HomeMy WebLinkAbout1991-003678 - plumbing � . . . — -
� PERMIT
�.`� OF ORONO PERMIT TYPE: �,���� �,I��
1335 Brown Rd. South • P.O. Box 66 Permit Number: t jf y.:i-..��`
Crystal Bay, Minnesota 55323 Date Issued: Cy�E�3L�/=�f
(612) 473-7357
SITE ADDRESS:
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATUR
, . � CITY OF ORONO APPI�ICATION FOR PI.UMBING PERMIT
� . ,".Box 66 (1335 So Brown Rd)
"' Crystal Bay, MN 55323
**********************************************************
General Znstrnctions
1. You may aFply for plumbing pe�-mits 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 yon receive a permit card. M AY 8 1991
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 conered. Call 473-7357.
24 honr notice reqaired.
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JOB SITE ADDRESS: �Qp) �/a �i ,�'I�e)C��s� 2�/,
� - Occupancy Type: ,�(. Resi ntial Commercial
. OWNER'S NAM$�Y1�`� �C�{�e���r� Phone No. :
-. Mailing Address: City:
CONTRACTOR'S NAME��m 4xc�r��ux�l�ce, C��t� Bu s. No. : �c3�- 7'7/`7
� Mailing Address: I�nol 1���v��� R�ti City: �{-� Zip:SS;��
. Master Plumber's State License No. : M�'��,3 City Cert. No. :
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�• - � - PLDI�IDING 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
� ------------- ---� ----+----- ---�----- ------ ------------ ---- --------- --------- -----
V:ater_Closet_I �_=�__a--- -�•---- ------ Sewer_Ejector ---- ---•----- ---------�-----
Lavatory � + � _�_ �_ Laundry Tray �-- �_
. �
Bathtub-------�----�------- -�--- ------ Washer------- ---- ---�--- -------- I ----
Shower r � � Water Heater I -r_
-------------�-----�^--I----- -------- ------ ------------- ---- ---•----- --------- -----
_- -. Ritchen Sink � I Water Softner � _
------------- -----�-- --- -------- ------ ------------- — -- ------- — --�-- �e�=�.�.�
IIisposal-----1---- � -I-- ----- ---- Wet_Bar----- � --•---- -------- I -----
Dishwasher---�---- � - � -- --� -- ---- S�p-P�p---- �-- ----- --------- -----
. Sillcocks--- �- --•-- --�--- ----- Misc�_(Listl ---- � _ �� - - � -----
i�
Floor_Drains- --�-- -- -- -------- ------ ------------- ---- a_�v.-M\-�`�--- -----
-�= - -
� ******************************************************�*********************
1. Fizture Fee The minimum permit fee is $30.00 $ ,/�,5, (�
Compute number of fixtures ��1 x $5/fixture
� x $3/fixture reset
- 2. State Surcharge $ .50
3. Postage & Handling (Only mail-in applications) $ 1.50
4. TOTAL PERl�IIT FBE (add lines 1-3 above) $ l 10 /, (��.
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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 atrict accordance with the ordinancea of the City and the
requlations of the State of Minnesota, and certifies that all statements made on this
application are complete, true and correct.
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Signature of Applicant����� ���i�"��(/� _ _ Date: � �- 7/ --
/��E TIME
CITY OF ORONO CALLED IN �
INSPECTION NOTICE SCHEDULED � =-3d
PERMIT NO. aD.3�?� COMPLETED � e2y38
ADDRESS � B � '� r
OWNER � CONTR. V
TELEPHONENO. �33 � � 7/�
� DESCRIPTION v.�C�u.c�.� '— l�Q��-� v-��''�7'�
� 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILUNG
Q03 INSULATION 24125'WOOD BURNER/FIREPLACE 19 LAKESHORENVETLANOS
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q OS FINAL 13 METER SETITURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK•UP O6 PROGRESS
v 07 DEMO—FIN 27 SEPTIC MAINT. 21 COMPLAINT
i09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
2 OWNERICONTRACTOR TO MEEi YOU:_YES_NO
y COMMENTS:
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V BEFORECO'VERING PERMANENT
O COHRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 Faurs in advance.473-7357
OwnerlCont site•
Inspector:
Whits Capy Flla Canary CopylSits Nofks
S D�E TIME
CITY OF ORONO CALLED IN �
INSPECTION NOTICE �+_�� SCHEDULED ��1 �%-3�'
PERMIT N0. ��� COMPLETED �� �
ADDRESS C.i b '�
OWNER ���n..Qi1-•� I CONTR. 1-C`'Z�
TELEPHONE NO. � 3 3 � � 7� �
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� DESCRIPTION �,c �--' a
� 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
y 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORENVETLANDS
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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 06 PROGRESS
� 07 AL 27 SEPTIC MAINT. 21 COMPLAINT
09 PLUMBING R 15 SEPTIC INSTALL. 22 FOLLOW-UP
v NG FINAL 23 SEPTIC FINAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑ INSPECTION REOUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContractor i
Inspector. y
White Copyllnspector's Ffle Canary CopylSite Notice
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DATE TIME
CITY OF ORONO CALLED IN — I�`I��
INSPECTION NOTICE d SCHEDULED �- 3/ �
PERMIT NO. 3 lo�D COMPLETED w �
ADDRESS a �� �
OWNER �i�i� CONTR.
TELEPHONENO. � 3 3 � 77l �
� DESCRIPTION
� 01 FOOTING 11 MECHANICALRI 16 WEILTESTPUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADING/FILLING
y 031NSULATION 24J25'WOOD BUHNER/FIREPLACE 19 LAKESHOREIWETLANDS
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 06 PROGRESS
� 07 DEMO-FINAL 27 SEPTIC MAtNT. 21 COMPLAINT
09 PLUMBING Fil 15 SEPTIC INSTALL 22 FOLLOWUP
J10 PL�L 23 SEPTIC FINAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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V BEFORE C4'VERING PERMANENT
❑CORRECT UNSAFE CONDITION WfTHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Cali for the next inspection 24 hours in advance.473-7357
OwneHContractor
Inspector:
White Copyflnspector's Flb Canary CopylSib Notbe
� DA E TIME
CITY OF ORONO CALLED IN — � �' ����-
INSPECTION NOTIC J SCHEDULED � �D' ��-.-�
PERMIT NO. ���0 COMPLETED N � � /l
ADDRESS � �l e�-ar.� �
OWNER �-�ti CONTR.���� ) ��-
TELEPHONE NO. ���' 7 7/ ?
� DESCRIPTION
� Ot FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICALFINAL 18 EXCAVIGRADINGIFILLING
y 03 INSULATION 24125'WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
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
v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
_ �9��F-� 15 SEPTIC INSTALL. 22 FOLLOWUP
J 10 PLUMBING FINAL 23 SEPTI FINAL
� OWN RACTOR TO MEET YOU:�ES_NO
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� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContractor n`s�te:
Inspector. �
White Copyllnspecto�'s File Canary CopylSite Notice