HomeMy WebLinkAbout1990 - 003278 - guest house PERMIT
CITY OF ORONO PERMIT TYPE:
1335 Brown Rd. South • P.O. Box 66 Permit Number: SEWER c, WATER
Crystal Bay, Minnesota 55323 Date Issued: ` }3278
(612) 473-7357 09/.20/90
SITE ADDRESS:
1801 WEST FARM RD
TLN
r. 1 . `'4. , 27-118-23-44-001A
DESCRIPTION:
GUEST HOUSE
' ewer & Water Permit Type SEPTIC CONN CTIN
Sr
ewler & Water Work Type RESIDENCE
OF
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LI If ire L'%1LITV
F.TkANCE OFFICE
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FEE SUMMARY: - L J. L'L T aa1
Base Fee $30 .00 i:'.. rivi 08:16
_ {. _ _ _
05'7..70/70
!u!•Cha e : s{S
Total Fee
CONTRACTOR: -- Applicant -- OWNER:
DAY EARL W LSONS 24738403 F 1 Enrur-r JAMES
S20 ER I MHALL AVE 1801 WEST FARM RD
LONG LAKE MN S 356 ARON° MN 5:535;x.
(612)
473-8403
-8403
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS
SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY:OF
ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE - QUIREMENTS.
,(. .._,A0101 dr.&/i'e
7-e-44.)
APPLICANT PER EE SIGNATURE ISSUED BY SIGNATURE
CITY OF ORONO APPLICATION FOR PLUMBING Plqu'1T
Box 66 (1335 So Brown Rd)
Crystal Bay, MN 55323
********************************************* ****************t•**********
General Instructions
1. You may apply for plumbing permits by mail or in parson at the City offices.
2. Mailed in applications are subject to the post tge and handling f eis s s received.
below.
Permit cards will be sent by return mail the same day the app
3. Permits are not valid until you receive a permit ard.
4. Work must not begin unless the permit card is ava' lable on the job site.
5. Plumbing permits may be issued to licensed contra!tors only.
6. When any new construction or remodeling is involy*ed, a separate building permit most
' 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: / ) p
Occupancy Type:
Residential Commercial
OWNER'S NAME: 0-0/.7.4-c-IC ,12/Z� PU/Y� �PhoneCNoy: Q�� U/V U Lone LfK
o. :
Mailing Address: / O / L,/ /? M
/�/ ,O/� ,4,��l/Y Bus. No. :
CONTRACTOR'S NAME: G :-/9--,<_(-
Mailing Address: A--2,0 ed2/ 7)-7 Lt city: No. :
Zip:
Master Plumber' s State License No. :
3 17JM C City Cert. No. :
PLUMBING FIXTURE SCHEDULE
(Show number of fixtures of each type on emch floor)
FIXTURE TYPE BSMT 1ST FLOOR 2ND FLOOR OTHER FIXTURE TYPE 'BSMT 1ST FLOOR 2ND FLOOR OTHER
Tv.
Water Closet Sewer Ejector
Lavatory / Laundry Tray
---- --`
Bathtub / Washer _ �•-
Shower Water Heater _ _
Kitchen Sink j ---- - — Water Softner
/ Wet Bar (.
1
Disposal I
_�___.__.,_
I / --- --- Sump Pump
Dishwasher _ --- -
Sillcocks / Misc. (List) --_-
Floor Drains I / _
*************************************************************a*************
1. Fixture Fee The minimum permit fee is $30.00 $
Compute number of fixtures x $5/fixture
x $3/fixture reset
$ ..50
2. State Surcharge
3. Postage & Handling (Only mail-in applications) $
1.50
4. TOTAL PERMIT FEE (add lines 1-3 above) $
***************************************************************1***********
The undersigned hereby applies to the City of Orono for issuance of a Pluitbing Permit,
.ty and the
agrees to do all work in to oftMinnesota,rict dordinancesance with the
and certifies thatal lstatements4.made on this
regulations of the Sta
application are complete, true and orr-'
Signature of Applicant- V.
Aili� Date:
I.
b ,9 _
DATE__ 7 DIME
CITY OF ORONO r CALLED IN v ' ' `'
INSPECTION NOTI SCHEDULED ° Gl
PERMIT NO. ?�7 °AMC
ADDRESS 7 ()( � , Fa i-i-, i`1)
OWNER f "e-- CONTR. � �S-
TELEPHONE NO.
3 �7`0
j; ❑ FOOTING ❑ MECHANICAL RI ❑SITE WELL
~
W ❑ FRAMING ❑ MECHANICAL FINAL ❑WELL TEST PUMP
c ❑ INSULATION ❑ FIREPLACENVOOD BURNER ❑ EXCAV/GRADING/FILLING
y
Q ❑WALL BD. ❑WATER HOOK-UP ❑ LAKESHORENVETLANDS
• ❑ FINAL `❑ METER SET/TURN ON ❑TREE REMOVAL.
Q ❑ DEMO—SITE 11 SEWER HOOK-UP ❑SITE INSPE 0
L❑
v ❑ DEMO—FINAL SEPTIC MAINT. ❑ SS
W ❑ PLUMBING RI El SEPTIC INSTALL. ❑ COMPLAIN
_ ❑ PLUMBING FINAL ❑SEPTIC FINAL ❑ F LLOW-UP
Z COMMENTS: G'µlu 6 - `
0
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W2 WORK SATISFACTORY:PROCEED ❑ PHOTO TAKEN
W CORRECT WORK&PROCEED ❑CITATION ISSUED
CI ❑CORRECT WORK,CALL FOR REINSPECTION ❑ PROJECT COMPLETE
ci BEFORE COVERING
❑ ISSUE CERTIFICATE OF OCCUPANCY
❑CORRECT UNSAFE CONDITION WITHIN HOURS. TEMPORARY
INSPECTOR WILL RETURN
PERMANENT
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contr or t site:
Inspector. U
White Copy/Inspe tor's File Canary Copy/Site Notice