HomeMy WebLinkAbout1992-004637 - plumbing � 1'ERMIT
ti ��Tl� OF OR�NO PERMIT TYPE: ��LE���;�#��;
1335 Lr�wn Rd. South • P.O. Box 66 tic=��.r�-.�7
Permit Number: �_�_�!i��_�i
Crystal Bay, Minnesota 55323 Date Issued:
(612)�73-7357 �
SITE ADDRESS:
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE �G�✓
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� CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
r Box 66 (1335 So Brown Rd)
Crystal Bay, MN 55323
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6eneral 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 yon 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 contractors only.
6. When any new construction or remodeling is involved, a separate building permit must
be obtained.
7. All work must 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: /30S Sl�[�'�tt�' �2
Occupancy Type: � Residential Commercial
i OWNER'S NAME: $��/f �roP Phone No. :
� Mailing Address: S�4m f �9S � City:
,
' CONTRACTOR'S NAME: m��JtE �'�pKj�' ��[��f�f6� , � . Bu s. No. : 93/-9�n 7b�
; Mailing Address: /r,pS' f�t�l4�i£ So City: /,/p��;vs Zip: r�?;;��
Master Plumber's State License No. : /s/yrYl City Cert. No. :
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PLUMBING FIXTIIRE 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
_�----- --- ------ ------------- ---- ----�---- --------- -----
------------- - -_T-----
Water Closet _____ Sewer Ejector
-------------�---- ,-- —---- - - ---- - ----------- -- ---•----- --------- -----
Lavatory � � __--__ Laundry Tray I (
-------------�-----�-------- -------- ----------- ---- ---•----- ---------+�-----
Bathtub � + Washer �
-------------�----� ------- -- --- ------ ------------- ---- --------- --------- -----
,
Shower I � water Heater '
--------------�---- --�---- ----- ------ ------------ --- --•---- -------- I -----
� - - - - - - - -
Ritchen Sink � 1 Water Softner
------------ --- � -�--- ------ ---- ----------- -- --�---- -------- ----
Disposal I_ Wet Bar
-------------1 --- I ------ ----- ---- ----------- -- --�---- -------- ----
Dishwasher I- Sum Pum
------------ -1 --- --- - -------- ----- ---P----P--- --- ------- ---------- -----
Sillcocks Misc. (List)
------------- ----- ---•--- -------- ------ ------------- ---- ------- ---------- -----
Flaor Dr�ins Oi2V£IZ (�'�� �� 02
,
-------------1----- ---�---- ---------1------1--------y----1----1--------J- ----L-
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1. Fixture Fee The minimum permit fee is $30.00 $ �j/p,o0
Compute number of fixtures 5 x $8/fixture
x $5/fixture reset
2. State Surcharge $ .50
3. Postage � Handling (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (add lines 1-3 above) $ y�,00
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The undersigned hereby applies to the City of Orono 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.
,-. .�--,,.,.,�.
Signature of Applicant � ' Date: s/y-9'Z
�
ATE TIME
CITY OF ORONO CALLED IN � S Z ,
INSPECTION NOTICE SCHEDULED %' � `-� ���
PERMIT NO. ��r`���'� COMPLETED 1{ �
ADDRESS ' '' �� '�� � � ��'-� �
OWNER � CONTR.-�Zr�`"�1�u,-�_L�
TELEPHONENO. ��'3i � �7C^ ��'
� DESCRIPTION ;����f�r��
�
� 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADINGIFILLING
� 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
O
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
J 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 9 PLUMBING RI� 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� WORKSATISFACTORY:PROCEED C PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ;_ pHOTOTAKEN
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.473-73�J7
OwnedContra r ite:
Inspector.
White Copylinspector's File Canary CopylSite Notice