HomeMy WebLinkAbout1992-004481 - plumbing PERMIT
i CITY OF ORONO PERMIT TYPE: PLUME:ING
1335 Brown Rd. South • P.O. Box 660044,3 1
Crystal Bay, Minnesota 55323 Permit Number: 07/10/92
Date Issued:
(612) 473-7357
SITE ADDRESS: 180 ORONO ORCHARD RD S
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P. I .N. : 02-117-23-21-0010
DESCRIPTION:
6 FIXTURES
Plumbing Permit. Type FIXTURES
Plumbing Work Type ADDITION
1 KITCHEN SINK 1 DISHWASHER 1 S I LLCOCKS
1 FLOOR DRAINS 1 LAUNDRY TRAY 1 WASHER
CITY OF ORONO
FIANCE OFFICE
1313300000
01 Gam:' 48.00
122220 0000
01 GEN .50
CHECK TL $ ■5
0
RECEIPT-?HANK YOU
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VI/10/(2
REMARKS:
FEE SUMMARY:
Base Fee $48.00
Surcharge Q -
Total Fee $48. 50
CONTRACTOR: R: - Applicant -
JOSEPH
1R0 ORONO ORCHARD RD
WAYZATA MN 55:391
473-8271
THE UNDERSIGNED HERESY REQUESTS PERMISSION TO MAKE THF REAL IMPROVEMENTS I
SPECIFIED AND AGREES: TO Di+ ALL WORK=:. IN S:TR I CT COMPLIANCE WITH ALL CITY OF
ORONO ORD I NANCFq AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS .
1444 • CX 0-1)
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
_(:ITY OF ORONO APPLICATION FOR PLUMBING PERMIT
I' 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.
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JOB SITE ADDRESS: i (O 0 Cli o O: -z ) ---0
Occupancy Type: V Residential Commercial
OWNER'S NAME: l� Belo Phone No. : 47 7 7 b i
Mailing Address: ( ) OV-ONO nt2-C-1 .l) 124 City: WA,y2 - -
CONTRACTOR'S NAME: Bus. No. :
Mailing Address: City: Zip:
Master Plumber's State License No. : 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
T
Water Closet Sewer Ejector
Lavatory Laundry Tray I
Bathtub Washer
-- -----
F _4 --0
Shower Water Heater
Kitchen Sink . 1 Water Softner
Disposal
1 I -_` ------ Wet Bar
1
Dishwasher I / - Sump Pump
Sillcocks I Misc. (List)
Floor Drains
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1. Fixture Fee The minimum permit fee is $30 .00 $ *fj, CV
Compute number of fixtures (.;, x $8/fixture
x $5/fixture reset
2. State Surcharge $ .50
3. Postage & Handling (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (add lines 1-3 above) $ �)U c�'
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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.
t . ,
Signature of Applicant: 1 V '\ L' Date: ///:0 ((q 2/