HomeMy WebLinkAbout1991-003933 - plumbing ���!�A��
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� 1335 Brown Rd. South • P.O. Box �6 Permit Number: �};;'���G�;''��'
Crystal Bay, Minnesota 55323 Date Issued: {F�=�;��t;;;��=;1
(612) 473-7357
SITE ADDRESS:
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APPLICAN i ERMITEE SIGNATUFE ISSUED BY:SIGNATURE C�K/�l-'(/�
CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
� Box 66 (1335 So Brown Rd) . -
`. Crystal Bay, MN 55323
) ***************************************************************************
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 shown below.
Permit cards will be sent by return mail the same day the appl.ication 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 requiremetits.
8. All work must be inspected before it is covered. Call 473-7357.
24 honr notice reqnired.
************************,t**************************************************
JOB SITE ADDRESS: �s3"� G"'c-� `r �v�.� �°,� I--z
Occupancy Type: X Residential Commercial
OWNER'S NAME: vtf rc �.;5 � Phone No. :
Mailing Address: ,,z,,..�.;_ City:
CONTRACTOR'S NAME: Sfl /�R PL f, �/ b � �'�-� Bu s. No. : ��y- j 5 � �
Mailing Address: �/! y � -- �� ��L S � City: rvJ;/LS Zip: 53-y0 v
Master Plumber's State License No. : 1�37�, .-•-t 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 1 Sewer E ector
-------------�----'i---—---- ---- ---- ------ -------]----- --- ---•---- --------- -----
Lavatory Laundry Tray
Bathtub Washer
Shower Water Heater
Ritchen Sink j -___-_ Water Softner
------------�---- ------- ----•---- ----------- -- ------- ------- ----
Disposal I_ Wet Bar
-------------1 --- ------ ----- ---- ----------- -- --�---- -------- ----
Dishwasher ' Sump Pump
Sillcocks Misc. (List)
Floor Drains
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l. Fixture Fee The minimum permit fee is $30.00 $
Compute number of fixtures � x $5/fixture
� x $3/fixture reset
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2. State Surcharge $ .50
` 3. Postage & Handlinq (Only mail-in applications) $ 1.50
4. TOTAL PERMIT 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,
agrees to do all work in strict accordance with the ordinances of the City and the
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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: ���C�- �
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� � DATEC TIME
CITY OF ORONO CALLED IN �,- //�/ �� r'
INSPECTION NOTICE � SCHEDULED (�_ �- '�,�� r�
PERMIT NO. ���3 � �
COMPLETED K
ADDRESS ��D � �.L�i�Z-��Q..�'�- . � C�-��
OWNER .L�l^C�G'�S� CONTR. � �S�
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TELEPHONE NO. ��� �S ��C.� ' � �
� DESCRIPTION 1'�-���-1''"(,c-y ,
� 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
� 031NSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 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 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J t FINAL 23 SEPTIC FINAL
� OWNERICONTRACTOR TO MEEf YOU:_YES,�NO
� COMMENTS:
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d WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
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� CORRECT WORK R PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
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� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
O CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CAIL INSPECTOR �- CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73rJ7
OwnerlContrac or site:
Inspector.
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