HomeMy WebLinkAbout1992-004770 - plumbing PERMIT
CITY OF ORONO PERMIT TYPE:
1335 Brown Rd. South - P.O. Box 66 Permit Number: Ci A-7
Crystal Bay, Minnesota 55323 Date Issued A/
(612)'473-7357
SITE ADDRESS:
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REMARKS:
FEE SUMMARY:
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APPLICANT/PERIVIITEE41ATUREq� 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.
i.
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:
Occupancy Type: Residential Commercial
OWNER'S NAME: �f 9/U% GC�G�idJ/SSTF/r Phone No. :
Mailing Address: -Doe-04-If
City:
CONTRACTOR'S NAME: y o e-04-I f 7C of
G, Bus. No. :
Mailing Address: 719rS' de) -7� City: /l�C€ OLS/i?/ Zip: 6S'&-%7Master Plumber' s State License'No. : V-99U n.1 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 1ST FLOOR 2ND FLOOR OTHER
------------- ---- ----+----- ----r---- ------ ------------- ---- --------- --------- -----
Water Closet
Sewer Ejector
------------ ------- -----
Lavatory
---- --- ----- --------- -----
------ Laundry Tray
Bathtub I- -----
Washer
Shower Water Heater
------------ --- --`---- --__- ---- ------------ ---- ------- --------- -----
Kitchen Sink --_--- Water Softner
-------------.l------------- -------- -------------- ---- ---•---------------------
DisposalI- Wet Bar
Dishwasher---1 ---- ------- --------------- ------------------ -----Sump Pump ---------------------
__________________ --------- ---____ ____ ____________ ___ ____--------------------
Sillcocks Misc. (List)
Floor Drains
1. Fixture Fee The minimum permit fee is $30.00 $ so ea
Compute number of fixtures x $5/fixture
x $3/fixture reset
State Surcharge $ .50
Postage & Handling (Only mail-in applications) $ 0
TOTAL PERMIT FEE (add lines 1-3 above) $ y
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: 14?eA01_ Date:
Y
DATE TIME
CITY OF ORONO -70CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO.Y� COMPLETED
ADDRESS -7 0 NO 11t
OWNER CONTR.
TELEPHONE NO.
DESCRIPTION
W 01 FOOTING 11 MECHANICALRI 16 WELLTESTPUMP
LL 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
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
Z 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
J 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
09 PLUMBIN 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 10 LUMBING FINAL 23 SEPTIC FINAL
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OWNER/CONTRACTOR TO MEET YOU:_YES NO
COMMENTS:
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W LRK SATISFACTORY:PROCEED ElPROJECT COMPLETE
cc ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
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❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C, PHOTO TAKEN
INSPECTOR WILL RETURN
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El STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contract s'
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice