HomeMy WebLinkAbout1992-004163 - plumbing PERMIT
` CITY OF ORONO PERMIT TYPE: PLUMBING
1335 BroWn Rd. South • P.O. Box 66 Permit Number: 00416.3 •
Crystal Bay, Minnesota 55323 Date Issued: 01/31/92
(612) 473-7357
SITE ADDRESS:
=:675 TOGO RD �
CH
P I . = 17-117- 3- 1-003.5
DESCRIPTION:
FIXTU
Plumbing P�t•m>lt �T"xTl1��E:
Plurfibi�� ,:#r Y'k Trp A4I"�, ATE/RtMODEL
1 LAVATORY VAT 1 BATHTUB/RI
REMARKS:
FEE SUMMARY: 41 &Eti 34
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41 CEN 54
Base Fee $30. 00 CRECK TL 335 $5
Surcharge --1--_0 ECE7zT-THANK Yd
r 11
Total Fee --___--- _=,yy Sfy #233960 0441 ffOl T t:ttl
41: 1191
CONTRACTOR: OWNER: - Applicant -
KEMPF RALPH
�G-715 TOGO RD
ORONO MN 55:3' 1
471-8324
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APPLICANT/PERMITEE SIGNA ISSUED BY:SIGNATURE
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CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
Box 66 (1335 So Brown Rd)
Crystal Bay, MN 55323
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.
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JOB SITE ADDRESS: Com S TO so Q-0 C"-4-
Occupancy Type: Residential Commercial
OWNER'S NAME: A�.Pl1 K,c 1�'��F Phone No. : 47
Mailing Address: City: 1_4'1[..vZ��t+.
CONTRACTOR'S NAME: Bus. No. :
Mailing Address: City: Zip:
Master Plumber' s State License No. : City Cert. No. :
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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
___ _ ----------------------------- ------------------- --------- --------- -----
Water
____Water Closet Sewer Ejector
=] _____ ___ l _ ____ ______-_-__ __ ___._-__ ____--___�_____
Lavatory ; ` Laundry Tray
------------- � ---+-
---- ----—---- ------ ------------- ---- ---•----- --------- -----
Bathtub Washer
Shower , , Water Heater
--------------------------------—--- ------ ------------- --- ---•--------------- -----
---- --------- -----
Kitchen Sink ; Water Softner
-------------�---- -------- ------ ------------- ---- -------- --------- -----
Disposal Wet Bar
-------------1---- ---- ----- ---- ------------- --- ------- --------- -----
Dishwasher ---_-- Sump Pump
-------------1---- --- -- ------ ---------- --- ------- ---------- -----
SillcocksMisc. (List)
Floor Drains
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 & Handling (Only mail-in applications) $ 1. 50
4. TOTAL PERMIT FEE (add lines 1-3 above) $
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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 Minnesota, and certifies that all statements made on this
application are complete, true and correct.
Signature of Applicant: Date: 3�- 012
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTJCE SCHEDULED —1 k %,L0
PERMIT NO. COMPLETED 61, N
ADDRESS 96n,75-
OWNER CONTR.
TELEPHONE NO.
DESCRIPTION
W 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
y
O
03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
2 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SET/TURN ONSI INSPECTION
07 DEMO—SITE 14 SEWER HOOK-UP PROGRESS
v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
.J 10 PLUMBING FINAL 23 SEPTIC FINAL
Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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ti COMMENTS:
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ewORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W
Cr- O CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
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.473-7357
Owner/Contra r op trite:
Inspector. U
White Copyllnspector File Canary Copy/Site Notice