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HomeMy WebLinkAbout1991-003651 - plumbing PERMIT CITY OF ORONO _ PERMIT TYPE: PLUMBING 1335 Brown Rd. South • P.O. Box 66 ter r Permit Number: 003651 Crystal Bay, Minnesota 55323 Date Issued: 04/24/91 (612) 473-7357 SITE ADDRESS: 216-S WATERTOWN RD LSV P. I .N. . 03-117-32-21-0023 023 DESCRIPTION: PIUr,It-i--I r' t ErFi t• 'v �V r IXTU�;EL: P 1 uriib i i-ig ;41c.r k T;=pe RESIDENCE 3 WATER CLOSET l_I, III\y 2 BATHTUB I KITCHEN SINk: 1 D I°=::IF"3!=,AL 1 DISHWASHER 2 S I LLC:C+C KS 1 FU-10F, DRAINS 1 SEWER EJECTOR 1 LAUNDRY TRAY 1 WA=,p'i't" 1 WATER HEATER I WATER CLOSET/RI ? iI iH±F=€A7 1 1nI 1 SHOWER/RI REMARKS: 7p' f TMIXs�- i i FIff FEE SUMMARY: 71:71"" [[jj��''���� E FL 1 U.W Base Fee $99.00 r.rCPcrr 7_7441,1 t rr:+ �• - s, rr** Trial%.,V,JV L•L Yi ljv l t V r•'1L�g ti u i'`c ha 1 ge ----------1--K) Ft4: ,%!Qi Total Fee `�9. 50 vir�.�:/A CONTRACTOR: -- Applicant -- OWNER: NORTHR I DGE PLE:G CO 4,59115so K ATNER ROBERT +960 MAD I S13N AVE W 2165 WATERTOWN RD GOLDEN VALLEY MN 55427 ORONO MN 55366 (612) 591-1550 3` I r,C r,Er r: r,rr=r -•t - E,:ti c; r r ,r', fr - r,-• MIF FC. �1N iERc: 1 G'N D H RE'E":,i !t�%Fi�h'.=,F .= F'Gl1F�! _,�%I}"4 I +_+ 1 !!nr•.E. I�it �"C"_r iL f�'}�'}1i i��! t�F � i i='EF=I F I ED AND �=Gi:tEE: TF-I Di 1 ALL �,�i=int:: L- i � i r;i t=i � ��+i�PL I i=�i��E=i� iii I TF i F iL� U I T''s i j;= [!ni i I'{ t i�''''3 - n' i) _� r' i i`t - h,; •r-,�:+_I i• `i i )�. �'3_;{i� "[i 3 `Y'r' IJ_ F'�L. INANCE"i.- rF�~._. _ FF E F �II'+If'�..•_, �i c _ IF.i. iyt� c nF;,°_ #;> FFr�`N1'_ L_. Chi APPLICANT/PERMITEE SIGNATURE 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: Uj-,de -�� Occupancy Type: X Residential Commercial OWNER'S NAME: e be t JV�bieiC- Phone No. : Mailing Address: City: CONTRACTOR'S NAME: / 1Y) I �i Bus. No. : 91-15 U Mailing Address: , u J �Q City: r7kI��:C c u Zip: "g 1? 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 1ST FLOOR 2ND FLOOR OTHER -------+--------- - ---- ----^---- ------- Water Closet �( ri- �- Sewer Ejector- ------------ u ,---—---- - -- ----- ------------- --- --- -----r---------^----- j Laundry Tray Lavatory �© ----- ------—--- --- --- ------- ----------------- --- ----- --------- ----- Bathtub I - j Washer ---------- ----�-- -- ---- --- --- ------ --------------f---- --- -------------- Shower -- --------- ----- Water Heater I ` Shower------ ! `-- ---- ------ ------ ------------ 1 - ---•----- ---------I----- ------ --- ''- Ritchen Sink ' Water Softnerl I- - , I 1 --------------- -------•-----7------- ------+-------------�---- ---- ------ =----- Disposal I f Wet Bar --------- ----- Dishwasher --------� -- --1 ------ ------- ------ ------------- ---- ------- - ----- ' Sumo Pump SillcocksMisc. (List) ------------ 1I-- -I�--- --- --------- ------ ------------ ---- ------- ---------- ----- Floor Drains 1- 1- *�k**.k*******ic***************•kir*******************yr**ie***ir****************** 1. Fixture Fee The minimum permit fee is $30.00 $ Compute number of fixtures x $5/fixture x $3/fixture reset 2. State Surcharge $ .50 3 . Postage & Handling (Only mail-in applications) $ 1.50 4. TOTAL PERMIT FEE (add lines 1-3 above) $ *************************************************************************** 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. r Signature of Applicant: 4L.- Date: � 7:a D TE_ TIME CITY OF ORONO CALLED IN �� O INSPECTIONOTI SCHEDULED PERMIT NO. COMPLETED ADDRESS '� �/j OWNER 09 719�fltl CONTR. /LC E; e eiR TELEPHONE NO. DESCRIPTION 4 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING O03 INSULATION 24/25'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 DEM 27 SEPTIC MAINT. 21 COMPLAINT UMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP Z J 10 PLUMBING FINAL 23 SEPTIC FINAL OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS- L4 OMMENTS-a �r i O a cc O 2 W cc Q W W cc j W WORK SATISFACTORY`PROCEED ❑ PROJECT COMPLETE az ❑ W r`" CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hairs in advance.473-7357 OwnerfContra e• Inspector. L atmj Whits Copl►Anspeclur%lie Canary CopylSite Nod as ATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. COMPLETED �t ADDRESS r OWNER CONTR. V� TELEPHONE NO. 9z+ U DESCRIPTION 1 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAWGRADING/FILLING y 03 INSULATION 24/25'WOOD BURNER/FIREPLACE 19 LAKESHOREIWETIXNDS 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 Q 07 27 SEPTIC MAINTT, 21 COMPLAINT PLUMBING RI 15 SEPTIC IN8fi6LL. 22 FOLLOW-UP .1 10 PLUMB FINAL 23 SEPTIC FINAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO C' COMMENTS- a A- J O Cr O W , . W cc Q 1 2 W W W d W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE 0; ❑; CORRECT WORK✓£PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 Owner/Contra tse: Inspector: U White Copyflnepeatora le Canary Copy/She Notice DATE TIME CITY OF ORONO CALLED IN �af-_ INSPECTION NOTICE SCHEDULED .Xb -!4 75-50--e PERMIT NO. COMPLETED ��( -2G - gl 1 y t) ADDRESS Al 119 S ,tatdd-t1_ (�CGC OWNER K�� �^' CONTR. TELEPHONE NO. 5,W, DESCRIPTION 14 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAWGRADING/FILLING Oy 03 INSULATION 24125'WOOD BURNER/FIREPLACE 19 LAKESHORENVETLANDS 2 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—FINAL 27 SEPTIC MAINT. 21 COMPLAINT 09 PLUMBING RI 15 SEPTIC INSTALL 22 FOLLOW-UP v 10 PLUMBING FINAL 23 SEPTIC FINAL OWNERIC TO MEET YOU:_YES_NO y COMMENTS- 0 0 W Q i W W d W WORK SATISFACTORY:PROCEED PROJECT COMPLETE OC ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR G CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473.7357 Owner/Contra or Inspector. White Copyllnspectors File Canary Copy/She Notice