HomeMy WebLinkAbout1990-003427 - plumbing PERMIT
� ORONO PERMIT TYPE:
� + d. South • P.O. Box 66 ���=�����'3�`��
Permit Number: ;:�!�:=�.t7
iinnesota 55323 Date Issued: � ��1�J����
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SITE ADDRESS:
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APPLICANT PERMITEE SIGNATURE ISSUED BY:SIGNATURE
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CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
Box 66 (1335 So Brown Rd)
Crystal Bay, MN 55323 � ��� �,
� � �*************************************************************************
� General Znstrnctions
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. Permi.ts 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 contractors only.
6. When any new construction or remodeling is invol ved, a separate building permit must
be obtained.
•- 7. All work must be done in accordance with State Code requirements.
8. AlI work must be inspected before it is covered. Call 473-7357.
24 honr notice reqnired.
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JOB SITE ADDRESS:
Occupancy Type: X Residential Commercial
�
OWNER'S NAME: ��C � C� �� Phone No. :
Mailing Address: �;ofp, ' �!l,p , City: ���y� d
CONTRACTOR'S NAME: C � � �)v�b�v�� Bu s. No. : ���]3���� �
Mailing Address: , City: L-.; L._, � Zip: at'�;.�%�
Master Plumber' s State License No. : �`�� � City Cert. No. :
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� ° PLUMBING FIXTURE SCHEDULE
l (Show number of fixtures of each ty�e on each floor)
FIXTURE TYPE BSMT 1ST FLOOR 2ND FLOOR OTHER FIXTURE TYPE BSMT 1ST FLOOR 2ND FLOOR OTHER
-------------' --- ---a----- ----r----- ------ -------J----- ---- ----�---- --------- ---- `,
Y:ater Closet � � ' � Sewer E ector �
' , �___________�1�___y___�____ ___�'____�__�___ _____��______ �___ ___'�__�_ _________l-_____
�
Lavatory � ; I ; Laundry Tray
------------- � ---�---—---- ---- ---1------ ------------- -- ---��---- ------- ----
-.. �- ; - - - -, -
"- Bathtub � � �- a _____- Washer I
_ --------------�----- ------- ------ ------------- ---- ---^--- ---------'r-----
j �
- �
° Shower _-_--_{-_-_- / I_ � Water Heater � �
_ � ------- , � --•-----� ------ ------ ------------- ---- --�---- ---------r-----
_ Ritchen Sink � j f I Water Softner � r i
------------ --- ' --•---- ---�----�----- ------------1--- --�---- -------- -----
--- - -�- - - - - - -�
, ; ,
Disposal � ----� � ------- ------ Wet�Bar------ ---- ---•---- ---------�
-------------1- L------- �-----
,
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Dishwasher �I I / --_--- Sump Pump
-------------1---- --- -- ------- ----------- -- ------ -------- -----
SillCocks C.� Misc. (List)
------------- ----- ---• -
.� Floor Drains y �e 5 jy' /\
------------- ----- ---�---- --------- ------ -
-�--------- ---- ---�---- ---------- -----
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1. Fixture Fee The minimum Fermit fee is $30.00 $
: : Compute number of fixtures x $5/fixture
x $3/fixture reset
y:h
- 2. State Surcharge $ .50
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 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.
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Si nature of A licant: --�.�� Date:
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DATE TIME
CITY OF ORONO CALLED IN ���
INSPECTION NOTI SCHEDUIED /i'/b - �l� 021 �G'
PERMIT NO. � a COMPLETED
ADDRESS !�'G -��
OWNER `�-�-'��"� CONTR. ����•% �J��
TELEPHONE N0. �f 73 "— �7 �T�
� DESCRIPTION , �"-"�`'�-�-�
� 01 FOOTING 11 MECHANICALRI 16WELLTESTPUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
y 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREM/ETLANDS
0
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK•UP O6 PROGRESS
� 07 D — I L 27 SEPTIC MAINT. 21 COMPLAINT
Q
09 PLUM�BING RI--�� 15 SEPTIC INSTALL. 22 FOLLOWUP
v 10 INB G FINAL 23 SEPTIC FINAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CdRRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑INSPECTION HEQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnedContrac o 'te:
Inspector. -
White Copylinspector' File Canary CopylSite Notice
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DATE TIME
CITY OF ORONO CALLED IN �� - -�d
-�---
INSPECTION NOTICE SCHEDUIED .��=���0 �1: �
PERMIT NO. ��a 7 COMPLEfED �
ADDRESS /�� �D'L2�i�D �
OWNER CONTR. ��
TELEPHONE NO. � ` � 7 �
� DESCRIPTION ��7L��e
� 01 FOOTING 11 MECHANICAL RI 18 WELL TEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
v3 031NSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SET/TURN ON 17 SITE 1NSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP 08 PROGRESS
� 0 B�}j�46� 27 SEPTIC MAINT. 21 COMPLAtNT
Q
= 09 PLUMBIN 1�� 15 SEPTIC INSTALL 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
2 OWNERlCONTRACTOR TO MEET YOU: Y NO
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W O CORRECT WORK&PROCEED O ISSUE CERTIFICATE OF OCCUPANCY
� O CORRECT VYORK,CALL FOR REINSPECTION TEMPORARY
V BEFOREC01/ERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOPORDER POSTED.CALl1NSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspectbn 24 hours in advance.473-7357
OwnedContra or�site:
Inspector.
Whits CopyA ors Flk Canary CopylSks Notiq
DATE;! g/ TIME
CITY OF ORONO CALLED IN ���
INSPECTION NOTICE SCHEDULED �f;� / ; �
PERMIT NO.�� COMPLETED !�� ��
ADDRESS ��� �� � r
OWNER �e � � CONTR. ��1 ..�ci ��-c�:�ca�� ,�.F�rn�.fi�r�
TELEPHONE NO. '��� c�,`�rI�
� DESCRIPTION �-�'-�'�z2-�1
� 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
Q 02 FRAMING 71 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
y 031NSULATION 24125'WOOD BURNER/FIREPLACE 19 LAKESHORENVETLANDS
Z 04 WALI BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SET(TURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
W 09 P�UMSIZLC�R1____� 15 SEPTIC INSTALL. 22 FOLLOW-UP
_�`�1�0 PLUMBING FIN 23 SEPTIC FINAL
�"�WRERTCONTR1l�R TO MEET YOU:_YES_NO
� COMMENTS:
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR r'CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73rJ7
Owner/Contra r�site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN 'a� -q�
INSPECTION NOTICE`�y SCHEDULED ' �
PERMIT NO. ✓ r a� COMPLETED �-a�- � '�I
ADDRESS � � ��—
�1 , -2.�.��
OWNER \ � ��-l� L�S CONTR.
TELEPHONE NO. ��� " �
� DESCRIPTION �� � �'`�'r
� 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUM
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADINGIFILLING
y 03 INSULATION 24125'WOOD BURNER/FIREPLACE 19 LAKESHORENVEfLANDS
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q OS FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
� 07 DEMO-SITE 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J . 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
��„ COMMENTS:
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECdVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advanoe.473-7357
Owner/Cont or n site•
Inspector:
White CopyAnspector's Flk Canary CoPY/Sita Notk�