HomeMy WebLinkAbout1992-004658 - plumbing PERMIT
CITY OF ORONO PERMIT TYPE:
1335 Brown Rd. South - P.O. Box 66Permit Number: R
Crystal Bay, Minnesota 55323 Date Issued-
(612) 473-7357
SITE ADDRESS:
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DESCRIPTION:
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APPLICANT/PERMITEE SIGNATURE )V ISSUED BY:SIGNATURE
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 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. �l
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: 0/v C� S7"'
Occupancy Type: Residential Comme cial
OWNER'S NAME: o/D y i /cA Phone No. :
Mailing Address: City:
CONTRACTOR'S NAM: i^ e,eZ /�� ; Bus. No. : q y 3 y`i
Mailing Address: _ -K i City: L/ic:#a:ci.4 Zip: -s-
Master
Master Plumber's State License No. : M 38',_ cg City Cert. No. :
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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
------------- - - ----- ---T----- ------ ------------- ---- -------- --------- -----
Water Closet "O1` Sewer Ejector
------------ ---�-- -- - ---- ----------- -- -- ---- ------- ----
Lavatory 1 ) Y
Laundr Tray `
------------- ---- --—---- --¢--- ---- ----- ---- -- -�—/ -- ------- ----
Bathtub Washer /
------------- ----- ------- --�-- ---- ----------- --rr^---- ------- ----
- - - - - ---- - - - - -
Shower � J ----- Water Heater �--
------------- ----- -- —r--- ------- - -------------L ---.---------------------Kitchen Sink ' Water Softner
-------------I---- --- ------ ------ ----------- -- ------------------------
Disposal -
�- / ----- Bar
------------ --- -- -- ----- ------------------ -----L--------------------
Dishwasher Sump Pump
-------------�- - --- -- --- ---- ----------- -- ----- -------- ----
Sillcocks Misc. (List)
--------------- ------------- ---- ------- ---------- -----
Floor Drains -�
------------- -- --------4--------- ------ ------------- ---- -------------------------
1.
------- ---------- -----1. Fixture Fee The minimum permit fee is $30.00 $ 16 0
Compute number of fixtures W x $8/fixture
x $5/fixture reset
2. State Surcharge $ .50
3. Postage & Handling (Only mail-in applications) $ //// �7 —
4. TOTAL PERMIT FEE (add lines 1-3 above) $ A, 0 • �
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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 and rect.
61WSignature of Applicant: �, _Iz �� Date: /--91
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DATE TIME
CITY OF OROCALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. COMPLETED
ADD SS ® e-
OWN R CONTR.
TELEPHONE NO
DESCRIPTION
01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAWGRADING/FILLING
y 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
07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
v 07 D O—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
W 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 10 PLUMBING FINAL 23 SEPTIC FINAL
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Q OWNERICONTRACTO TO MEET YOU:_YES_NO
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❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOFI WILL RETURN
11 CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnedCont t site:
Inspector. `
whbte copylins is File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN /d
INSPECTION NOTIE� SCHEDULED
PERMIT NO.(� COMPLETED
ADDRESS �� S R-lt-
OWNER CONTR.
TELEPHONE NO. q 3
DESCRIPTION
W 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP
02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
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03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
Z04 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
07 DEM —FINAL 27 SEPTIC MAI NT. 21 COMPLAINT
Q 09 PLUMBING RTS 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 10 P ING FINAL 23 SEPTIC FINAL
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Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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COMMENTS:
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❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN
INSPECTOR WILL RETURN
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❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next spection 24 hours in advance.473-7357
Owner/Contra
Inspector. —
White CopylInspector's File Canary Copy/Site Notice