HomeMy WebLinkAbout1992-004621 - plumbing �
. - PERMIT
CITY OF ORONO PERMIT TYPE:
1335 Brown Rd. South • P.O. Box 66 Permit Number: ���������'
Crystal Bay, Minnesota 55323 Date Issued:
(612) 473-7357 ��3�j� ��-�i
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APPLIC T%PERMITEE SIGNATURE ISSUED BY:SIGNATURE iC.f✓
t � CITY OF ORONO "�"�'2�
t APPLICATION FOR PLUMBING PERMIT
Box 66 (1335 So Brown Rd)
Crystal Bay, MN 55323
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General Instructions
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 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 muat 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 honr notice reqnired.
****************************************rt** *******************************
JOB SITE ADDRESS: � � /� ��' � - p � �
Occupancy Type: �" Resi ential Commercial
OWNER'S NAME: _� "" Phone No. :
Mailing Address: � City: �-y_�"�.��-��
CONTRACTOR'S NAME: Ll.��'r�j 5 S't� f t.. d�✓' �' Bus. No. : � oL� �'��,,3 �1
Mailing Address: � �E,� �'E��'�,��5 �uf. -5:v . City: ::'i- ��.�;�,s . ip; � � t�
Master Plumber's State License No. :�ic�; � City Cert. No. :
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PLUMBING FIXTURE SCHEDULE
. (Show number of fixtures of each type on each floor)
FIXTDRE TYPE BSMT 1ST FLOOR 2ND FLOOR OTHER FIXTURE TYPE BSMT 1ST FLOOR 2ND FLOOR OTHER
� ------------- ---- ----+----- ----r----- ------ ------------- ---- ----�---- --------- -----
Water Closet Sewer Ejector
---- ---- ---•----- --------- -----
Lavatory Laundry Tray
----- ---- ---•----- --------- -----
Bathtub Washer
------------- ----- ------- ------- ------ ------------- ---- ---^---- --------- -----
Shower Water Heater
-------- ---- ---•----- --------- -----
Ritchen Sink '
I / -_-_-_ Water Softner
-------------+----- --•----- -------- --------
� ----- ---- ---�----- --------- -----
Disposal Wet Bar
------------- ----- ------ ------- ------ ------------- ---- ---•---- ---------- -----
Dishwasher � Sump Pump
------------- ----- ----•--- --------- ------ ------------- ---- ------- ------ -- �-..C������
Sillcocks / Misc. (List) � w�
------- ---- ---—--- ---------- -----
Floor Drains �
------------- ----- ---�---- --------- ------ ------------- ---- --------- ---------- -----
******************************************,t******************************** __
l. Fixture Fee The minimum permit fee is $30.00 $
Compute number of fixtures x $8/fixture
x $5/fixture reset
2. State Surcharge $ .50
3. Postage � Handling (Only mail-in applications) $ 1.50
4. TOTAL PBRMIT 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 an -�co
Signature of A�plicant: Ll- Date: ��/'�-���
/
ATE TIME
CITY OF ORONO CALLED IN �� � . �51
INSPECTION NOTICE SCHEDULED / - �% c l //�' =�%�l
PERMIT NO. �;* (.- .y � COMPLETED IT_ /'��l/S—
ADDRESS �/� � ", � ��� � �
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OWNER � Y CONTR.��` -d-� ��
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TELEPHONE NO.`/ � � / ' ^ �� � �
� DESCRIPTION '' " � G�` ! C SO
lU 01 FOOTING 11 MECHANICALRI 16 ELLTESTPUMP
� 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADINGIFILLING
�
031NSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
� 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Z
Q 5 FINA ��'�' J' .' 13 METER SETlTURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
J 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
W 09 PLUMBING RI - 15 SEPTIC INSTALL. 22 FOLLOW-UP
_�PLUMBING FINAL 23 SEPTIC FINAL
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Q OR TO M EET YOU:_YES_NO
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d ,�WORK SATISFACTORY:PROCEED �PROJECT COMPLETE
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W /�7 CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
� CI CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the ne inspection 24 hours in advance.473-7357
OwnerlCo tr o ite:
Inspector. � � A
White Copyllnspector's File Canary CopylSite Notice
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