HomeMy WebLinkAbout1996-008222 - plumbing PE�RMIT ;
-' C�Y OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 �.. :
Crystal Bay, Minnesota 55323 Permit Number: .Y
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(612) 473-7357
Date Issued: �N?;_;:;�-}:;;,_�`..
SITE ADDRESS:
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� APPLI /PERMITEE SIGNATURE ISSUED BY:SIGNATURE
CSTY OF ORONO r�PPLSC�TION �OR PLUMBING PERMIT
� , Box 66 (1335 So Brown Rd)
✓ Crystal Bay, MN 55323
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General Instrnctions
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 retLrn mail the same dal the application is received.
3. Permits are not valid �til yon receive a pezmit 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 involned, a separate buildinq permit must
be obtained.
. - .; 7. All work must be done in accordance with State Code requirements.
• 8. Al1 work must be inspected before it is covered. Call 473-7357.
24 hovr notice reqnired.
. *****,t*,t***,t**,t*****************�,*******�****** *********,t,t***************
JOB SITE ADDRESS: �
. Occupancy Type: Residential Commercial
OWNER'S NAI�: 5 � « �' Phone No. : '7 �� 'OJ��i
� � Mailing Address: City: v o i�
CONTRACTOR'S NAME: � �' Bus.._-,No. • ��� /� `
� � Mailing Address: � City: 1���'C R Zip
Master Plumber's State License No. : City Cert. No. :
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' - PLIIA�IDING FIXTIIRE SCHEDUI,E
� (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
� � ------- ----�---+----- -=----- ------------- ---- --------- -------r-----
------
r _-- Sewer Ejector I
S:ater Closet 1
_____________I_1_ '___�__ __ ._ I=====_ _____________ _ __ ___._____ _________ _____
�
j � I- Laundry Tray �__
Lavatory � / �
-------1----- -------------1 ----- ------------- ---- --- -- ---------------
-------- I
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Bathtub I � / Washer
�������������1���� ��.i���� �� ��� ������ ������������� ���� ���.�.��� ���������i�����
, Shower I_ i_ I, .�_ I - Water_&eater- --/ ---•----- ---------I -----
-:�,..�� Ritchen Sink y � ; ` Water Softner � I __
-------------=-----=--��--I--------------- ------------- ---- -------- ---------� ---
Disposal : --_-_ Wet Bar � �
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1-----:---�--- - ------------- ---- ---.--- --------- -----
------------- -------
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Dishwasher ' S�p F�p
� -------------1---- ! --L--- -------- ------ ------------- ---- ------- ---------- -----
.- Sillcocks Misc. (List)
.. . ------ !-��C��p.�- - ------- ---------- -----
. �. . Floor Drains ��-nj p/{'.� -�� p� -----
---- -/-- ----=--- --------- ------ - -------- ----------
. : ***************************************�������F�*��r *******************
1. Fiature Fee The minimum perm�i� fee is $30.00 $ ��0��.
= Compute number of fixtures vfl x $5/fixture
- x $3/fixture reset
2. State Surcharqe $ .50
- � 3. Postage & Handlinq (Only mail-in applications) $ 1.50
4. TOTAL PERIYIIT FEE (add lines 1-3 above) $ �
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The undersigned hereby applies to the City of Orono for issuance of a Plumbing Permit,
� aqreea to do all work in atrict 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: � v����
,i �
. /
DA E TIME
CITY OF ORONO CALLED IN y�
INSPECTION N0T1�E SCHEDULED 9 / '
PERMIT NO. �����2 COMPLETED t�_ ��_
ADDRESS �`?'��
OWNER d�ez�eJ CONTR.
TELEPHONE NO.
� DESCRIPTION �}�,r�„�����
� 01 FOOTINO 11 MECWWICAL RI 18IXCAV/ORADINC�/FIWNO
y 02 FRAMIN(i 13 MECHANICAL FlNAL 18 LAI�SHORFIVVETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WqLL Bp, 12 WATER HOOK-UP 17 SRE INSPECTION
e 05 FlNAL 14 SEWER HOOK-UO O6 PROCiRESS
�
J 07 DEM�SITE 27 SEP71C NWNT. 21 COMPLAINT
W 07 DEMa—�FINAL 15 SEPTIC INSTALL 22 FOLLOW-UP
= PLUMBIN�RI 23 SEPTIC FlNAL HARD COVER REMOVAL
v �FlNAL 38 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YQU: YES_NO
c�,, COMMENTS:
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l�y WORK SATISFACTORY:PROCEED C PROJECT COMPLETE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the ext inspection 24 hours in advance.473-7357
OwnerlCo site:
Inspector.
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