HomeMy WebLinkAbout1992-004550 (plumbing) � PERMIT
4 CITY OF ORONO PERMIT TYPE:
1335 Brown Rd. South • P.O. Box 66 ��'�j�����#��'
Permit Number: t�t=7���t i
Crystal Bay, Minnesota 55323 Date Issued: i�t�;:sC7::t°��i
(612) 473-7357
SITE ADDRESS:
_;1°�� �.:r��=,�:�� t�:I�;
:T��
�`. I .{�I. r s_'Ck-117--'__;-4:�:—i�i s;t:�:
DESCRIPTION:
�:° FI�i�1F�E'�;
F'lur;�t�i��3 �'errr�it. ?�y�.Y �I:(T���E'=�
F'l��tir�+iti� L���t'E; T;%��f� �iEh��jv'N f El�i�h'(���C1EL
�� k::I T�:HEN °_�I Nr;
4�TY Jf O�tuN�l
' „ � �� �,��.a���,��i� L'i�sii�y'�}•-C !'!CC]��c
. p��a' 1 [ ., -.�--T. , t 1Jt1'7/!�L i.'1 ! 1�L
�" � �w�,�` ��,'�. . 7 t f t Lrt%1%!f!� �
1 Ji✓JVVVVV �j j�
'�° " ^5,+�d ' .V1 ULIT `,{!�W
�m y
,, �r� m+ma�' ^�a_ i:%:%%:%ftf}i}ft� �i
. 1L�t�V1 VV
v i vE� ..=r�
i't.�iC�'t�'�_ 7F p
�• L a �a. ��r.Jit
is��;;i���—�1���,'�" Y�tL'
H� 9Li ff! !flf�� �'��1i f1l���f�
T�:.'�T I 1 l V Lr V V 1 1 a t V
��t,'G'7,j�
REMARKS:
FEE SUMMARY:
�:ct�� �C� �+_:() , (_7i3
�=���i`C�"'ictl��� ---�'y�()
T<<t•�1 Fe� ------- �;i).fiCr
CONTRACTOR: — AF�F�' ic�r-�t. — OWNER:
F���:G I E�i PE_E,U ���4�;z�.�7� E,�iY'Lfi�hl fii�E:E�iT
1 f:�ti� 7? TH =�T :=:;.��� �:����i:�=� �:T►_�
VI:::i'�;I;IA t1t�i ��:;_.� 41F�Ywt�TA MN ��:��'�1
�:f.�.i? �.�.:�:—�_t'?�
- ___ _____ _ _. _ .___________,_
_ _-_ _ _ _ ---- -_____ ----- - -----
_ __.__. --- _ ____ _ . -
�` ��HE t 1!�([���::=:I G1`•tEC� !-i�:F+F�t�! ��t:�t)E'_��'�� F'�hl`?I'��'�:I C�t�! T�=� t�l�^�.���:E TN� �F�L I t��'f��:r�'El�±Et.(�-:=�
:=_�_`�c�:I�I E� i=;t�(I� t��;!=�:EE'=� T�_t G�i hiLL_ W�;��F:: I N •;��T��C:T i�:i=tt��'=j;:.:Cdf:F 4�i.�f N t�LL {=I TY �EF
� #��hE::�h�i��s •`� ��s T t:�:Nt`E'_ i���f�7 :;i��T�: f��F �I s i�ft�?�°�;�_��� �:t i�i �,I t��� R:i_?�,� �;°�t�t 1 I�;Et�F P�1'��.
�
�.��� �� `�--��� ��
APPLICANTPERMITEE SIGNATURE ISSUED BY:SIGNATURE
�ITY OF ORONO APPLICATION FO� PLIIMBING PERMIT
Box 66 (1335 So Brown Rd)
Crystal Bay, MN 55323
***************************************************************************
General Instrnctions
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 ahown 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 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.
************************************************J�**************************
JOB SITB ADDRESS: � � �I;�� ���.�G� G a i" C. LE
Occupancy Type: Residential Commercial
OWNER'S NAME a ` - c.�- �v�..� Phone No. :
Mailing Address: '�, � �S- ��,S G� ' �,�^� City: ��� .� �
' CONTRACTOR'S NAME: ''�;.,6q�— ��,. �• Bu s. No. : ,� ., 3�' .5 �:�
� Mailing Address: � c � City: �/'������ Zip: 3"$�
Master Plumber's State License No. e '3t�'� t� City Cert. No. :
***************************************************************************
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
� ------------- ---- ---"'�----- ---T----- ------ ------------- ---- ----�---- -------- ----
Water Closet Sewer Ejector
- --- ---�----- --------- -----
Lavatory Laundry Tray
---------- ---- ---•----- --------- -----
Bathtub Washer
------------- ----- ------- ------- ------ ------------- ---- ---^----- --------- -----
Shower Water Heater
- ------------- ---- ---•----- --------- -----
Ritchen Sink ' Water Softner
-------------�----- -- --- -------- ----- ------------- ---- ---�----- -------- ----
Disposal Wet Bar
-------------1---_- --_--- ------- ------ ------------- ---- ---.---- -------- ---_
Dishwasher Sump Pump
--- ---- ------- ---------- -----
Sillcocks Misc. (List)
---------- ---- ------- ---------- -----
Floor Draina
------------- ----- ---�---- --------- ------ ------------- ---- -------- ---------- -----
*************************************************************************** �.
1. Fixture Fee The minimum permit fee is $30.00 $ ,�J� � �'^y
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) $ ��',i . .���
***************************************************************************
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 Minnesot and certifies that all statements made on this
application are complete, true and rr ct.
Signature of Applicant: �^--' Dates � '� � � � � ^
v'
DATE TIME
CITY OF ORONO CALLED IN q-/�-f Z--
INSPECTION NOTICE SCHEDULED �i �/`/ �3�'
PERMIT NO. `�S �` G y COMPLETED u `�
ADDRESS 3 l �l 5 ('�c�-c.c• Cc,ti--�-�-�-
OWNER ����'����-�-� CONTR. ����`��������
TELEPHONENO. �L� � - >C -3
� DESCRIPTION
l� 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
� 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADING/FILLING
�
03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
Z� 04 WAL�BD. 12 WATER HOOK-UP 34 TREE REMOVAL
,
�� 05 FIN�: ��;,��' 13 METER SETITURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 P RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAC, 23 SEPTIC FINAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
Z
� COMMENTS:
�
W
�
o �l, �S rc9 `
�
�
O
�
w
�
Q
�
z
W
�
W
�
j `�_�
d �wc�RKSATISFACTORY:PROCEED �OJECTCOMPLETE
W
� �-] CORFIECT WORK&PROCEED "- ISSUE CERTIFICATE OF OCCUPANCY
W
Q C CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTO TAKEN
INSPECTOR WILL RETURN
❑ STOP ORDER POSTED.CALL INSPECTOR GTATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.4T3-7357
Owner/Contr r o ite:
Inspector.
White Copyllnspector' File Canary CopylSite Notice