HomeMy WebLinkAbout1998-011107 - plumbing PERMIT
�ITY OF ORONO PERMIT TYPE:
�750 Ke�ley Parkway- P.O. Box 66 L`�i_��r�c=;f��{.�
Crystal Bay, Minnesota 55323 Permit Number: _^,� Y ;i_;�
(612)473-7357 Date Issued: _ _
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SITE ADDRESS:
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REMARKS:
FEE SUMMARY:
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
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C1TY OF UI�.ONO APPLICATION FOR PLUMBING P�RMIT
�loY h6 (27�0 Kelley Parkway)
- Crystal Sav, 1VIN 55323
GENERAL INFORMATION
1. You may apply for plumbing permits by mail or in person at the City offices.
2. Pemut cards will be sent by return mail after a review is completed. PEIt��1ITS ARE NOT VALID
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 pemut 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.
Instructioi�� Complete all items on this application. Compute the permit fee. Sign and date
' the certificatiaii. INCO:��PLETE APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call 473-7357.
Please check one: New Addition � Repair Replace
Residential Commercial
JOB SITE: ' 0 � � T �'-r �^J�� '' � � d ZiP: �
Owner's l�tame: , c_ �-� � Telephone Num ber: `
Mailing Address:�� rr� �_ , City: � r �� ✓� ;� Zip:
Contractor'sName: � i c, " �:: r�. � �� S- � TelephoneNumber: �; ,� ) � C� . � �
MailingA.ddress: - � �� � ity: �' � � Zip: �, S ' `�
PLUMBING FIXTURE SCHEDULE ;
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FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet ' j Floor Drains
Lavatory Sewer Ejector
Bathtub Laundry Tray
Shower Washer
� Kitchen Sink Water Heater
Disposal Water Softener
Dishwssher Wet Bar
Sillcocks Misc (list)
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PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
�-� C;�`c� x .0125 $ �
(contract price)
2. State Surchar�e. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $
(contract price)
� or $.50, whichever is greater
3. Postage 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 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 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 call the Department of Tnspectional 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.
A licant's Si nature: �� • �� Date: ' �./ �, � �`i��
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DATE TIME
CITY OF ORONO c,a��Eo irv fi � �� i� J l��` ��c'� ��r�
INSPECTION NOTICE SCHEDULED /�%..(`f -`�=' ��
PERMIT NO. //1!�`�I COMPLETED �_
ADDRESS ` f f l�` ��. ",. ( � �,.r�.� �r'..� /C ��
OWNER—� .� ; . �r„ �y , CONTR.�1�.1, L� L"< < iJ<< ;�
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TELEPHONF NO. G�� �" Cf .� / �
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
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PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J10 P�UM ING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑ CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. �j pHOTOTAKEN
INSPECTOR WILL RETURN
i- CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContracto�si�e4
Inspector �1
White Copyllnspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN ��8�9 D.`3�
INSPECTION NOTIC ] SCHEDULED - -7 !•`3 Z>
PERMIT NO. %� �� / COMPLETED Z ���O
ADDRESS Ud ck-'� �
OWNER ��n-� CONTR.
TELEPHON O. �{ �(— � / � 7
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
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
Q
W 09 P 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J10 PLUMBING FINAL � 36 FOUNDATION/REMOVAL
Q OWN �1 �-VTH'AL`TUF�TO MEET YOU:_YES_NO
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� ��CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. G PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP OROER POSTED.CALL INSPECTOR �CITATION ISSUED
G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContractor on site:
Inspector. ��� �t vi 1
White Copy/lnspector's File Canary Copy/Site Notice