HomeMy WebLinkAbout1989-001611 - plumbing M t
PERMIT
CITY OF ORONO PERMIT TYPE: ��� ;����;��,���
1335 Brown Rd.South•P.O.BOX 66 Permit Number: t;t i�,i;#, j,
Crystal Bay, Minnesota 55323 Date Issued: ::�./�°�s�;=;��
(612)473-7357
SITE ADDRESS:
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APPLICANTPERMITEE SIGNATURE �/�
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CITY OF ORONO APPLICATION FOR PLUMBING PBRMIT
Box 66 (1335 So Brown Rd)
Crystal Bay, MN 55323
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General Instrnctions
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1. You may apply for plumbing permits by mail or in person at the City officea.
2. Mailed in applicatione are sub3ect to the postage and handling feea shown below.
Permit cards will be sent by return mail the same day the application is received.
3. Permi.te are not valid until pou receive a pe:ait card.
4. Work must not begin unless the permit card is available on the job site.
5. Plumbing permita may be isaued to licenaed contractora only.
6. When any new conatruction or remodeling is involved, a separate 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.
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JOB SITE ADDR$SS:
Occupancy Type: � Residential Commercial
OWNER'S NAMB: 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 SCBEDULB
(Show number of fixtures of each type on each floor)
FIXTDRE TYPE BSMT 1ST FLOOR 2ND FLOOR OTAER FIXTURE TYPE BSMT 1ST FLOOR 2ND FLOOR OTHER
------------- ---- ----a----- ----r----- ----- ------------ ---- ----�---- --------- -----
Water Closet � Sewer Ejector
------------- ---- -------- ---- ---- ------ ------------- ---- ---�-�---- --------- -----
Lavatory ! Laundry Tray ,
------------- ---- --—---- --------- ------ ------------- ---- ---•----- --------- -----
Bathtub Washer
------------- ----- ------- -- --- ------
------------- ---- ------�--- --------- ----- �
Shower �
Water Aeater
. , r
Ritchen Sink Water Softner
------ ----- .
Disposal � Wet Bar
------------- ----- ---L---- ------ ----- ------------- -- --•---- -------- ----
Dishwasher ' Sump Pump
--- -----
Sillcocks Misc. (List)
Floor Drains
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1. Fixture Fee The minimum permit fee is $30.00 $
Compute number of fixtures x $5/fixture
x $3/fixture reset
2. State Surcharge $ .50
3. Postage & Handlinq (Only mail-in applications) $ 1.50
4. TOTAL PRRMIT FBE (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
�� regulations of the State of Minnesota, and certifiea that all statements made on this
application are complete, true and correct.
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Signature of Applicant: ��. �_._���� - Date:
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� TIME
CITY OF ORONO CALLED IN �� -�
INSPECTION N TI SCHEDULED `� -��
PERMIT NO. COMPLETED Z '�3 ' �/��`�
ADDRESS
OWNER CONTR.
TELEPHONE NO.
❑ FOOTING �PLUMBING RI ❑ SITE INSPECTION
❑ FRAMING PLUMBING FINAL ❑ EXCAV./GRADING/FILLING
� ❑ INSULATION ❑ MECHANICAL ❑ LAKESHORE/WETLANDS
� ❑ WALL BD. O WATER HOOKUP O LICENSING
� � FINAL O METER SET/TURN ON � COMPLAINT
e ❑ PROGRESS ❑ SEWER HOOKUP ❑ FOLLOWUP
� O DEMOL. ❑ SEPTIC INSTALL. ❑ SEPTIC FINAL
Q ❑ FIRE PREV. ❑ SEPTIC MAINT. ❑ FIREPLACE/WOOD BURNER
Z ❑ WELL TEST PUMP O
Q COMMENTS:
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'� CORRECT UNSAFE CONOITION WITHIN HOURS.INSPECTOR WIIL RETURN.
❑ STOP ORDER POSTED.CA�L INSPECTOR.
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
call for the next inspection 24 hours in advance.
Owner/Contr. on site
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��Sp�to� �� 473-7357
White/Inspector's File Canary/Site Notice
DATE TIME
CITY OF ORONO CALLED IN /��r
INSPECTION NOTICE SCHEDULED f � " � �'� � U .
PERMIT NO. .� �P�� COMPLETED �— - � � ��
ADDRESS S L 'LC�j'1�1 U�t�
OWNER CONTR.
TELEPHONE NO. � - � �b�
❑ FOOTING �PLUMBING RI ❑ SITE INSPECTION
O FRAMING ❑ PLUMBING FINAL O EXCAV./GRADING/FILLING
� ❑ INSULATION O MECHANICAL ❑ LAKESHORE/WETLANDS
� ❑ WALL BD. ❑ WATER HOOKUP ❑ �ICENSING
k� ❑ FINAL ❑ METER SET/TURN ON ❑ COMPLAINT
� ❑ PROGRESS ❑ SEWER HOOKUP O FOLLOWUP
� ❑ DEMOL. ❑ SEPTIC INSTALL. O SEPTIC FINAL
Q O FIRE PREV. ❑ SEPTIC MAINT. � FIREPLACE/WOOD BURNER
� ❑ WELL TEST PUMP ❑
Q COMMENTS:
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❑ CORRECTWORKSPROCEED
O CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING
� CORRECT UNSAFE CONDITION WITHIN HOURS.INSPECTOR WILL RETURN.
❑ STOP ORDER POSTED.CALL INSPECTOR.
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
call for the next inspection 24 hours in advance.
Owner/Contr. on site
Inspector 473-7357
White/Inspector's File Canary/Site Notice