HomeMy WebLinkAbout1991-004112 - plumbing PERMIT
CITY OF ORONO PERMIT TYPE: r,L jM -' NG
1335 Brown Rd. South • P.O. Box 66 Permit Number: U 1 L
Crystal Bay, Minnesota 55323 Date Issued: 12/20/91
(612) 473-7357
SITE ADDRESS:
425 TOiVKAWA RD
JIB
P. I .N. : 06-117-23-41-0088
DESCRIPTION:
4 FIXTURES ,,-
Plumbirng Pe,pait. T�04 1 ' "X U E:
Plumbing jtNOVATE/ MODEL
1 WATER CLOSET i LA�T�3f�Y 1 BATHTUB
1 SHOWER
CIT?` OF Okla
FINAVCE DFFICE
1313300000
01 LEN 30.00
1�t«0000
01 GEN .50
REMARKS: RECEIPT-?NAW YOU
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FEE SUMMARY: ..
Ease Fee $30. 00
Surcharge __ __
Ti_it•aI Fee $30 . 50
CON -` Applicant -- OW=NFrT-� K & ASSOC 27397766 E
& BYRNE
1110 S CENTURY AVE 425 TONI,AWA RD
MAPLEWOOD MN 55119 LONG LA9'E MN 55355
(612) 739-7766
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APPLICANT/PERMITEE SIGNATUR ISSUED BY.SIGNATURE
CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
„Box 66 (1335 So Brown Rd)
Crystal Bay, MN 55323
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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.
B. All work must be inspected before it is covered. Call 473-7357.
24 hour notice required.
JOB SITE ADDRESS:
Occupancy Type: Residential Commercial
OWNER'S NAME: , r, g,\� r 1� Phone No. : -173-9koS,3
Mailing Address: l City:
CONTRACTOR'S NAME: K. Njcz1� ..t\ F�a.i�� Bus. No. : tl ��
Mailing Address: c; _ e_z.,�k .
.. ,�- City: Iri.;,6�?? Zip:
Master Plumber's State License No. : Cl�,`I C,� r,-) City Cert. No. :
PLUMBING FIXTURE SCHEDULE
(Show number of fixtures of each type on each floor)
FIXTURE TYPE BSMT IST FLOOR 2ND FLOOR OTHER FIXTURE TYPE BSMT IST FLOOR 2ND FLOOR OTHER
------------- ---- -----1----- ---T----- ------ -
Water Closet
—�— 1- ' Sewer Ejector
--------- ---'11 ---- ----- -
Lavatory / Laundry Tray
Bathtub ------ Washer
------------- -----�------- --�---- ------------- ---- -------- --------- -----
Shower- ' ------ Water Heater
------ -----�-- ----- ---—---- ----------- ---- ---•---------------------
Kitchen Sink Water Softner
--------------+----- --•----- ----------------- ------------------- ---—--------------------
Disposal
---- ------ ------------- -
Disposal I- ------ Wet Bar
Dishwasher--- ---- ------ ------- Sump Pump------------------ --------------------------
Dishwasher
--- --------- -----
------------- ----- -- — -- ------- ------ ----------- -- ------ -------- ----
SillcocksMisc. (List)
Floor Drains
1. Fixture Fee The minimum permit fee is $30.00 $_
Compute number of fixtures x $5/fixture
x $3/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• '
D TE TIME
CITY OF ORONO CALLED IN /-z Qi
INSPECTION NOTICE SCHEDULED le :Uy
PERMIT NO. //��_ COMPLETED
ADDRESS
OWNER CONT & �Cc
TELEPHONE NO. a 2 ` IE`7— 'J'7,�, 6,
DESCRIPTIONQ�n ��
01 FOOTING 11 MECHANICALRI 16WELLTESTPUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
h 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
J 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBIN 15 SEPTIC INSTALL. 22 FOLLOW-UP
v 10 PLUMBING FINAL 23 SEPT15 FINAL
Z OWNERICONTRACTOR TO MEET YOU:YZYES_NO
v0, COMMENTS:
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V l 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/Contractor ons
r.
Inspecto
White Copynnspeaor°s File Canary CopylSiM Notice
DATE^ TIME axe.
CITY OF ORONO CALLED IN �yy
INSPECTION NOTI E SCHEDULED J / -ya 3° an-,
PERMIT NO. 2' COMPLETED
ADDRESS
OWNER CONTR.
TELEPHONE NO. 77351- 7 7(10 �3� 3 7
DESCRIPTION
�
01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
y 03 INSULATION ✓ 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
Q
04 WAI I BD.q0, 12 WATER HOOK-UP 34 TREE REMOVAL
05 FINA 13 METER SET/TURN ON 17 SITE INSPECTION
07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 P 15 SEPTIC INSTALL. 22 FOLLOW-UP
v 10 PLUMBING FINAL 23 SEPTIC FINAL
OW TOR TO MEET YOU:_YES_NO
COMMENTS:
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W ❑WORK SATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
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W ❑CORRECT WORK&PROCEED ElISSUE CERTIFICATE OF OCCUPANCY
0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
U BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. U PHOTO TAKEN
INSPECTOR WILL RETURN ❑; CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the ne inspection 24 hours in advance.473-7357
Owner/Contractor o te:
Inspector.
White Copy/inspector's F e Canary Copy/Site Notice