HomeMy WebLinkAbout1992-004342 - plumbing , . ,� PERMIT ,
CITY OF ORONO PERMIT TYPE: E
1335 Brown Rd. South • P.O. Box 66 Permit Number: �i�f�.������
Crystal Bay, Minnesota 55323 Date Issued: i:��f 1'�!'�E` i
(612) 473-7357
SITE ADDRESS: �'
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AP ANT/PERMITEE SIGNATURE ISSUED BY:SIGNATUR
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� CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
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 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 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 hour notice required.
******************************�*� *******`****** ***************************
JOB SITE ADDRESS: ����� _���t/j��.(,��— �
Occupancy Type: _��Residential Commercial
OWNER'S NAME: , Phone No. : L� �y -�y��
Mailing Address: City:
CONTRACTOR'S NAME:< _� ���,p,ej-.._ Bu s. No. : / ��� ��J 1
Mailing Address: / �/,3� t� Ut �;; City: ���t- Zip:�y�
Master Plumber' s State License No. : )fi� -3=/:� 3 City ert. No. :
. ***************************************************************************
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
___________�� .-,I___.__ _T_____ ___�__ __'_.__'���___ ___' ____���__ ������___ _____
_�-� __
/� ---
V7ater Closet ( ) ," � '� _--_- Sewer Ejector
� ------------ v- -- --- --- --- ----------- -- --•---- ------- ----
- - - - - - - - - - - - - - - -
Lavatory i � ___-_- Laundry Tray ,
------------ - --L--- ------ ----------- -- --.�--- ------- ----
Bathtub � ----_- Washer
------------- --- ---- -------- -----------
--�---- ---- --- --- --------- -----
Shower � � � Water fieater J �
------------ �- --•---- ----- ---- ----------- -�+- --•----- -------- -----
Ritchen Sink � 1 -_-__- Water Softner
_____________1____ _'�__� ___'_�_ ___________ �_ __.____ _______� _�.�_
Disposal I- Wet Bar
-------------1 --- ---- ----- ---- ----------- -- --�---- -------- -----
Dishwasher___ I- f Sum Pum
--------- 1 --- ---� -- --------- ----- --p----P--- -�- ------- ---------- -----
Sillcocks �, MisC. (List)
------------- ----- ---•--- --- ----- ------ -------
Floor Drains i
**********************************************************,t**************** _
1. Fixture Fee The minimum permit fee is $30.00 $
Compute number of fixtures x $8/fixture
x $5/fixture reset ,
2. State Surcharge $ .50
3. Postage b Handling (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (add lines 1-3 above) $ / � � S�
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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 Ptinnesota, and certi.fies that all statements made on this
application are complete, true and correct.
Si nature of A licant. � Date: �� 1 '� I
9 �I�
DnATE TIME
CITY OF ORONO CALLED IN y�—` � `� P'�'-'
INSPECTION NO lC��I SCHEDULED ���- �'��'�'"`
PERMIT NO. J`�� COMPLETED �_
ADDRESS O��� � �U P� U i �-u� ���
OWNER ��f''Gt��'�-'�. CONTR.�'br'��nn hrX.�-
TELEPHONE NO. � � �° ����
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADINGIFILLING
y 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORENVETLANDS
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SET(fURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
v 07 DE — L 27 SEPTIC MAINT. 21 COMPLAINT
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�09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10�CGIv18 23 SEPTIC FINAL
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V BEFORE COVERING PERMANENT
0 CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN
INSPECTOR WILL RETURN
�STOP ORDER POSTED.CALL INSPECTOR n CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContra r o s e:
Inspector. %
White Copyllnspector's e Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN �[L "'�
INSPECTION NOT E�t SCHEDULED Co%/4.i .3%cr�
PERMIT NO. T� COMPLETED �t � �=�D
ADDRESS ,
OWNER CONTR. �i�Jirnae��
TELEPHONE NO. '��
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� DESCRIPTION
� 01 FOOTING 11 MECHA ALRI 16WELLTESTPUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVlGRADING/FILLING
y 031NSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
Z04 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 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
i09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
v 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. CPHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUEO
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContract o te:
Inspector.
White Copyllnspecto�'s Fil Canary CopylSite Notice
DATE TIM@
CITY OF ORONO CALLED IN �/_9� I ! 07 ��.t
INSPECTION NOTIC�3�a SCHEDULED a' � Q�9
PERMIT NO. COMPLETED �� T
ADDRESS C��(�J L� U�L(�' (��2U� �
OWNER ( '.I��.C-�.-(�- CONTR.�O�t.�2-a-r��,
TELEPHONENO. 47 ���' � � .j �
� DESCRIPTION
� Ot FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
y 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORENVETLANDS
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
v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
0 INSPECTION REQUIPED.CALL TO ARRANGE ACCESS.
Call for the ext inspection 24 hours in advance.473-7357
OwnerlCon n site:
Inspector.
White Copyllnspect r's File Canary Copy/Site Notice
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DATE TIME
CITY OF ORONO CALLED IN �� �Z
INSPECTION NC�TICE SCHEDULED � �� ��%:3 ,�
PERMIT NO. f.� `��` COMPLETED � L�� 1 l __ � � �
ADDRESS ���'�� ��f.-c��- C���_�7.�.<: /��.:�
OWNER C � �^-����.�—' CONTR. �[ � ���C'��'���-✓
TELEPHONE NO. �k��- �f 7 j — �1 � S�
� DESCRIPTION
ly 01 FOOTING 11 MECHANICALRI 16WELLTESTPUMP
� 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
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03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
� 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
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Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
J 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLU !. 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINA�`; 23 SEPTIC FINAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W�[�CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL REfURN
C: CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
C7 INSPECTION REQUIRED.CALL TO ARRANG E ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContractor on site,:� �
inspector. ��� ��--��
White Copyllnspector's File Canary CopylSite Notice