HomeMy WebLinkAbout1991-004015 - plumbing , . r �ERMIT
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1335 Brown Rd. South • P.O. Box 66 Permit Number: +st:��.t y i�
Crystal Bay, Minnesota 55323 Date Issued:
(612) 473-7357 �{k r��?.���
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APPLICANT%PERMITEE ATURE ISSUED BY SIGNATURE G/C/
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•• CITY OF ORONO APPLICATION FOR. PLUMBING PBRMIT
1 Box 66 (1335 So Brown Rd)
Crystal Bay, MN 55323
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General instructions
1. You may apply for plumbing permits by mail or in person at the City officea.
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 required.
**********************.x���***************,,**�****�* ************************
. JOB SITE ADDRESS: �� �C� /'U��,'�/�i,rk. .
Occupancy Type: Residential Commercial
OWNER'S NAME: o ��y����.�_� Phone No. : y 7� � ���
Mailing Address: � �/�'� �� � t� � City: _��;,,�
CONTRACTOR'S NAME: _ , �µ !I , � � � � . Bu s. No. : ���-��15�
Mailing Address: - � . City: �,�1,���„� Zip: �</�y
Master Plumber's State License No. : 5`V 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
------------- ---- ----a----- ----r----- ------ ------------ ---- --------- --------- -----
Water Closet J � _-___ Sewer Ejector
------------ ---- ---�•---- --- --- ----------- -- --�---- ------- ----
Lavatory / / Laundry Tray J
/ �
Bathtub - ] � _-_--_ Washer
------------ --- - -�-- ---- ----------- -- ------ ------- ----
Shower Water Heater l
Ritchen Sink � � Water Softner
-------------+---- --�----- ---�---- ------ ----------- ---- ---�----- --------- ----
Disposal I- _--__ Wet Bar
-------------1 --- ---- ----- ---------- -- --�---- -------- ----
Dishwasher (- -_ Sump Pump
------------ •1 ---- ---- --- -------- --- ----------- -- ----- -------- ----
Sillcocks � Misc. (List1
Floor Drains
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1. Fixture Fee The minimum permit fee is $30.00 $
Compute number of fixtures x $5/fixture
x $3/fixture reset
2. State Surcharge $ .50
~' 3. Postage & Handling (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (add lines 1-3 above) $
**************************************************,t************************
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 certifiea that all statements made on this
application are complete, true and correct.
Signature of A�;plicant: Date: �
,-�. - -;
�t ii'. +;
-s�` � �_. �
� �
DATE TIME
CITY OF ORONO / CALLED IN ! 4.
INSPECTION NOTICE V SCHEDULED /o/iv/s� � = 30
PERMIT NO. '`I�f�/S cL 5�/� COMPLETED -k til
ADDRESS ��'1�S ,�Z-r�����„�� .
OWNER�.�%1, CONTR. ,�.�r►� �P
TELEPHONE NO. ��7-Co 3?�"-
� DESCRIPTION —
� 01 FOOTING 11 MECHA ICAL l(o�/ 16WELLTESTPUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
y 03 INSULATION 2M25 WOOD BURNER/FIREPLACE 19 LAKESHOREIWEfLANDS
$ 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL �;
Q OS FINAL 13 METER SETlTURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP OB PROGRESS
v 07 DEM -FINAL 27 SEPTIC MAINT. 21 COMPLAINT z;i
W
_ �O/5 15 SEPTIC INSTALL 22 FOLLOW-UP ` M
J 10 PLUMBING FINAL 23 SEPTIC FINAC
2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO `
y COMMENT •
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W� WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT VYORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY '
� O CORRECT WORK C/1LL FOR REINSPECTION TEMPORARY
V BEFOREC01/ERING 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.
Call for the next inspectan 24 hours in advance.473-7357
OwnerlCon site: ,
Inspector.
Whits CopyAesPecf Fik Canary Capy/Site NotlCe