HomeMy WebLinkAbout1990-002991 - plumbing .�, ,.
PERMIT
�ITY OF ORONO PERMIT TYPE: ���,����;��,��;
�35 Brown Rd. South • P.O. Box 66 ; ;� Permit Number: �+;-j'�'�`�1
,ystal Bay, Minnesota 55323 Date Issued: �s��1 i j�'���
12) 473-7357
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APPLIC /PERMITEE SIGNATURE ISSUED BY:SIGNATURE
_ .. ._- -- ---. - - ._ .._ _.._______._ .. .___..__
Box 66 (1335 Brown Road South) �� �/
Crystal Bay, MN 55323
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General Information
1. You may apply for plumbinq permits by mail or in person at the City offices.
2. Mailed in application are sub ject 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.
q, Work mu�t not beqin until the permit card is posted on the job site.
5. Plumbing pesmits may be iseued to atate-licensed plumbezs or to homeowner/occupante who intend to �
actually pezform their own work in their home.
6. when any new construction or remodeling is involved, a separate buildinq permit must be obtained, i
7. All work must be done in accordance with the State Buildinq Code Requirements.
8. All work must be inspected before it is covered. Call for inspectione 24 houra in advance
(473-7357I.
Instructions. Complete all itema on this application. Compute the permit fee. Siqn an8 date the
certification. Incomplete applications will not be processed. If you have.any questions, call
473-7357.
WALK-IN PERMITS--Apply at Cfty Offices, 1335 Srown Road So. (County Rd 146?
MAIL-IN PERMITS--Enclose Fee--Meil to: P.O. Box 66, Crystal Bay, F!N 55323
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JOB SITS ADDRESS ZOO �� -
Occupancy Type: Residerytial Commercial
Work to be Performed by: f/ Licensed Contractor Owner/Occupant
OWNER's NAM� Telephone No. -�f�,S�
Mailing Address
PLOMBER'S COMPANY NAME � S /GO�i Business No. �D
Mailing Address . •
Master Plumber' s State License No.���� City Cert. No.
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PLOMBING FIXTITR$ SCH$DIILE
(Show Number of Fixtures of Each Type on Each Floor)
FIXTURE tYPE BSi�1T. lsG Floor 2nd Floor Other Floora FIXTUAE TYPE BS!!T. lst Floor 2nd Floor Other Floors
water Closet � / !/ Laundr Tra �
Lavatorv Washer
eathtub ( � water iieater
Shower _ Water Softner �
Kitchen Sink Misc. Fixtures:
Disposal (Lisc)
Dis4was::er �
WeC Bar
Sillcocks Z
Floor Drains �
Sum Pum
Sewer E ector M. OF F XTURES
tkdttk*tk�k*1klktk**tklk�k�ktk*7ktk***�k�rir�k*tktkiF*�t�Ar�ktk*akdr�k***ik�r*�t�itttlk#�r*�4**drtk***tk�r*t4tk�k*dFtktk**
� P8RIKIT FLE CALCIILATION
1. Fixture Fee. The minimum permit. fee is $25. 00.
Compute number of fixtures �_ x $4/fixture $ � � �
2. State Surcharge $ .50
3. Postage and Handling (Only for Mail-in applications) $ 1.50
4. TOTAL Permit Fee (Add lines 1-3 above? $ �� ��
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The undersigned hereby appliee to the City of Orono for issuance of a PLUMBING PERMIT, agreee to do all �
work in strict eccordance with the ordinances oF the City nnd the requlations of the Minneaote State
corrdi�g Co , and certifiee that a statements made on this application ere complete, true and �
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gna e of 1 Date �
. �
,� _�1Ey6 TIME
CITY OF ORONO CALLED IN
INSPECTION NOTIC a� SCHEDULED —� '�9d =�
PERMIT N0. / COMPLETED
ADDRESS D D �
OWNER � CONTR. /����`�
TELEPHONE NO. 9��'��s`rT
j; ❑FOOTING ❑MECHANICAL RI ❑SITE WELL
~ ❑ FRAMING ❑MECHANICAL FINAL ❑WELLTEST PUMP
�
Q ❑INSULATION ❑FIREPLACENVOOD BURNER ❑ EXCAVIGRADING/FILLING
� ❑WALL BD. ❑WATER HOOK-UP ❑ LAKESHORFJWEfLANDS
O
Z ❑ FINAL ❑METER SETITURN ON ❑TREE REMOVAL
Q ❑ DEMO—SITE ❑SEWER HOOK-UP �SITE INSPECTION
� ❑ DEMO—FINAL ❑SEPTIC MAINT. ❑ PROGRESS
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� �PLUMBING RI ❑SEPTIC INSTALL ❑COMPLAINT
Z ❑ PLUMBING FINAL ❑SEPTIC FINAL ❑FOLLOW-UP
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Z COMMENTS:
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d �IWORKSATISFACTORY:PROCEED ❑ PHOTOTAKEN
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� ❑CORRECT WORK 8 PROCEED ❑CITATION ISSUED
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� ❑CORRECT WORK,CALL FOR REINSPECTION ❑ PROJECT COMPLETE
0 BEFORE COVERING ❑ ISSUE CERTIFOCATE OF OCCUPANCY
❑ CORRECT UNSAFE CONOITION WITHIN HOURS. TEMPORARY
INSPECTOR WILL RETURN
PERMANENT
❑STOP ORDER POSTED.CALL iNSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlCon o site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice