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HomeMy WebLinkAbout1992-004733 - plumbing PALfEdIRMIT CITY OF ORONO PERMIT TYPE: Czi ;;M-:T KI-i'li 1335 Brown Rd. South - P.O. Box 66 Permit Number: I-0 A Crystal Bay, Minnesota 55323 Date Issued: (612) 473-7357 SITE ADDRESS: j in I- NC. L v 0 DESCRIPTION: ["j T r-F i-.i P 1. L"i p"F . I•Fe I W'ATA kjt; H . IRV B'AITHT' H-'WFR U.. M REMARKS: FEE SUMMARY: 1.1 rL7 ;q 404�jljv Vv A Ail LIS LEii vv -V ---------- Ae-'1-'i.'LVVVVV r rA V'L 1:.L711 .0v 44 IL- L- vv i7-C7'-L"7rjT-7L:Aiik V— I illryful I L'L' i--Alli C'rli rrL:6iO4i-L; ivv.L 11v1 iAv.e-l 4 --j .._l":,� i vi 4: ;zt CONTRACTOR: OWNER: n,f. ST E P Ni. TH DR OR, 0-1 E.1 A72-1 C�:j;--T 1PERN14--SILIN Ti MA�--`E-7 REL)iY IE N T HE 1-Nii- 3NEDD V 'D F E tJ!i T1 :-;PPY:1 r' T Fr c-&q,r A G RE E L!C., PLL W-)FIRk" I"-J A t: A' 1 I'll T h�!A tikl F, 4�pjp DOE 'T T N(; JIF-EtIE!" I 'rp!TE C" �l T Nt IE'::,[-' L W�L APPLICANT/PERIVIITEE SIGNATURE i ISSUED BY:SIGNATURE CITY OF ORONO APPLICATION FOR PLUMBING PERMIT Box 66 (1335 So Brown Rd) Crystal Bay, MN 55323 *************************************************************************** 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 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: 4695 North Shore Drive Occupancy Type: X Residential Commercial OWNER'S NAME: _Stephen Ward Phone No. : 472-1879 Mailing Address: _4695 North Shore Dr . City: Mound , 55364 CONTRACTOR'S NAME: Owner Bus. No. : Mailing Address: City: Zip: Master Plumber's State License No. : City Cert. No. : *************************************************************************** PLUMBING FIXTURE SCHEDULE (Show number of fixtures of each type on each floor) FIXTURE TYPE BSMT 1ST FLOOR 2ND FLOOR OTHER FIXTURE TYPE BSMT IST FLOOR 2ND FLOOR OTHER ------------- ---- ----a----- ----r----- ------ ------------- ---- --- ---- --------- ----- Water Closet X X Sewer Ejector ----------------------- ---- ------ -------------- ---- --- ----- ---------------- Lavatory ---- --------- ----- Lavatory X X Laundry Tray Bathtub X Washer ------------- ----- ------- --------------- ------------------- ----------------------- Shower --- --------- ----- Shower X X Water Heater Kitchen Sink Water Softner ------------- ---- ------- ---------------- ------------------- ------- --------- ---- Disposal �- Wet Bar ------------- ---- ------- ------- ------ ---------------------------- --------- ----- Dishwasher Sump Pump X Sillcocks Misc. (List) Floor Drains ---I----- -------- ---------I-------------------- ---- -------- ---------- 1. -------1. Fixture Fee The minimum perm*t fee is $30.00 $ ', l/© 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) $64,Sb *************************************************************************** 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 and correct. Signature of Applicant: �� ��i/l/ Date: 1 �� DATE TI CITY OF ORONO CALLED IN �U -�2 _ d— INSPECTION NOTICE SCHEDULED /D �/a2. o� a m PERMIT NO. 717-33 COMPLETE ADDRESS �9� OWNER LJ ' CONTR. (,l / TELEPHONE NO. 7 `� l- Y6 ,S_ 7 DESCRIPTION lU 01 FOOTING 11 MECHANICALRI 16 WELLTESTPUMP W 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING 10, 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORENVETLANDS O Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL Q 05 FINAL 13 METER SETITURN ON 17 SITE INSPECTION 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS J 27 SEPTIC MAINT 21 COMPLAINT 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP Z 10 PLUMBING FINAL 23 SEPTIC FINAL J Q OWNERICONTRACTOR TO MEET YOU:_YES_NO Z COMMENTS: y4i12T�5"i �.�< cc ccO W W CC Q Z W Z W cc d RK SATISFACTORY:PROCEED C PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. 1 PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR F CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 Owner/Contract Mne: Inspector. White CopylInspector's File Canary Copy/Site Notice