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Home My WebLink About2005-P09227 - plumbing PERMIT CITY OF ORONO 2750 Keiley Parkway- PO Box 66 Permit Number: p09227 Crystal Bay, Minnesota 55323 Permit Type: Fixtures (952) 249-4600 Date Issued: 9/27/2005 SITE ADDRESS: 2 0 Fox St Unit# l Long Lake,MN 55356 PID: 04-117-23-31-0017 DESCRIPTION: Proposed Use: Residential Permit Class: Plumbing Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 193.75 valuation: $ 15,500.00 State Surcharge Fee: $ 7.75 TOTAL FEE: $ 201.50 APPLICANT: Crosstown Plumbing(See Comments) OWNER: Dennis Brackes 16530 l OSth Avenue 7026 Brooklyn Blvd Maple Grove,MN Brooklyn Ctr,MN 55429 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 REQUIREMENTS. � � �', / r,L-c�.. l. l. �-' 1 / i�� /7 r� AP IC ERMI EE SIGNATURE [SSUED BY SIGNATURE Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 �' " --r � FOR CITY USE ONLI' ,��, City of Orono . O« O P.O.Box 66 Date Received: Permit# �,;,:„� 2750 Keiley Parkway � �� {t`!`'�'r Crystal Bay,MN 55323 Approved By: Amount$: 1�•-�� M�$a (952)249-4600 asaos CITY OF ORONO-PLUMBING PERMIT (All Commercial permits must be approved by the Building Official or Inspector) GENERAL INFORMATION 1. You may apply for plumbing pernuts by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two working days. 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners residing in the dwelling. 4. When any new construction or remodeling is involved, a separate building permit must be obtained. 5. All work must be done in accordance with State Code requirements. 6. All work must be inspected and air tested before it is covered. Call(952)249-4600. (24-48 hour notice required) TYPE OF PERMIT � (Check All That Apply) [�Residential ❑ Commercial(Approval Required) [�New ❑Additional ❑ Repairs ❑ Replace ❑ In Accessory Structure? *You will need nrior approval and may need CUP. (Per Orono City Code, Chapter 78,Article N) Job Site/ Owner Information: Site Address: r� �a(� `—�`� �j'�-c-L-�� Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: 1 I ` Contractor: `(U��S�uv.-��1�--�� Contact Person: c��c= ��`-�v Address: ��/�� 5 �t' l�% State Bond#: �� 1 City: MF � (i'�: Zip: I�,� �xpirationDate: ��3�'"�'� Phone: ��%� � ��i-�-� � � � -� � ,^+'Alternate Phone: ��'� ��'� �7�� Insurance- Current: 1 � � , ,� � PLUMBING FIXTURES BElNG INSTALLED FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet 3 a Floor Drains ' Lavatory � ,3 Sewer Ejector Bathtub � t Laundry Tray � Shower � 1 Washer � Ki�chen Sijk � I Water Heater � � Disposal Water Softener Dishwasher � Wet Bar � + � Sillcocks � Miscellaneous ; PERMIT FEE CALCULATION(S) � � BASED OFF - 2002 STATE STATLTE � ❑ Yes,this secrion applies The replacement of a Residential fixture or appliance that meets all three of the following requirements: 1. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less;excluding the cost of the fixture or appliance: and 3. Is improved, installed or replaced by the homeowner or licensed contractor. Skip next section,if this applies; Cost of Pernut $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 1.50 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 ► . _- � PERMIT FEE CALCULATION(S)—JOBS OVER $500.00 If above does not apply; follow guidelines below: 1. CONTRACT PRICE *is 125%of contract price with a(Minimum Fee of$35.00) � '�j� �JO�%^�'t' x.0125 $ (contract price) (minimum$35.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) l x.0005 $ (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ • * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including matenals, labor, profit, and other fixed costs. It is the amount to be charged to the customer for the work done. If any material, equipment, labor or installations are funiished by the owner, tenant or any other party, the reasonable market value of such items must be added to the estimated cost or contract price for pemut fee purposes. In the event that there is a dispute on the amount of the job cost, the City may request the submission of a signed copy of the acival contract. • ** The STATE SURCHARGE is .0005 of the contract price under $1,000,000 or$.50—whichever is greater. For valuations over$1,000,000 call the Building Department at(952)249-4600 for the price. j PLUMBING PERMIT APPLICATION AGREEMENT ', The undersigned hereby applies to the City 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 conect. ��' Applicant's Signature: ��— < Date: / l�� 3 1 � DATE CITY OF ORONO TIME � CALLEDIN 2�/,�-U G� INSPECTION NOTI/C-E SCHEDULED 2�/y-� ' 3 C�A PERMIT NO. P l �ZZ� COMPLETED ADDRESS_ v��IO I�v>C �� - OWNER CONTR. C�� -(D�� TELEPHONE N0. �� ( � j �� J C o �Lf �--� � DESCRIPTION � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL 22 FOLLOW-UP � = LUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 MBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J O �. � O � W � Q � Z W � W � � d W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. C pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED C INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next in ection 24 hours in advance. (952� 249-4600 Owner/Contra n si : Inspector. / White Copyllnspector's File Canary CopylSite Notice