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Home My WebLink About1987-8913 - plumbing GENERAL PERMIT CITY PERMIT N� 8 913 CITY OF ORONO P.O. BOX 66 Date �+�� CRYSTAL BAY, MINNESOTA 55323 (612)473-7357 t --- O�mer ` �- ��' Address � C �t� � �� Contractor ��-��1 � 7�-�`� Address � � City License No. �� / � City t ��"t'� �� ..,� REMARKS AND SPECIAL CONDITIONS M�ter #3��9(o�y�Reader # Q �N �cj c�� Provided at no charge, for monitoring purposes. Property owner assumes all responsibility for installation and maintenance of same. PERMIT TYPE AND FE • ';�NEW ❑ ADDITION ❑ REPAIR ❑ REMODEL Inside Plumbing (#fixtures�) Fee $�n, �!" Water Well Fee $ Water Meter(Size ) Fee $ Mechanical Equipment Fee $ Meter# Fireplace/Wood Stove Fee $ Remote# — Moving/Lifting Buildings Fee $ Municipal Water Connection Fee $ Land Alteration (Excavation, ❑ Copper ❑ Grading, Filling, etc.) Fee $ Design Review Fee $ Municipal Sewer Connection Fee $ Fire Fee $ ❑ PVC ❑ Cast ❑ Sprinkler System (Fire) Fee $ MWCC SAC Charge Fee $ Other: Fee $ On Site Spetic System Fee $ After-the-fact Investigation Fee $ ACKNOWLEDGEMENT TOTAL State Surcharge: Fee $ � � The undersigned hereby acknowledges receipt of this limited permit. ''��,,� including acceplance of all special information, terms, conditions or T'O�1 ArilOUllt P`d1C1 t0 Clfy F'ee $ � reyuirements written above. The undersigned understands and agrces under�nairy of law that this permit is stnctly limited in scope ro the work. activity or improvement specified: that this permit dces not grant any au[hority todo work oractivities requiring separate permitapprovals;and that this permit does not grant authont}�to violate any provision of any City ordinance or State la�+�,rule or regulauon.All work shall be done in strict 'j'}�jS}�I'TT11t 1S riOt V3�ld uIltl�the pl'OpBI fee 1S p11C�aI1C�lt 1S lppl'OVP,d compliance H�ith all City ordinances, building codes and/or health department re@ulations,and shall be subject to inspection,approval or by an aUt}lOI1ZeC� Cl[y ��1Cla�. rejection bv thc City.Whenever so ordered,the undersigned agrees to rnrrect am�work found to be in viclation of the conditions of this permit. Signature of Applicant Signat e of City Off ial , 2� Code: White—File Copy Canary—�Inspecror's Copy Pink Finance Copy Gold ApplicanPs Receipt TO: Tom Kuehn, Finance Director Jeanne A. Mabusth, Building & Zoning Administrator Thomas J. Jacobs , Building Offical Lyle Oman, Field Inspector B & Z Secretarys ��,� FROM: Michael P. Gaffron, Assistant Planning & Zoning Administrator DATE: January 28 , 1987 SUBJECT: Big Island R.L. #46 - Joe Backes - Water Meter To Be Provided At No Charge For Monitoring Purposes . Per our agreement of 1-8-83 , the City will be providing a 5�/8" Water Meter/Horn/Remote Reader package to Joe Backes for purposes" the City monitoring his SB-2 sewage treatmnet system. The installation of this meter is the responsibility of Backes. His plumber will be installing it and other fixtures in the near future. When Backes� plumber, Dennis Gezel, picks up the permit for plumbing, you may issue the plumbing perm�t (normal charge) and issue a meter package at no charge. Write on the pluming permit: ° "Meter # , Reader # , Provided at no charge, for monitoring purposes. Property owner assumes all responsibility for installation and maintenance of same." Tom Kuehn - This should be charged back to the septic program, per our discussion of 1-28-87 . ( $95 per 1987 fee schedule) c:l•r�r vF ORONO APP4.T�*.TION FOR PLUMBING PERMIT Box 66 (1335 So Brown Rd) Crystal Bay, MN 55323 ***********�*************************************************************** General Instrnctions 1. You may apply for plumbing permits by mail or in peraon 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. Permfts 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. Ffien 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. *************�t*******,t* ****** **** **** *�,t************************** JOB SITE ADDRESS: � � Occupancy Type: esi ential Commercial OWNER'S NAMS: _ �� _ Phone No. : Mailing Addr . City: CONTRACTOR'S NAME- • Bus. No..• Mailing Address: - Cit �j�—� Master Plumber's tate License No. : y� � ************************************ * ************************************ PLIIMBING FIXTIIRE SCHEDDLE (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 Closet , Laundry Tray ---- -------- ----- -------------- -------- ----- --------- ----- Lavatory � Washer r -- --------- -------- ----- -------------- -------- ----- -------- ----- �' Bathtub _Water Heater ------------- ----- --------- -------- ----- ---------- -------- -L- -------- ---- Shower � Water Softner ------------- ----- --------- -------- ----- -------------- -------- ----- -------- ----- Kitchen Sink � Misc. (list) , ------------- ----- --------- -------- ---- -------------- -------- ----- -------- ----- Disposal ------------- ----- --------- -------- ---- -------------- -------- ----- -------- ----- Dishwasher ------------- ----- --------- -------- ---- -------------- -------- ----- -------- ----- ' Wet Bar ------------ ----- --------- -------- ---- -------------- -------- ----- -------- ----- Sillcocks ------------- ----- �---- -------- ---- -------------- ------- ----- ------- ---- Floor Drains / ------------- ----- -t_______ ________ -___ ___--__-____-- ---__-_ ____- ------- ---- Sump Pump ------------- -------- ----- -------------- Sewer Ejector ****************************�*** ****************************************** 1. Fixture Fee The minimum per t fee is $30.00 $ Compute number of fixtures � x $4/fixture 2. State Surcharge $ .50 3. Postage & Handling (Only mail-in applications) $ 1.50 4. TOTAi. PERMIT FEE (add lines 1-3 above) $ ****�r*************�*�********��r******�r*�**********,t*****�*************�**** The undersigned hereby applies to the City of Orono for issuance of a Plumbing Permit, agrees to do all work in strict �ccordance with the ordinances of the City and the ; regulations of the State of Minne ta, and certifies that all statements made on this application are complete, tru correct. , Signature of Applica � Date: � �� ,�� , _ DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED ��'� �� ' �� PERMIT NO. COMPLETED �`��`�� 3� y� ADDRESS �'7�" � y� U�E rs�.'q�"`� OWNER �-=�� I3.�r.��S CONTR. TELEPHONE NO. ❑ FOOTING ❑ PLUMBING RI ❑ SITE INSPECTION O FRAMING i�PLUMBING FINA� ❑ EXCAV./GRADING/FILLING � ❑ INSULATION ❑ MECHANICAL ❑ IAKESHORE/WETLANDS � ❑ WALL BD. ❑ WATEfi HOOKUP O LICENSING � �{FINAL O METER SET/TURN ON O COMP�P,INT O PROGRESS O SEWER HOOKUP O FOILOW-UP � O DEMOL. ❑ SEPT�C INSTALL. ❑ SEPTIC FINAL Q ❑ FIRE PREV. O SEPTIC MAINT. ❑ FIREPLACE/WOOD BURNER � ❑ WELL TEST PUMP ❑ Q COMMENTS: � �'c.�L� �-�rv�a I C�. Jc_ W � � �vC:2 -7�-f/rv" ��>�>1�-5 �l�-�C O � � � �l�L i4- I I /v��c�-�� GN � J O � � O � W � Q � Z W � W � � d W � W �WORK SATISFACTORY:PROCEED ❑ PHOTO TAKEN ��O CORRECT WORK 8 PROCEED U O CORRECT WORK CALL FOR REINSPECTION BEFORE COVERING '7 CORRECT UNSAFE CONDITION WITHIN HOURS.INSPECTOR WILL RETURN. ❑ STOP ORDER POSTED.CAI.I INSPECTOR. ❑ INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. call for the next inspection 24 hours in advance. Owner/Contr. o site I nspector " � �--- 473-7357 White/�nspector's Fiie Canary/Site Notice