HomeMy WebLinkAbout1991-004032 - replace pips � PERMIT
` CITY OF C)RONO PERMIT TYPE: ��, ����;I��;
1335 Brown Rd. South • P.O. Box 66 Permit Number: ��#i�.C}:;'.�`
Crystal Bay, Minnesota 55323 Date Issued: 1�ja�':'1%'�i
(612) 473-7357
SITE ADDRESS:
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APPUCANUPER TEE SIGNATURE ISSUED BY:SIGNATURE
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-� CITY OF ORONO APPI,ICATION FOR PLUMBIN6 PE�2MIT
. Box 66 (1335 So Brown Rd) �c�
Crystal Bay, MN 55323 �,/� �,103�
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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 ahown 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 separ�3te 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 ADDRESS: J�ubC�.s' T' /�/�/1G /` l����va �nn� .�'L �.0
Occupancy Type: Residential Co ercial
OWNER'S NAME: �O�'r�::�7J` �},G'�'� Phone No. :
Mailing Address: ���,a �-�ti-` L,2i� dTLi,'Q City: O,�?��✓,
CONTRACTOR'S NAME: ��G L��,�)�f�'9C ._$`c:�G�� Bus. No. : �-�3 ���-�
Mailing Address: �',3:r�,�?,��,�/,�n�° City: Lr�v� ����� Zip:�
Master Plumber's State License No. : 3 � ).� City Cert. No. :
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PLUMBING FIXTURE SCHEDULB
(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
_�_�___��___ �__�-1_____ ���T_�___ _____� _�_____�_���� __�� ___..�-���� _________ _����
Water Closet Sewer E ector
------------- ---- ---—---- ---- ---- ---- ------�---- -- --�---- ------- ----
, Lavatory Laundry Tray
------------- --- --—--- ------ ---- ----------- -� --•---- ------- ----
Bathtub Washer
� ------------- ----- ------- -- --- ------ ------------- ---- -�--^---- --------- -----
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Shower Water Aeater
Ritchen Sink 'I ------ Water Softner
-------------+---- --•----- -------- ----------- -- --�---- -------- ----
Disposal I_ --_--_ Wet Bar
-------------1 --- ------ ------ ---------- -- --�---- -------- ----
Dishwasher___ I_ Sum Pum
--------- •1 --- ------ ------- ---- --p----p--- -- ------ -------- ----
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
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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
regulations of the State of Minnesota, and certifies that all statements made on this
application are complete, true an8 correct.
Signature of Applicant: Date:
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DATE TIME
CITY OF ORONO ca,��E�iN l� - ��- �'''
INSPECTION NOTICE SCHEDULED I� �� �`' �
PERMIT NO. Gfl�J' 'L COMPLETED � �
ADDRESS l��� L$�� ��-� ��"`�'
OWNER /�- ��f�— CONTR. ��-'� ��t-/_
TELEPHONE N0. �f 7 3 " � �f0-3
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADINGIFILLING
y 03 INSULATION 24125'WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
� 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
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Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK•UP 06 PROGRESS
v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
i9 PL 15 SEPTIC INSTALL. 22 FOLLOWUP
J 10 PLUMBING FINAL� 23 SEPTIC FINAL
� VMNERIEAN�RACTQR TO MEET YOU:_YES_NO
� COMMENTS:
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d �WORK SATISFACTORY:PROCEED PROJECT COMPLETE
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� ❑CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
� INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cal1 for the next inspection 2a hours in advance.473-7357
OwnerlCont��r o site:
Inspector.
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