HomeMy WebLinkAbout1992-004248 - plumbing G
- , PERMIT �
CITY OF ORONO PERMIT TYPE: r�L���E;I�U
1335 Brown Rd. South • P.O. Box 66 PermitNumber: {j�?�����
Crystal Bay, Minnesota 55323 Date Issued: ���.i�}:=�/'��
- (612) 473-7357
SITE ADDRESS:
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APPLICANT%PERMITEE SIGNA R � ISSUED BY:SIGNATURE
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, CITY OF ORONO 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 s}iown 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 remodelinq 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 reqnired.
************************************ **************************************
JOB SITE ADDRESS: �' oj `. `;� ��' .y;�_, ���;; ��f:
Occupancy Type: �' _Residential Commercial
OWNER'S NAME: �� /v�,,;�i�,,,�%r.,�,l Phone No. : y7.3 --,�G. �f�.
Mailing Address: .� � � ,i/�,��;; -�t -� �-t, City: _,,,� � A
CONTRACTOR'S NAME: � t�, I�r)P�()� I� � , 'd- ��r�..l�'C- Bus. No. : �,/%� ".5 ✓����'1
Mailing Address: y/C���-�.��c,f� /.� /.� ,��.�. �.� City: '7.c �T Zip:,�"j�yy/
Master Plumber's State L cense No. : �(���'�� � City C rt. No. :
****,t*******************************�**************************************
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
____________� _ �__-I_ _� ___T_____ ______ _____________ ____ ____�..___ _________ _�___ .
�_� __
` Water Closet ) _--__ Sewer Ejector
Lavatory Laundry Tray
_____________ __ y__ ___—____ __'___ ____'________ ____ ___'-.____ _________ _____
Bathtub 'J Washer
------------- -�--- -- ------- ------ ------------- ---- ---^--- --------- ----
---- , - - - -
Shower � -_--_ Water fleater.
-------------���---•----- --—---- - ------------- ---- ---•----- --------- -----
Ritchen Sink '` -_---_ Water Softner
--------------+-----�--•----- --------
------------- ---- ---�----- --------- -----
Disposal I_ -_--- Wet IIar
-------------1 --- ---- ----- ---------- -- --•---- -------- ----
Dishwasher --�- Sum Pum
----------- --- ------ ------ ---- --p----p--- -- ------ -------- ----
- - - - - - - - - - - - - - -
Sillcocks Misc. (List) "�
Floor Drains
***********************it****************************************it********** _
l. Fixture Fee The minimum �,ermit 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 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 certif3.es that all statements made on this
application are complete, true and correct.
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Signature of A�plicant: �� ' � f�-�����'��� Date: / ,3'— � �
AT TIME
CITY OF ORONO CALLED IN -�
INSPECTION NOTICE'/ SCHEDULED �/Le/9s � s�
PERMIT NO. �a`�'� COMPLETED �_ �
ADDRESS S
OWNER %�lcr�i��1� CONTR.
TELEPHONE NO. �73-53�5'
� DESCRIPTION
� 01 FOOTING 11 MECHANICALRI 16 WELLTESTPUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
� 031NSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
O
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 06 PROGRESS
J 07 DEMO—FINA� 27 SEPTIC MAINT. 21 COMPLAINT
= 9 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMB G FINAL 23 SEPTI FINAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� CORRECT WORK&PROCEED C� ISSUE CERTIFICATE OF OCCUPANCY
W
❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR W�LL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance.473�73�J7
OwnedContra ite:
Inspector.
White Copyllnspector's ile Canary CopylSite Notice