HomeMy WebLinkAbout1992-004522 (Plumbing-bath fixtures) �
:� �ERMIT
� �8 �+ o�a�� PERMIT TYPE:
;rown Rd. South • P.O. Box 66 ��'�}��'���'
Permit Number: iit)�..,'�'�
Crystal Bay, Minnesota 55323 Date Issued: i r7/;��;:�'�i
(612) 473-7357
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: — F�F'�'� z+_���t� — OWNER:
FAD+JEr� C:L i F� is '_�+�N:� '�'47:;1�,57 t�aEL'=;i�hl T�iM
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APPLICANT/PERMITEE SIGNATURE ISSUED BY SIGNATURE
�CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
ox 66 (1335 So Brown Rd)
� Crystal Bay, MN 55323
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General Instrnctions
1. You may apply for plumbinq 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 honr notice required.
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JOB SITE ADDRESS: � L �J j� C fr ► r�,q h/ rC cQ .
Occupancy Type: f�Residential Commercial
OWNER'S NAME: �c .�r �1/�.I S c� •� Phone No. :
Mailing Address: City:
CONTRACTOR'S NAME: G Ii�F'� F9���*^� -�- ��,.,�s��,.•.:, Bus. No. : i,/7 3 -- %�S 7
Mailing Address: � cg N�,, �?,9yry City: �,,.�.o-� ,,�.},� Zip: r�s- 1i�
Master Plumber's State License No. : M iZ /� 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
------------- ---- ----a----- ---T---- ------ ------------ ---- ----�---- -------- ----
Water Closet f Sewer Ejector
Lavatory L Laundry Tray
-- ---•----- --------- -----
Bathtub / Washer
------------- ----- ------- ------- ------ ------------- ---- --------- --------- -----
Shower 1 Water Heater
---- -----
Ritchen Sink l Water Softner
-------------+----- --�----- -------- ------ ------------- --- -------- -------- ----
Disposal Wet Bar
-------------1----- --_--- ------- ------ ------------- --- --.---- -------- ----
Dishwasher Sump Pump
Sillcocks Misc. (List)
Floor Drains
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1. Fixture Fee The minimum permit fee is $30 .00 $
Compute number of fixtures x $8/fixture
x $S/fixture reset
2. State Surcharge $ .50
3. Postage � Handling (Only mail-in applications) $ 1.50
4. TOTAL PBRMIT 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,
agreea 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 A�plicant: ��� �`--�-T-� Date: 2- � 5' �—
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DATE TIME
CITY OF ORONO CALLED IN =1��T
INSPECTION NOT CE V� SCHEDULED � �-z � �UZ=
PERMIT NO. ���Z�— COMPLETED
ADDRESS �"5�-�' ��.��2,�r� ��
OWNER %L�s�� CONTR. 'T�L'�E��.�
TELEPHONE NO. '���l�5� _
� DESCRIPTiON ��,�e��
LL 01 FOOTING 11 MECHANICALRI 16WELLTESTPUMP
� 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADING/FIILING
�
031NSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORENVETLANDS
� 04 ALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Z ' /
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 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
10 PLUMBING FINAL 23 SEPTIC FINAL
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Q OWNERICON ACTOR TO MEET YOU:_YES_NO
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. `� pHOTOTAKEN
INSPECTOR WILL RETURN
❑ STOP ORDER POSTED.CALL INSPECTOR -' CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContr ite:
Inspector.
White Copylinspector' File Canary CopylSite Notice
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DATE TIME
CITY OF ORONO CALLED IN oZ- `��r�
INSPECTION NOTI E ✓ SCHEDULED ' y�" �� �
PERMIT N0. �`� '�- COMPLETED
ADDRE$S_ �� S� � � �
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OWNER � CONTR. b �L�
TELEPHONE NO. �� � `�/ ���
� DESCRIPTION
LL 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
02 F AMING ��`� � 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
y INSULATION �125 WOOD BURNER/FIREPLACE 19 LAKESHOREM/ETLANDS
� 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAI
Z
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
_ �MBI—N R� 15 SEPTIC INSTALL 22 FOLLOW-UP
10 PLUMBING FINAL 23 SEPTIC FINAL
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Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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� COMMENTS:
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d �WORKSATISFACTORY:PROCEED C' PROJECTCOMPLETE
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�� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. �-, pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the ext inspection 24 hours in advance.473-73�J7
OwnerlCo n site:
Inspector.
White Copyllnspec or's File Canary CopylSite Notice
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