HomeMy WebLinkAbout1992-004567 - plumbing , , PERMIT
` �ITY OF ORONO PERMIT TYPE:
1335 Brown Rd. South • P.O. Box 66 ���'����'���'
Permit Number: i yi=3�.�F,7
Crystal Bay, Minnesota 55323 Date Issued: c��:�:J f f%'�'i
(612) 473-7357
SITE ADDRESS:
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APPLICANTPERMITEE SI ATURE ISSUED BY:SIGNATURE
����� �
r 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 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 muat
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.
*********************************,******************************************
JOB SITE ADDRESS:
Occupancy Type: Residential Commercial
OWNER'S NAME: ��;' . Phone No. :
Mailing Address: City:
CONTRACTOR'S NAME: Bus. No. : .
Mailing Address: City: Zip:
Master Plumber's State License No. : 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
------------- ---- ----+----- ---T----- ------ ------------- ---- -------- ------- ----
Water Closet Sewer Ejector
------------- ---- -------- ---- ---- ------ ------------- ---- ---•----- --------- -----
Lavatory ,` Laundry Tray
------------- ---- ---—---- -------- ------ ------------- --- ---•1,--- ------- ----
Bathtub �' " Washer
------------- ----- ------- ------- ------ ------------ --- --- r------ ------- ----
Shower Water Aeater �
---------- -�-- --_.----- --------- -----
Ritchen Sink ' � Water Softner
------------- ---- ---�---- --------- -••---
Disposal wet Bar
------------- ----- -------- ------ ------ ------------ --- --1--- -------- ----
Dishwasher Sump Pump '7
---- ---- ------- ---------- -----
Sillcocks MisC. (List)
---------- ---- -------- ---------- -----
Floor Drains
- ----------- ----- ---�---- -----�-- ------ ------------- ---- --------- ---------- -----
***********,t***********************************tr**************�}************ -
1. Fixture Fee The minimum ermit f ee is $30.00 $ �`�> ,�(�,�.�,Z�
Compute number of fixtures�:fiti 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) $ "(p~����
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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-
(
DATE TIME
CITY OF ORONO / CALLED IN v��
IiVSPECTION NOTICE (I� ��SCHEDULED � — .� C � �'t
PERMIT NO. COMPLETED U �
ADDRESS �-�C Cy�-� --�rC �-z.�..�-� /�,C�
OWNER �K�y��� CONTR. v �
TELEPHONE NO. � ��� � � � `l%
� DESCRIPTION
ty� 01 FOOTING 11 MECHANICALRI 16WELLTESTPUMP
� 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADINGIFILLING
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03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
� 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
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Q 05 FINAL 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
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= 09 PLUMBING RI 15 SEPTIC INSTA�L. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
Q 0�111RERICCfA�OR TO MEET YOU:_YES_NO
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❑CORRECTUNSAFECONDITION WITHIN HOURS. -, pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOPORDER POSTED.CALL INSPECTOR ^ CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for th next inspection 24 hours in advance.473-7357
OwnerlCon a n site:
Inspector.
White Copy/lnsp ctor's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN
iNSPECTION NOTICE SCHEDULED ��-�� "7= -� � � �-
PERMIT NO. COMPLETED l2�'�`'L2 L� c�
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OWNER ��� ��ti 2X�� CONTR.�7
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� 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADINGIFILLING
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� �5�INAL ��� `� 13 METER SETITURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI � � 15 SEPTIC INSTALL. 22 FOLLOW-UP
J (LQiiLUMBING FINAL ``1\," 23 SEPTIC FINAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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INSPECTOR WILL RETURN
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❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContract n '
Inspector.
White Copyllnspector's File Canary CopylSite Notice
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� 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
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Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
J 07 DE —FINAL 27 SEPTIC MAINT. 21 COMPLAINT
W 09 PLUMBING RI � 15 SEPTIC INSTALL. 22 FOLLOW-UP
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❑ INSPECTION REQUIRED.CALLTOARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContrac�o ite:
Inspector. �
White Copyllnspector' ile Canary CopylSite Notice
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DATE TIME
CITY OF ORONO CALLED IN ��-8-Y�
INSPECTION NOTICE SCHEDULED �'i — � �� - �
PERMIT NO. l.�'��Cr'7 connP�ETEo �l 1�t
ADDRESS �l J7G /� ��-� /�
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� 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
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Q 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
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� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
J 07 — 27 SEPTIC MAINT. 21 COMPLAINT
W PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 10 PLUMBING FINAL 23 SEPTIC FINAL
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❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance.473-73�J7
Owner/Contract r o site:
Inspector.
White Copyllnspecto's File Canary CopylSite Notice