HomeMy WebLinkAbout1991-004056 - plumbing � � �'ERMIT
t � CITY OF ORONO PERMIT TYPE: � ;
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1335 Brown Rd. South • P.O. Box 66 PermitNumber: �3C14�1S�=,
Crystal Bay, Minnesota 55323 Date Issued: 1 f/I:��'� ..
(612) 473-7357 �'" �
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APPUCANT� E SIGNATURE ISSUED BY:SIGNATURE �� ���Yl
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• CiTY OF ORONO APPLICATION FOR PLUMBING PERMIT
� " Box 66 (1335 So Brown Rd)
Crystal Bay, MN 55323 $���� � �� S�
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General Instructions
1. You may apply for plumbing permits by mail or in person at the City offices.
2. Mailed in applications are subject to the postage and handling fees shown below.
Permit cards will be sent by return mail the same day the application is received.
3. permits are not valid until you receive a permit card.
4. Work muat not begin unless the permit card is available on the job site.
5. Plumbing permits may be issued to licensed contractors only.
6. When any new construction or remodeling is involved, a separate building permit must
be obtained.
7. All work muat be done in accordance with State Code requirements.
8. All work must be inspected before it is covered. Call 473-7357.
24 honr notice reqnired.
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JOB SITE ADDRESS: � � J �'�-7 i t.J c>c���� f�..�
Occupancy Type: _�_Residential ommercial
OWNER'S NAME: �f7 c/< � �:���,�%rZ� S Phone No. :
Mailing Address: City:
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CONTRACTOR'S NAME: �'��JiVI S ���'� fi-��,1v/�..✓t._ Bus. No. : �f�7SL - `j'2 c� 7
Mailing Address: 5�zr �.-� .-.,,3�., J)ie City: �-n�r� S��C Zip: >> 3� I
Master Plumber's State License No. : ?� 2..�- �j City Cert. No. :
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PLUMBING FIXTURE SCHEDULE
(Show number of fixtures of each type on each floor)
FIXTURE TYPE BSMT 1ST FLOOR 2ND FLOOR OTHER FIXTURE TYPE BSMT 1ST FLOOR 2ND FLOOR OTHER
_�_�.________� ��_� ___-1���'� ___T�__�� ��_�__ ____�_�_�___ _�__ �_�._r�___ ___�����_ _��__
Water Closet ( Sewer Ejector
------------- ---- ---—---- ---- ---- ------ ------------- ---- ---•----- --------- -----
Lavatory 7 Laundry Tray
Bathtub � Washer
------------- -----�------- ------- ------ ------------- ---- -------- --------- -----
Shower � Water Heater
Ritchen Sink l --__-_ Water Softner
-------------+---- --�----- -------- ---------- ---- --�----- -------- ----
Disposal I_ Wet Bar
-------------1 --- ---- ----- ---- ----------- -- --•---- -------- ----
Dishwasher Sump Pump
Sillcocks Misc. (List)
Floor Drains
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'A'�C7t7k�C*7Y*�'****A*7k**'k**�l7F*'k A**7k'A 7t A*�C'A*'k**�(*****7E**7k�f�F*'k'�C*********�'**A*'k**'kA"�G* '
l. Fixture Fee The minimum permit fee is $30.00 $
Compute number of fixtures x $5/fixture
x $3/fixture reset
2. State Surcharge $ .50
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� 3. Postage & Handling (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (add lines 1-3 above) $
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The undersigned hereby applies to the City of Orono for issuan<:e 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 �orrect.
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Signature of A�plicant: �'--�---- ' � Date: �� / �
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DATE TIME
CITY OF ORONO CALLED IN I� '!� 3'•�' ��'"�
INSPECTION NOTICTE� SCHEDULED 13--��-� �
PERMIT NO. `f(��� COMPLETED �� �_3 3L�
ADDRESS � � � � S I�,.�d'_ -. �1_-cc�c��� ��
CC�2 z.�-
OWNER ;r�-�_� ., CONTF�,�...-...R- 1� � �='�f`"�--�
TELEPHONE NO. �7 � — �i x�'C%�)
� DESCRIPTION
� 0�1�3�� 11 MECHANICAL RI 16 WELLTEST PUMP
Q M G� 11 MECHANICAL FINAL 18 EXCAVIGRADING/FILLING
y S ATION 24125'WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SETITURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
� 07�EA4Q— INAL 27 SEPTIC MAINT. 21 COMPLAINT
W 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
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� 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
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� �CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. PHOTOTAKEN
INSPECTOR WILL RETURN
O STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContra n si :
Inspector.
White Copy/InspectoPs ile Canary Copy/Site Notice