HomeMy WebLinkAbout1991-003523 (plumbing) � �'ERMIT
CITY OF ORONO PERMIT TYPE:
1335 Brown Rd. South • P.O. Box 66 ��"�����;��'
Permit Number: ;at;=����_�
Crystal Bay, Minnesota 55323 Date Issued: C�1?1.::/�1
(612) 473-7357
�ITE ADDRESS:
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DESCRIPTION:
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CONTRACTOR: __ �F,�,� i���;�. -- OWNER:
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APPLICANT/PERMITEE SIGNATURE SUED BY:SIGNATURE
CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
Box 66 (1335 So Brown Rd)
Cry_,tal Bay, MN 55323
***X***�•***********************************� ,***************************j���-�
General Instructions
1. You may apply for plumbing permits by mail or ir person at the City offices. .
2. Mailed in applications are subject to the po�;tage and handling fees shc�wn below.
p, Permit cards will be sent by return mail the sa�te day the application is recEived.
3, permits are not valid until you receive a permit card.
4. Work must not begin unless the permit card is available on the job site.
� 5, Plumbing permits may be issued to licensed contr�ctors only.
6. When any new construction or remodeling is invoLved, a separate building permi` must 1 �
i
be obtained. 1991 � j
� 7. A1 1 work must be done in accordance with State Ccde requirements. J A� � g -
8. All work must be inspected before it is covered. Call 473-7357. ;_ >';
24 hour notice reqnired. � ;;'.
*****************,t****�c********************** a*********,t*********,t******a�** ,
JOB SITE ADDRESS: �Jf� �n �r�','i n r��' r'1
Occupancy Type: ,�(�
Residential C��mmercial
OWNER'S NAME: r(��� Phon�� No. : �r� - �n �`7��
Mailing Address: G� e_ City: �,-���.,r, ��MtJ�.1�
Bus. *..o. : ��j��'"�'�� l
CONTRACTOR'S NAME�' � -T-
c i ty: V�-t-�-1L�i� z�i p�`�3��
Mailing Address: 1`�':C:C ti� � City Cert. No. :
Master Plumber' s State License No. : � �
*************************************************, *,t***************k*******
PLUMBING FIXTURE SCHEDULE:
(Show number of fixtures of each type cn each floor)
FIXTURE TYPE BSMT 1ST FLOOR 2ND FLOOR OTAER FIXTURE TYPE :3SMT 1ST FLOOR 2ND_FL�)OR OTHER
---a----- - ------ ------
------- ---- ----�--
------------- ---- — --T----- . �
Water Closet J Sewer Ejector
---------
---- ---- --- (
Lavatory � ) Laundry Tray
--- ------- -----
------ ------------- -
------------- - -
Bathtub � Washer :
----�------ ------- ------ -------------
---- ---^---- --------- -----
------------- - -
Shower � � Water Heater ��
---�----- --------•- -----
------------- -----
-------- ------
------------- ---- ,
_ Water Softner '
Kitchen Sink _____--..- ----- G�:
-------------' ----�--•---- -------- ----- ------------- ---- --------- =
_ Wet Bar �"
�: ..
Disposal -------••- ----- i
-------------
----- ------ -----
Dishwasher Sump Pump '� `.'
----- -------- --------- --
---------- -----
-------------
Sillcocks Misc. (List)
--�----- --- --- ---------•- ----- ' �'
-------- ------ -------------
----- ---^-
-----------
•--- - i.
Floor Drains t �
----- � :
___1_ __ �_____ �______1_____________ ___.. ________�_________- ,
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l. Fixture Fee The minimum �;ermit fee is $30.00 $_ ����U � '
Compute number of fixtures ��x $5/fixtu�k .
� $-3�fixture rese�::
;.'.
$ .5 0 ,_
2. State Surcharge
1.50
3. Postage & Handling (Only mail-in applications) $ —
$ ��, ���
4. TOTAL PERMIT FEE (add lines 1-3 above) _
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The undersigned hereby apPltrictoacco dance fwithntheoo d n incesoof the City andmthe
agrees to do all work in s
regulations of the State of Minnesota, and certifies that a:l.l statements made on th_s �,
application are comp].ete, true and correct. ;�'
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. p _ Date: / ��7 �� . `
Signature of Applicant. � �'� '
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, �,_ ,.,
_. , . . : �
� DATE TIME
CITY OF ORONO CALLED IN 1"aa°�r
INSPECTION NOTICE SCHEDULED � �`�
PERMR NO. 3�a� COMPLETED `� T
ADDRESS � � b 1 c�crr-�
OWNER � CONTR. �cr���bv�
TELEPHONE NO. � �3' �?��
� DESCRIPTION _ �i /�,�/�.5�
� 01 FOOTING 11 MECHANICALRI 18WELLTESTPUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
y 031NSULATION 24J25 WOOD BURNER/FIREPIACE 19 LAKESHORENHETLANDS
$ 04 WALL B0. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 MEfER SET/TURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
v 07 D — 27 SEPTIC MAINT. 21 COMPLAtNT
Q
09 PLUMBING RI 15 SEPTIC INSTALL 22 FOLLOW-UP
v 10 PLUMBING FINAL 23 SEP"fIC FINAL
� OWNERICONTflACTOR�MEET YO :X YES_N
y COMMENTS: �
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W� WORK SATISFACTORY:PROCEED �PROJECT COMPLETE
W CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECAVERING PERMANENT
❑CORRECT UNSAFE CONDITION WRHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Csll tor the next inspection 24 hours in advanos.473-7357
OwnedContra ite:
Inspector:
1Nhite CopyAnspsct ils Cansry CapylSib Notfce
DATE TIME
CITY OF ORONO CALLED IN �'�' � �S Q'm
INSPECTIQN NOTIC SCHEDULED '�"�/� • ��
PERMIT N0. �"� COMPLETED � LI
ADDRESS ���
OWNER � TR. � .��
�,�,Ps � 33 '��� 1�7
TELEPHONE NO.
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
y 03 INSULATION 24125'WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
� 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Z
Q 05 FINAL 13 METER SETITURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
v 07 D MO—FINA 27 SEPTIC MAINT. 21 COMPLAINT
� I 15 SEPTIC INSTALL. 22 FOLLOWUP
J PL BING FINAL 23 SEPTIC FINAL
� NER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W
� ❑CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONOITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContrac n ite•
Inspector.�
White Copyllrispector's e Canary CopylSite Notice