My WebLink About1998-010483 - vacuum breaker , PERMIT � CITY OF ORONO PERMIT TYPE: 2750 Kelley Parkway- P.O. Box 66 Permit Number: ��_E;t�j�;i i.�� Crystal Bay, Minnesota 55323 Date Issued: 4;�;i,�;=;=; (612)473-7357 _ . _ i):`r'C?'=t.•''�;-� SITE ADDRESS: :-:�; ►��A:�}�Ei�Ca F°i� j:l� DES£R1P�I:ONE�'��—; 1 :—�':_;-4;—�i;_�'_� yf!�-1L.i��lj''i ��t;�:-;t:.{�f'i j� i`i.�.}��1��.1�'� {—�}��ti],F I �f r� `Y��_t_fl,;�i'3 ��Lt'Z�'.��i F'i i�r�iE:�i�7�: 4:}:�,r�:: �r c�� :=;j�.i�tJt:� 1 ��i��+EFit�l�i�S REMARKS: FEE SUMMARY: :�f;�..li'};i I:_,h.� '�:-�i'si_7 a'� r=� ��r �'='�' ��-'�-} ��_.:�_ C _t `4,f�il'C t"!L�1 '�s=+ _—_--_..... --�. . ts �- �::Ly�-iJ I,4�f.��. :-��+ - - • - - CONTRACTOR: OWNER: — ��1 i=r�i�t. _ ��LC�, �,:��s �=°�..t_;f��_;I��lt; �.`.,�;r�,{�;��;� _;�;�:. t�i�.:#�*�t�:� ',i� .j i!��}?1_� L;=� _�;��t s f=►'��i i:r,'� ;��,� - ��rt�tl�I I�I i:! ! !�'� ��L`�'! t.,,�tijl�,S��vL I Sv�i.� a.L_}L�I�. { 'i� y: 7 > •=—�.i� ..� � . . . . � . .. � . ; .. � . i E ;'v;3� ,=�i s;:;'t{) �-!r�.'��' 4I�e_,`•;1:,-`.-.�:v. �`�-,3�t';`{f j'._�`.w•;[;_;s`.� i :_1 , .i�F;.� { "._. 'ti;`r;. :.�#r�i!_=[,::�;11,-,1 y { '._ . �'E� �f°._.__�'' _ � ..- t ` S_ i`�`� f-1��;! H��I?��:�, �(...� ;iE..E ;^iL_1 t 1'��_ .�;`�I r `� �!_ I :S!� t �i-�Fui,� � 4 �`'� -� t,:L I t �_�`� L ,{'�^. - - ---- __ .__ . .�'.'. ��; ` ! _ . � l�f�i`I�i�`.i_. )�T�;`[°„i�,:. ;�''u;;) =:T� ? '- t,,;- i�_ � ___;_�-; ' ;�%' '�i i f.' (.t F :i. �-:- +� l ' +�VV � A P ICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE �,��• � o �� . � / s C1TY OF UI�.ONO APPLICATION FOR PLUMBING PERMIT � �ox bb (27�0 Kelley Parkway) Crystal Sav, 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 F UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POST�D 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 pernut 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,� Co�npletP all items on this application. Compute the permit fee. Sign and date the certificatiaii. INCOMPLET� APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 473-7357. Please check one: New Addition � Repair Replace � Residential Commercial ; . JOB SI1'E• � � ,�;�< '� �`' :� Zip: Owner's R1ame: ;��,'. ��- ��;� Telephone Number: � Mailing Address: ��-�•° City: Zip: Contractar'sName: ��. i�� <� � - � r �"f��; TelephoneNumber: .�7s��%�`�.0 MailingA.ddress. � _ . -. % - City r �� Zip s PLUMBING FIXTURE SCHEDULE f FIXTUR.E 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 Dishw;�sher Wet Bar Sillcocks Misc (list) UllCvU��n, �jrr,l�'r:'✓ ��+� d Y�n �rf'j� .1�1 /� ��' i ' PERMIT FEE CALCULATION 1. 1.25% of Contract Price* or Minimum Fee ($35.00) T� - =- 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 g 3. Posta�e and Handlin� (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 chazged for the percnitted 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 pemut fee purposes. In the event that there is a dispute on the amount of the job cost, the Ciry 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 cali 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. f � �— / Date: %�_ -�. �� 4 A licant s Si nature: � PP g ,: k�� Df TE TIME CITY OF ORONO CALLED IN �/5��L' INSPECTION NO/TICE p SCHEDULED � d' � �� PERMIT NO.�//� ��o`� COMPLETED � ADDRESS �5 ` ' -�-� OWNER CONTR�----��.L� TELEPHONE NO. `��S-�:� 9 C� � DESCRIPTION , iL-��,r�cL�7 �l^�Zt�_/'�.�.? ly� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINA� 19 LAKESHORE/WETLANDS � O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q O5 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL /�ff PLUMBING FIN 36 FOUNDATION/REMOVAI ��--9W#ER/CbNTRACTOR TO MEEf YOU: YES_NO �� COMMEN S: ' /� � � � W a � � O � � O � W � Q � 2 w � W � � a W ❑WORKSATISFACTORY:PROCEED _ PROJECTCOMPLETE � ❑CORRECT WORK 8�PROCEED G ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � 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 OwnedContractor o Inspector. White Copyllnspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN 7� � INSPECTION NOTICE S�HEDULED � PERMIT NO. �� oM �E � ADDRESS . OWNER CONTR. TELEPHONE NO. ,. - � DESCRIPTION � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE Z04 WALL BD. 12 WATER HOOK-UP 17 E INSPECTI Q OS FINAL 14 SEWER HOOK-UP 0 � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_ S—Np y COMMENTS: �' l � � �' j r. i O � � O � W � Q � Z W � W � � d � ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN �STOP ORDER POSTED.CALI INSPECTOR C� CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-73�J7 OwnerlContracto ite• Inspector. White Copy/inspector's File Canary CopylSite Notice