HomeMy WebLinkAbout1992-004273 - plumbing �
, PERMIT
` ' CITY OF ORONO PERMIT TYPE: ��,_�,r��i�y�
1335 Brown Rd. South • P.O. Box 66 PermitNumber: 4'{�4�C•�_ _
Cr stal Ba , Minnesota 55323 t it#/ 1 r.!•��
y y Date Issued:
(612) 473-7357
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURFx '�J
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1 • CITY OF ORONO APPLICATION FOR PLOMBING PE.r^MIT
� Box 66 (1335 So Brown Rd)
� Crystal Bay, MN 55323
� ***********************************************************,****************
� General Znstrnctions � �
1. You may apply for plumbinq permits by mail or in person at the City offices.
' 2. Mailed in applications are subject to the postage and handling fees shown below.
iPermit cards will be sent by return mail the same day the application is received.
3. Permits are not valid nntil yon 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 contractora only.
` 6. When any new construction or remodeling is involved, a aeparate building permit must
� be obtained.
7. All work muat be done in accordance with State Code requirements.
8. All work must be inspected before it is covered. Call 473-7357.
24 honr notice reqnired.
*****************************,********** ************,t**********************
JOB SITE ADDRESS: _��� �,��,(,�(E'-IL� ���.'P�, �t.7�t3� ��
Occupancy Type: x Residential Commercial
OWNER'S NAME: ��� �t�S 1'�C��� Phone No. : /�
Mailing Address': ��;30 L�,,K'� ��?�,� � ��— City: ,��
CONTRACTOR'S NAME: D Bu s. No. : �5� -/S l� �
Mailing Address: /95� City: c Q i�j�� Zip: 5<5 ��
Master Plumber's State License No. : /yy_S City C t. 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
------------- ---- ----+----- ---�----- ------ ------------- ---- ----•---- --------- -----
�9ater_Closet_ _ j ___�_- ____ -_- _--- Sewer_Ejector __:��-_ -_____- ____
- - - - - - - ---- - - - - -
Lavatory � � -_--- Laundry Tray �
------------ --- --�-- - -- ----------- -- --•---- ------- ----
Bathtub � Washer �
Shower------ �-- --•�--- -`--- ---- Water_Heater - I- ---�--- -------- ----
Ritchen_Sink_�__-_ -_ ( ___ __`-_-_ -_-__ Water_Softner �_ -_ __ ____-_-_ _-_-
Disposal-----1----- - � -- ----- ---- Wet_Bar----- -- --•--- -------- ----
Dish�+asher ' Stimp Pump
Sillcocks �� — r -- - -- Misc. (List)- ---- ------- ---------- -----
Floor Drains
------------- ----- ---�=-- -------- ------ ------------- ---- -------- ---------- -----
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1. Fiatnre Fee The minimum permit fee-�s $30.00 $ -�— 15a,�,Tz7
Compute number of f ixtures /9 x $'�/f ixture
x $3/fixture reset
2. State Surcharge $ .50
3. Postage � Handling (Only mail-in applications) $ 1.50
4. TOTAL PffitMIT FE$ (add lines 1-3 above) $ -S¢�-� /_`�'�•c7a
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The undersigned hereby applies to the City of Orono for isauance of a Plumbing Permit,
agrees to do all work in atrict accordance with the ordinancea of the City and the
regulationa of the State of Minneaota, and certifies that all statements made on this
applicstion are complete, true and correct.
Signature of Applicant: /)���n � �� ��"'���� � � Date: �"�y��� �
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/
ATE TIME
CITY OF ORONO CALLED IN 'SL �
INSPECTION NOTIC SCHEDULED �s/I���i 3:dd
PERMIT NO. -3 COMPLETED �
, -
ADDRESS � '
OWNER , CONTR.
TELEPHO NO. .�� '" � - 3"�
� DESCRIPTION��
� 01 FOOTING 11 MECHANICALRI 16WELLTESTPUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADINGIFILLING
� 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
�
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SET(fURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= I G R 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 G FINAL 23 SEPTIC FINAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENT :
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GW �WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. CpHOTOTAKEN
INSPECTOR WILL RETURN � CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnedContr r ite:
inspector.
White Copyllnspector's F e Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN ' " /��
INSPECTION NOTICE SCHEDULED - �" ' 3L�/�
PERMIT NO. `�-�7� COMPLETED --�
ADDRESS � �d- �`-�-e.� �.�
OWNER � ���� ' � � � CONTR.����_ ��
TELEPHONE NO. �3�'- ���-G
� DESCRIPTION �-t���;��
� 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
Q 02 FRAMING �ECHANICAL FIN 18 EXCAVIGRADINGIFILLING
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
� 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Z
Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
Q
T 09 PLUM RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J LUMBING FINA� 23 SEPTIC FINAL
O PtFRk�TOF�TO MEET YOU:_YES_NO
Z
� COMMENTS:
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d �WORK SATISFACTORY:PROCEED G PROJECT COMPLETE
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� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. r, pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑ CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTOARRANGE ACCESS.
Cali for the next inspection 24 hours in advance.47�73�J7
Owner/Con or o si�e:
Inspector.
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White Copy/lnspector's File Canary CopylSite Notice