HomeMy WebLinkAbout1992-004402 - plumbing PERMIT
� ,���� �� ����� PERMIT TYPE: F=Lt���:���
1335 Brown Rd. South • P.O. Box 66 Permit Number: t�t7�.Q.cj���
Crystal Bay, Minnesota 55323 Date Issued: i��/�, �/���
(612) 473-7357
SITE ADDRESS:
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� DESCRIPTION:
=�E� FIXT��F�E'=,
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;''_�arrrt�i�i� Wi+t�' `i yF=� �;E'�.IC}El�C:E
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REMARKS:
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CONTRACTOR: — A�p}. i c ant- — OWNER:
THj�MF'���h] �'��G 2`�•�•ji�ii C:HARLE'� G�JDD C:�i
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t h 1�y ��:;:;-7717
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T�E IFP�EC3ER'=:I�;h�lE� i�E�:EE.Y �Ei�I�F_T'�: �'E�;1�1I _r�I���h�l T��� �laE�::E THE F�EAL I?�(F'���iVEMEI�T'=;
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
_ *�o z.
, CITY OF ORONO APPI,ICATION FOR PLDMBING PERMIT ,
��" Box 66 (1335 So Brown Rd)
�' Crystal Bay, MN 55323
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General Inatructions
l. You may apply for plumbing permits by mail or in person at t�e.Gi-ty•,;offices.,' � �
2. Mailed in applicationa are sub ject to the poatage and ha 'dling fees ahown�elow. .
Permit cards will be sent by return mail the same day the ap�lication is recei d.
3. Permits are not valid until yon 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 conatruction or remodeling is involved, a separate bui�ding,{��cplit muet
be obtained. ��N 1 •1•'�"�
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 reqnired.
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JOB SITE ADDRESS: //Q (,( G)pr(��� S �� �ZV,
Occupancy Type: _� Reside ial Commercial
OWNER'S NAME: �_,Q�,�, C,�(,(��Q �, Phone No. :
Mailing Address: City:
CONTRACTOR'S NAME: ��iOm�r���� CO-�.o Bu s. No. : ��-'"'��(rI
Mailing Address: ISCx�\ 9_ City: ��'�{2e�, Zip:��
Master Plumber's State License No. : �M 1'"'��� City Cert. No. :
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PLUMBING FIXTURE SCHEDULB
(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
------------- ---- ----�----- ---�----- ------ ------------ ---- ----�---- --------- -----
Water Cloaet i Sewer Ejector
� -�---- -�•---- ------ ------------- ---- ---•----- --------- -----
------------- ---- -
Lavatory iaundry Tray /
� ------------- -�- �---- -- 3-- ------ ------------- ---- ---.----- --------- -----
Bathtub------ ----- --�---- --�--- ----- Washer------- ---- -=^----- --------- -----
Shower � � Water Heater
------------- ----- --•----- --------- ------ ------------- �- ---•----- --------- -----
Ritchen Sink � Water Softner
Disposal � ____Bar S►nl(r '
------------- ----- ------ ------- ---- - - -- •
Dishwasher � Sump Pump ,
Sillcocks---- -� - ----•--- -------- ------ Misc. (List)- ---- --�--�U iG�T-�{-- �
Floor Drains _ "
------------- - --- ---�---- --------- ------ ------------- ---- -- - -----
***************************************************** *��` ***** - --.
1. Fixture Fee The minimum permit fee is $30.00 $_�fz ('X�
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 PBRMIT FE$ (add lines 1-3 above) $ o�90•�d
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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 ordinances of the City and the
regulations of the State of Dfinnesota, and certifiea that all statements made on this
application are complete, true and correct.
Signature of A�plicant�iGG�� (.�1._L�'vr,�� Date: �p�'8-'9�
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DATE TIME
CITY OF ORONO CALLED IN y Z
INSPECTION NOTICE SCHEDULED .�/��3� ' 3n
PERMIT NO. '�'�O.Z, COMPLETED �, ��
ADDRESS `
OWNER„ CONTR. , / �j'{1�
TELEPHONE NO. ��3 '� 7 7/ 7 �
� DESCRIPTION ������,�dv
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� 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADING/FILLING
� 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
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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
v 07 — INAL 27 SEPTIC MAINT. 21 COMPLAINT
T 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ,_ pHOTOTAKEN
INSPECTOR W�LL RETURN [_', CITATION ISSUED
❑STOP OFDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContr on i e:
Inspector. - �'
White Copyllnspector's Fil Canary CopylSite Notice
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DATE TIME
CITY OF ORONO CAL�ED IN �— l7���///-�' `'
INSPECTION NOTICE SCHEDULED �� -3`��O
PERMIT NO. z- COMPLETED t� U�
ADDRESS r U -�
OWNER �� C:�c�_ CONTR.�(a�d-�-�
TELEPHONE NO. � 3 3 - 7 �7 / �
� DESCRIPTION
� 01 FOOTING 11 MECHANICALRI 16WELLTESTPUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADINGIFILLING
� 03 INSULATION 24/25 WOOD BURNER/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
Q 07 DE —FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBIi1L"RF-� 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. - pHOTO TAKEN
INSPECTOR WILL RETURN
❑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
OwnerlContr r op ite:
Inspector. �
White Copyllnspecto File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN I�-�Q�'�-
INSPECTIONNOTICE,!//� SCHEDULED - ��n'!
P�RMIT NO. `�K � COMPLETED � �
ADDRESS ��
OWNER ��G�-- CONTR.
TELEPHONE NO. , �3� 7 7/�
� DESCRIPTION �'� ��G�G,�
� 01 FOOTING 11 MEC ANICAL RI 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADINGIFILLING
y 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
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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 O6 PROGRESS
J 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
? 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� BEFORECOVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. i- PHOTOTAKEN
INSPECTOR WILL RETURN
❑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
OwnedContr r qr�site:
Inspector. .U
White Copylinspect 's File Canary CopylSite Notice
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�/ DAT TIME /
CITY OF ORONO CALLED IN O �4Z ��• �C!%!l`
INSPECTION NOTI E SCHEDULED �5- `7� �-'��C Q�i�
PERMIT NO. G��U`-�- COMPLETED '�
ADDRESS v21/ � �C� �,�'v t� c'�'�. �Y'
OWNER C%�G�GQ C'��, CONTR.� ��E ,., �� �.� ��G,
TELEPHONE NO. �3 3 " � 7 I � _
� DESCRIPTION
lL 01 FOOTING 11 MECHANICALRI 16WELLTESTPUMP
� 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
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03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
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 06 PROGRESS
� 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUM 15 SEPTIC INSTALL. 22 FOLLOW-UP
J PLUMBING FINAL 23 SEPT C FINAL
� OWNERI TO MEET YOU: YES_NO
� COMMENTS:
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0 BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ,� PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �-' CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContr�r pq�site:
Inspector. V
White Copyllnspector's ile Canary Copy/Site Notice