HomeMy WebLinkAbout1992-004223 - code compliance -
1'FRMIT
CITY OF ORONO � - � PERMIT TYPE: -� �j
1335 Brown Rd. South • P.O. Box 66 �'�'�#��������
Permit Number: {?t��1':�'��;
Crystal Bay, Minnesota 55323 Date Issued: i7:�:r'�;�:::?`=t;�
(612) 473-7357
SITE ADDRESS:
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APPL ANT-PERMITEE SIGNATURE ISSUED BY:SIGNATURE ��f�
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CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
Box 66 (1335 So Brown Rd)
Crystal Bay, MN 55323 � � � � G �� '�.
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General instructions
1. You may apply for plumbing permits by mail or in person at the City officea.
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 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. All work must be inspected before it is covered. Call 473-7357.
24 hour notice required.
**************************��� �**** ************************************
JOB SITE ADDRESS: ��Q �c—�s
Occupancy Type: ��Residen al Commercial
� OWNER'S NAME: Phone No. :
Mailing Address: ?,"��o �_�- City: Q���
CONTRACTOR'S NAME: I��Z�.`�G�/l��'`� �GY� Cr Bus. No. • ��(p—C'�/(7�
Mailing Address: 3'�y� it,�0 City: Zip:��
Master Plumber' s State License No. : 3�'�� City Cert. No. :
� ***************************************************************************
PLUMBING FIXTURE SCHEDULE
(Show number of fixtures of each type on each floor)
FIXTURE TYPE BSMT 1ST FLOOR 2ND FLOOR OTHER FIXTDRE TYPE BSMT 1ST FLOOR 2ND FLOOR OTHER
------------- ---- ----+----- ----r----- ------ ------------- ---- ----�---- --------- -----
Water Closet �- �_ ---__- Sewer Ejector
Lavatory Laundry Tray
Bathtub Washer
------------ ----�-------- ------- - - ------------ ---- ---^-- --------- -----
- - - --- - -
-�.
Shower �� f � �� � ��'�r, �e �rr C �
------------- -----�-�---- -------- - -- -�— -----�'- ---- ---•--`- --------- -----
Ritchen Sink ' Water Softner
-------------�---- -•---- ------ ---- ----------- -- --�---- --------- ----
Disposal �- Wet Bar
Dishwasher--- ---- ------ ------- ----- Sump Pump---- ---- ---�----- --------- -----
-------------�---- --- -- --�---- ------ ------------- --- ------ ---------- -----
Sillcocks Misc. (List)
Floor Drains
***************************************************rt***********************
l. Fixture Fee The minimum �,ermit fee is $30 .00 $ �O , ��
Compute number of fixtures x $8/fixture
x $5/fixture reset ,
2. State Surcharge $ .50
3. Postage b Handling (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (add lines 1-3 above) $ J��J �'
**********************************�****************************************
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 r7innesota, and certifies that all statements made on this
application are complete, true and correct.
Signature of A�;plicant: Date: �..�''�3� ��
DATE TIME
CITY OF ORONO �� CALLED IN n ��j-y'�
INSPECTION NOTICE�3 scHE�u�E� �� , �—��-
PERMIT N0. cOMPLETED .3 y-� Z_ l:�C�
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ADDRESS ��-' � "
OWNER ��^�-� CONTR. �'l-�U��.'^'�� f=`�
TELEPHONE NO. � �� �� �� C /C� � O�
� DESCRIPTION
l� 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
� 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
�
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(TURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
� 07 — AL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI�) 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING I AL ' 23 SEPTIC FINAL
� OWNERICONTR OR TO MEET YOU:_YES_NO
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d ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
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� ❑CORRECT WORK 8 PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR : CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContrac on si e:
Inspector.
White Copyllnspector's File Canary CopylSite Notice