HomeMy WebLinkAbout1992-00480 - plumbing PERMIT
CITY OF ORONO � ' pERMIT TYPE: ��, -.
1335 Brown Rd. South • P.O. Box 66 �`'������ ' �`��"'
Permit Number: !�!��.;;f;r!
Crystal Bay, Minnesota 55323 Date Issued: � ��` _''�!`_���=
(612) 473-7357
SITE ADDRESS:
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_ APPLICANT!PERMITEE SIGNATURE ISSUED BY:SIGNATURE C���J�
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CITY OF ORONO � APPLICATION FOR PLUMBING PERMIT
Box 66 (1335 So Brown Rd) �,����
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 subject to the poatage 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. Al1 work must be inspected before it is covered. Call 473-7357.
24 honr notice reqnired.
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JOB SITE ADDRESS: � � � 5 �� �c ri LC.% �% ��' ��'`� �i
Occupancy Type: �� Residential ommercial
OWNER'S NAME:�G �� �� �� ' �-/�-!' r v{�� � ✓� Phone No. :
Mailing Address: City:
CONTRACTOR'S NAME: �i t � r�l -� � �"� N , .�v� L� Bus. No. :
� Mailing Address: �;> > v �� �-L ,l�: City: �!� ��'.�� ='i�.,� Zip: �� �i ��
Master Plumber's State License No. : ;� �� �, �7 City C rt. No. :
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PLUMBING FIXTURE SC$EDUL13
(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 1 � ----__ Sewer Ejector
------------ --- ---�-- --- ---- ------------- ---- ---•----- --------- -----
Lavatory �� � Laundry Tray
-------
Bathtub `� Washer
------
Shower ) Water Heater
------------ --- --�---- --�--- ------ ------------- ---- ---•----- --------- -----
Ritchen Sink ' Water Softner
-------------�---- -•----- ------- ------ ------------- ---- ---�----- --------- -----
Disposal Wet Bar
-------------�---- ------ ------- ----- ------------- ---- ---�---- --------- -----
Dishwasher___ I- Sump Pump `
--------- 1 --- --- -- --------- ----- ------------- --- ------- ---------- -----
Sillcocks Misc. (List)
Floor Drains
------------- ----- ---�---- --------- ----
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l. Fixture Fee The minimum permit fee is $30.00 $
Compute number of fixtures x $8/fixture
x $5/fixture reset
2. State Surcharge $ .50
3. Postage b Handlinq (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (add lines 1-3 above) $ ��' S/� �
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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 atrict 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.
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Signature of Applicant: � � (�;��� ;�? �-��-��---- Date: ��` �(�` �,�-
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DATE TIME
CIYY OF ORONO CA��ED IN //"_3C' `i�
INSPECTION NOTICE SCHEDULED �� � ��'�' ��
PERMIT NO. `''�� L� COMPLETED #�, ,
ADDRESS 7_S� � _. -: �,.
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OWNER /��,G�C<L:�.�-v,�.�i CO TR. �[.�:�.,���,-,•.,l`i��,�
TELEPHONE NO. `-� 7 `t' - '�'' ` `� 7
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFI�LING
� 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
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Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
J 0 1�F�1AL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RIY j 15 SEPTIC INSTALL 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINA�
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W WORKSATISFACTORY:PROCEED C PROJECTCOMPLETE
� ❑ CORRECT WORK&PROCEED C" ISSUE CERTIFICATE OF OCCUPANCY
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O C i CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑ CORRECTUNSAFECONDITIONWITHIN HOURS. - pHOTOTAKEN
INSPECTOR WILL RETURN
❑ STOP ORDER POSTED.CALL INSPECTOR '-- CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the nex inspection 24 hours in advance.473-7357
OwnerlContr�n�i : _
Inspector. �' �
White Copyllnspector's File Canary CopylSite Notice
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�A E TIME
CITY OF ORONO CALLED IN /I�93
INSPECTION NOTICE SCHEDULED ��%1 9-3 ,�?.`3 �
PERMIT NO. � �� COMPLETED 1/� fn,
ADDRESS ���
OWNER ��-!'�'o�r�m.�-..J C NTR. '
TELEPHONE NO. '7',i� �-Z�C� �7
� DESCRIPTION .�"��2�-�A�
� 01 FOOTING 11 MECHANICALRI 16WELLTESTPUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
y 031NSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
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Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SETlTURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
J 07 DEMO—FINAL 27 SEPTIC MAIhT. 21 COMPLAINT
= 09 PLU 15 SEPTIC INSTALL. 22 FOLLOW-UP
PLUMBING FINAL� 23 SEPTIC FINAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS: �
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GW ;WORKSATISFACTORY:PROCEED ��PROJECTCOMPLETE
� C CORRECT WORK 8 PROCEED ISSUE CERTIFICATE OF OCCUPANCY
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� G CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑ CORRECT 11NSAFE CONDITION WITHIN HOURS. � � pHOTO TAKEN
INSPECTOR WILL RETURN
C STOP ORDER POSTED.CALL INSPECTOR ' CITATION ISSUED
C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the ext inspection 24 hours in advance.473-73�J7
OwnerlCont tor site: _
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Inspector. �
White Copyllnspector's File Canary CopylSite Notice