HomeMy WebLinkAbout1994-006083 (Plumbing) P�Rl�IIT
CITY O� ORONO PERMIT TYPE:
2750 Keiley Parkway • P.O. Box 815 Permit Number: E��'���`'��`�i'�
Orono, Minnesota 55356-0815 d A9��.i�,::;
(612) 473-7357 Date Issued: 4_y�;�F,�;.�;�
SITE ADDRESS:
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APPLI NT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
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CITY OF ORONO APPI�ICATION FOR PLDI�IBING PERMIT
______ Box 66 (1335 So Brown Rd) /_Q��
Crystal Bay, MN 55323 «
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General Instrnctions
1. You may apply for plumbing permits by mail or in person at the City offices.
2. Mailed in applications are sub�ect to the poatage and handling fees ahown below.
Permit cards will be sent by return mail the same day the applicatioa is received.
3. Permits are not valid aatil yon receive a permit card.
4. Work must not begin unless the permit card ie 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 pera►it must
be obtained.
7. All work must be done in accordance with State Code requirementa.
8. A1 1 work must be inspected before it is covered. Call 473-7357.
24 honr notice reqnired.
***�*�r***�e**************�t**�c*****�****** *****�c****�********�*�e�**�t********
JOB SITE ADDRESS: //� L��
Occupancy Type: � Residential Commercial
OWNER'S NAI�:: �2, � Phone No. : /i���
Mailing Address: �s City: �,��.
CONTRACTOR'S NAN�:: Bu s. No. : �-��7
Mailing Address: City: ��.�., Zip:C,,�
Master Plumber's State License No. : City Cert. No. :
*******�r*****************************************************�*************
PLDNIDING FIXTnRE SCHEDULE
(Show number of fixtures of each type on each floor)
FIXTURE TYPE BSMT 1ST FLOOR 2ND FLOOR OT�R FIXTURE TYPE BSMT 1ST FLOOR 2ND FLOOR OTHER
------------- ---- ----�---- ----r---- ------ ------------- ---- ----•---- --------- -----
Water-Closet -__ ---__- _�- _-_ -_-- Sewer Ejector -_ ___ -_-- -------- -----
Lavatory---- --- ------ / -- ---- Launc3ry Tray -- --•----- ------- ----
Bathtub----- --- -�--- � -- ----- Washer------- --- ---^---- -------- -----
Shower Water Heater
Ritchen_Sink-�---- --`--- --`---- ----- Water_Softner ---- ---�--- -------- ----
� Disposal I_ Wet Bar
-------------1 --- ---- ----- ----- ----------- ---- ---�---- -------- -----
Dishwasher Sump Pump
Sillcocks M3sc. (List)
Floor Drains
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1. Fiutnre Fee The minimum permit fee is $30.00 $
Compute number of fixtures x $8/fixture ��� � p�
x $5/fixture reset
2. State Snrcharge $ .50
3. Posta.ge � Handling (Only mail-in applications) $ 1.50
4. TOTAL PBRMIT FEE (add lines 1-3 above) $
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The undersigaed hereby applies to the City of Orono for issuance of a Plumbing Permit,
agreea to do all work in atrict accordance with the ordinances of the City and the
regulations of the State of Minnesota, and certifies that al 1 statements made on this
application are complete, true and correct.
Signature of Applicant: Date: � �� F
DATE TIME
CITY OF ORONO CALLED IN "/�'9
INSPECTION NOTICE SCHEDULED .S-/� / % `�
PERMIT NO. � �g � COMPLETED '[ �
ADDRE�S �-� �
OWNER �-�-��' CONTR. �
TELEPHONE NO. ���O � ��� �
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
y 03 INSULATION 2M25 WOOD BURNER/FIREPLACE 19 LAKESHOREMIETLANDS
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METEfl SETITURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= PLUMBING RI 15 SEPTIC INSTALL 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
Q OWNERICONTRACTOR TO MEEf YOU:_YES_NO
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❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
�INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContra ite:
Inspector. -
VNhite CopyMspector' Flle Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTIC SCHEDULED
PERMIT NO. � COMPL ED
ADDRESS C •
OWNER���,,l�CONTR.
TELEPHONE NO.
� DESCRIPTION �! [ �' ��v�'�-
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
? 09 PLU I 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J PLUMBING FIN 36 FOUNDATIOWREMOVAL
� OWNE CONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
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V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlCon or o site:
Inspecto
Whlte CopyAnspector's Flle Canary Copy/Site Notice