HomeMy WebLinkAbout1992-004169 - plumbing PERMIT
CITY OF ORONO � � PERMIT TYPE: f��_�,x��{�::�;,��:�
1335 Brown Rd. South • P.O. Box 66 Permit Number: ��;-'��F�'�
Crystal Bay, Minnesota 55323 Date Issued: i�i'1`E�t�.,I''t�::
(612) 473-7357
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APPLICANT-PERMITEE SIGNATURE ISSUED BY:SIGNATURE (����
CITY OF ORONO �,•p� APPLICATION FOR PLOMBING 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 return mail the same day the application is received.
3. Permits are not valid until pon receive a permi.t 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. A1 1 work must be inspected before it is covered. Call 473-7357.
24 honr notice reqnired.
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JOB SITE ADDRESS: .,2 � ���' S�. /1 � J� Lt
Occupancy Type: ��Residential ' Commercial
OWNER'S NAME: ��-.�, /�.4.�* /j�,`�� Phone No. :
Mailing Address: �� 7 �r S,`/� ��,� �h City: �� ��
CONTRACTOR'S NAME: � Bus. No. : ' ��2"r�
Mailing Address: C'�4z� City: Zip:.�; `7
Master Plumber's State License No. : �+t, J1' fc/ v�Jc ;_ _ City Cert. No. :
***************************************�***�** e****************************
PLUI�ING FIXTIIRE SCHEDOLE
(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 E ector
_____________I=�__�________ ____ ____ ______ _______�_____ ____ ___._____ _________�_____
Lavatory � ( __--__ Laundry Tray
------------- ' ----�-------- -------- ---------- ---- ---•---- --------- -----
_ _ _
Bathtub ] � -__-- Washer
------------- ,-�=-�------- -- --- - ------------- ---- ---^--- --------- -----
Shower � , Water Heater
-------------�-----�---•----- -------- ------ ------------- ---- ---•----- --------- -----
�
Kitchen Sink f 1 Water Softner
-------------y---- � ----- ------ ----- ------------ ---- -------- --------- ----
Disposal � Wet Bar
-------------1-----�----- ----- ---- ------------ -� ---.---- -------- -----
Dishwasher___�- Sum Pum
--------- --- ---•-- ---- -- ----- --P----P---- -- ------- --------- -----
Sillcocks Misc. (List)
Floor Drains
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l. Fixtnre Fee The minimum permit fee is $30.00 $ �� � C
Compute number of fixtures � 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) $ �
****************************************************** ********************
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: '`��"� � ���C?�- Date: �- � V �,�,
✓
DA E TIME
CITY OF ORONO CALLED IN - �-
INSPECTION NOTI SCHEDULED � --1�'-P��
PERMIT NO. COMPLETED L� �
ADDRESS 7 9D ~
OWNER /�c�. CONTR.
TELEPHONE NO. � �7- lo���
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� DESCRIPTION
� 01 FOOTING 11 MECHANICALRI 16 WELLTESTPUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
y 031NSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORENNETLANDS
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
� O—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
09 PLUM 15 SEPTIC INSTALL. 22 FOLLOW-UP
v 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W � �CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFOREC�IERING PERMANENT
�CORRECT UNSAFE CONDITION WiTHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL REfURN
O STOP ORDER POSTED.CALI INSPECTOR n CITATION ISSUED
�INSPECTIONREQUtRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner►Contra r Qr�site:
Inspector. �v
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