HomeMy WebLinkAbout1992-004417 - change over PERMIT
ITY OF ORONO PERMIT TYPE: PLUMBING
1335 Brown Rd. South • P.O. Box 66 Permit Number: 004417
Crystal Bay, Minnesota 55323 Date Issued: 06/17/92
(61Z),473-7357
SITE ADDRESS:
2145 WATERTOWN RD
1
CH
P. I .N. : 03-117-23-21-0003
DESCRIPTION:
CHANGE OVER
Plumbing Permit Type UNDEFINED
Plumbing Work Type RESIDENCE
1 UNDEFINED
i
REMARKS:
6`�Y
FEE SUMMARY: INANCE OFFICE
Ij."J300000
vI 01
l.+aSe Fee $30.00 Of i t'7�1 .�
Surcharge ----------
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------r--
Total Fee X30.50CHECKTL 370
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CONTRACTOR: - Applicant - OWNER:
DAY EARL W 'a SONS 247:38403 CORNELL JAMES
520 SRIMHALL AVE 214E WATERTOWN RD
LONG LAKE MN 55356 ORON i MN S5356
(612) 473-8403
THE UNDERSIGNED HEREBY REQUEST'-: PERMISSION TO MAKE THE REAL i MPROVEMENT'3
SPECIFIED AND AGREES TO Di E ALL WORK IN TR I C:T COMPLIANCE WITH ALL CITY OF
ORONt i C i I NANCES AND ';TATE OF MINNESOTA BUILDING C+tDE REt,U I REtIENT: .
APPLICANT/PEZITEE SIGNATURE ISSUED BY:SIGNATURE GAJ
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.
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: TDA.✓
Occupancy Type: X Residential Commercial
OWNER'S NAME: o f Al4-Z-c. Phone No. :
Mailing Address: �/ y S r,,,r�i- 7-0z,_,,,41 rlp City: b60 ni'C Z-A k,
CONTRACTOR'S NAME: Bus. No. : 41-3-Y,16-3
Mailing Address: City: Zip:
Master Plumber's State License No. : 7c 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 1ST FLOOR 2ND FLOOR OTHER
-------------- ---------4----- ---T------------- ------------------- --------- ----------------
Water
---- ------ ------------- ---- -------- -------- ----
Water Closet Sewer Ejector
------------- ---- -------- ----•---- ------ ------------- ---- ---•----- --------- -----
Lavatory Laundry Tray
------ ---- --—---- ----------------- ---------------------------- ----------------
Bathtub
--- ------ ------------- ---- ---•-- ------ -----
Bathtub Washer
----------- ------------------- -------------------------
Shower
-- --------- -----
Shower Water Heater
------------ ------------------- -------------------------
Kitchen
---- --------- -----
Kitchen Sink Water Softner
---- ---- --- ------ -----
Disposal Wet Bar
------------- ---- ---•---------------------
Dishwasher
--- --------- -----
Dishwasher Sump Pump
------------ ------------------ ------- ---------- -----
Sillcocks Misc. (List)
------------- -----
Floor Drains A/ iV a S'�✓i T� c'✓D' 2
------------- ----- -------- --------- ------ --70�(/6rG✓ i+rL----------------- _
1. Fixture Fee The minimum permit fee is $30.00 $
Compute number of fixtures x $8/fixture
x $5/fixture reset
2. State Surcharge $ .50
3. Postage i 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 certifies that all statements made on this
application are complete, true and correct.
Signature of Applicant: Date: 6 -"'-1 ��
DATE TIME
CITY OF ORONO CALLED IN 6//7/92-
INSPECTION NOTICE SCHEDULED &l17Z2 3=tT0
PERMIT NO. 1714117 COMPLETED t( �—
ADDRESS
OWNER (��Imo. CONTR.
TELEPHONE NO.
DESCRIPTION
�
01 FOOTING 11%NIECHANICAL RI 16 WELL TEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHOREfWETLANDS
D
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
5 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
{� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLU 15 SEPTIC INSTALL. 22 FOLLOW-UP
0 PLUMBING FI 23 SEPTIC FINAL
OWNER/CONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
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WORK SATISFACTORY:PROCEED El PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
OU BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR r CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contract o 11
te:
Inspector.
White CopylInspector's lile Canary Copy/Site Notice