HomeMy WebLinkAbout1991-003622 - plumbing . . . .
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�ERMIT
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` srown Rd. South • P.O. Box 66 Permit Number: f i i�i���•�=4��
Crystal Bay, Minnesota 55323 Date Issued: i;r�:;:�n;'��i
(612) 473-7357
SITE ADDRESS:
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A LICANT/PERMITEE SIGNATURE ISSU D BY SIGNATURE
^�TY OF ORCNO r�PPLIC.�TION �OR PLIT�IBI.'�IG PERIrIIT
+� ' Box 66 (1335 So Brown Rd)
Crystal Bay, MN 55323
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General Znstrnctions
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 da1 the application is receined.
3. Permits are not valid until yon receive a permi.t cazd.
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. AlI work must be inspected before it is covered. Call 473-7357.
24 honr notice reqnired-
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JOB SITE ADDRESS: ��i C� � � f��_��� s- ��''� -
- . Occupancy Type: Residential y�- � Commercial
� � ,���; r � � ����_--- Phone No. : `r �� - �,
owrr�t s x�: (.,,�,�� � (� �.:_ ' ��� �`
Mailing Address: - � City: �'� -u,-y.-r.—
CONTRACTOR'S NAME: �� �'�"'e�., �-_ Bu s. No. : �=S_% 5--�. s�d"
Mailing Address: -� i/,� � ' City: �4�-4.�.<.�.�-.- Zip: s3--�y c;
�e'9�va-k-Q--e_. �
Master Plumber's State License No. : i � � � City Cert. No. :
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. - . pZ,IIMBING FIXTIIRE SCHEDIILE
� (Show number of fixtures of each tyge on each floor)
FIXTURE TYPE BSMT 1ST FLOOR 2ND FLOOR OTHER FIXTURE TYPE BSMT 1ST FLOOR 2ND FLOOR OTHER
--�----- ------------- - --------- ------ ----
�_ ---
------------- r--=�-----
�4ater Closet _ Sewer Ejector� __
_____________1====�________ __ _ ____I===== _____________�__ ___._____ _________ _____
Lavatory � I Laundry Tray �
------------- '---- --—-------------�------ ------------- ---- ---•----- ---------�-----
Bathtub ' � I -�_ Washer - --- ---�--- -------- I ----
� �__����������1��_����������1�_ �� ����� ���_��__��� � � _
— T
� ( Water Heater '
_ Shower { � ---- I---- ---•----- ---------�-----
" . - Ritchen Sink ',/� �r � _�_-- _--_ Water-Softnerj_-_- I
-----------------}-� -- --- - - - 1 ---^----- ---------=-----
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Disposal I i Wet Bar �
-------------i-----+;------ ------- ------ ------------- ---- ---•--- ---------�-----
\� '' Sump Pump I
Dishwasher � i ��
: . .. .. Sillcocks----1-----� ---- -- ------- ------ Misc-_(List?- --- ------- ---------- -----
------------- ----1--- - - -
.� Floor Drains
----- ------------- ---- -------- ---------- -----
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1. Fizture 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 ;
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� 3. Postage & Handling (Only mail-in applications) $ 1.50 =
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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 accozdance with the ordinances of the City and the �
requlations 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: 'u- � `�� ����' Date: �� � � �I �
DATE TIME
CITY OF ORONO CALLED IN y��C'���
INSPECTION NOTICE SCHEDULED y-/� -`�/ �
PERMIT NO. ��' �'2 COMPLETED � �
ADDRESS �U% �-�� � �`�
OWNER ��� CONTR.
TELEPHONE NO. � 7� ���'-�
� DESCRIPTION
� 01 FOOTING 11 MECHANICALRI 16 WELLTESTPUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
y 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q OS FINAL 13 METER SETITURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
Q 07 DEMO—FILVAL 27 SEPTIC MAINT. 21 COMPLAINT
� 09 PLUMBING R� 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PL FINAL 23 SEPTIC FINAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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d WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
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� CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY
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O� ❑CORRECT WOAK,CALL FOR REINSPECTION TEMPORAFIY
V BEFORECOVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTIONREQUIRED.CAILTOARRANGEACCESS.
Call for t next inspection 24 hours in advance.473-7357
OwnerlCon ct on site:
Inspector. `
White Copyllnspect r's File Canary CopylSite Notice