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Home My WebLink About2006-P09601 - plumbing • � PERMIT CITY OF ORONO permit ►vumber: 2750 Kelley Parkway- PO Box 66 P09601 Crystal Bay, Minnesota 55323 Permit Type: Fixtures (952) 249-4600 Date Issued: 2/14/2006 SITE ADDRESS: 2940 Fox St Unit# 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: Approved at 2/13/06 council mtg. Resolution Number 5423 FEE SUMMARY: PermitFee: � 50.00 Valuation: $ 4,000.00 State Surcharge Fee: $ 2.00 TOTAL FEE: $ 52.00 APPLICANT: Crosstown Plumbing OWNER: Dennis Backes 16530 l OSth Avenue 7026 Brooklyn Blvd Maple Grove,MN 55369 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. ' � �� L' (��i��C.�� ✓ i .�'�.� � r�l✓L�-�. �.� �� APPLICANT PERMITEE SIGNATIJRG ISSUED BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, l-Septic) Page 1 c • FOR CITY L1SG ONLY � "�^��`� City of Orono Y.,; J f��U� j�g `r\\ P.O.Bo�66 Date Received: ��1�� Permit# !L- f( `1 .rn �'_ �'1 2750 Kelley Parkway t�� f� ?!r :. �l a Crystal Bay,MN 55323 Approved By: Amount$: ��"'" ��e �,�,n�yo`i� (952)249-4600 �L��xoa� ��—�-� CITY OF ORONO—PLUMBING PERMIT (All Commercial permits inust be approved by the Building Otticial or Inspector) GENERAL 1NFORMATION 1. You may apply for plumbing perinits by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two working days. 2. Pennit 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 LJNTiL THE PERMIT CARD IS POSTED ON THE JOS SITE. 3. Plumbing pennits 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 pei7nit must be obtained. 5. All work must be done in accordance with State Code requirements. 6. nll 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 A 1 �esidential ❑Commercial (Approval Required) [V�New ❑Additional ❑Repairs ❑Replace ❑ In Accessory Structure? *You will need�rior aqnroval and may need CUP.(Per Oro»o City Code,Chapter 78,Article IV) Job Site/ Owner Information: Site Address: ��y� � r �� '�=L Owner�Ct�� C..��.� Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: �i��.=%�=�=�� Contact Person: �)�`�_ Address: �� 1�� `-�- State Bond #: City: iw,''(-�_ �-.�%� Zip:`�`7�`•�EYpiration Date: Phone: �l•��"":�-rll`_��- �`1�"1 Alternate Phone: ��--- '��'�� c; t�-iy ❑ Iilsurance—Current: l . � PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT l 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet � Floor Drains Lavatory f Sewer Ejector � Bathroom Laundry Tray Shower � Washer Kitchen Sink Water Heater � Disposal Water Softener Dislnvaslier Wet Bar `� Sillcocks Miscellaneous PERMIT FEE CALCULATION(S) ' BASED OFF - 2002 STATE STATUE ❑ Yes,this section applies The replacement of a Residential fixture or appliance tllat meets all three of the following requirements: 1. Does not require modification to electrical or gas service. ?. Has a total cost of$500.00 or less;excludin�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 Permit $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 1.50 Total Permit Fee $ (Permit Fees Continued On Next Page) � � . PERMIT FEE CALCULATION S `-JOBS OVER$500.00 If above does not apply; follow guidelines below: l. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00) `�C�Cb� ` ` x .0125 $ (convact price) (minimwn$3�.00) 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(�Iinimum Fee of�.50) x .0005 $ (convact price) (minimum$ .�0) 3. POSTAGE&HANDLING (Only on Mail-In Applications) $ 1.50 4. TOTAL PERMIT FEE(Add Lines 1-3 AUove) $ ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the pennitted work including materials, 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 furnished 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 permit 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 actual 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. PLUMBING PERMIT APPLICATION AGREEMENT The undersigned hereby applies to the City for issuance of a Plumbing Permit, agcees to do a(1 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 comUlete, true and correct. 4L Applicant's Signature: �, .SZi:)'�-c_._ �""�'� Date: �'�C�� Reset Form 3 �� TE�O TIME � CITY OF ORONO CALLED IN �� -� INSPECTION NOTIC�j SCHEDULED �` PERMIT NO.�� ` a�� COMPLETED � ADDRESS g � OWNER CONTR. f�.�57�[i(..l:lr1 �L�IyI� TELEPHONE NO. �� d�� DESCRIPTION ��,c,c� � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMUVAL Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL �{ 36 FOUNDATION/REMOVAL � OWNER/CONTRACTORTOMEETYOU: I�YES_NO i� � COM ENTS: � � � � 5 `� � � O � � O � W � Q � Z W � W � j d W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED !� ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑ CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WlLL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the ne inspection 24 hours in advance. (952� 249-4600 OwnedContrac te: Inspector. White Copy/lnspector's 'le Canary CopylSite Notice �� ' � V� �-� DATE TIME ✓ �CITY OF ORON�� I , CALLED IN l �� INSPECTION NOTICE SCHEDULED �� __� , / PERMIT NO. ,��3 �CL3 � COMPLETED � "C��f' IC'' L,� ,J ADDRESS �� f_? Y �1f . OWNER CONTR. ��y ��,q TELEPHONE NO. L.�� S�l� " � �� L /�'��m� � DESCRIPTION ��--�-�L�'3 /yL-,Z� �1 C�,,7 � O1 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 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 � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FO�LOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � W a t 0 ,� � �' ..f C` J"J �� _....w_.,. � /, � O � W � Q � Z W � W � � � ��VORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W �❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR W4LL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� Z49-4600 OwnerlContractor on site: Inspector. �,:c/l''"% j� u --� White Copyllnspector's File Canary CopylSite Notice �� --@�TE TIME ✓ � CITY OF ORONO c� J'/ INSPECTION N T SCHEDULED _ -��7 � PERMIT NO. D COMPLETED ADDRESS OWNER CONTR. �� TELEPHONE NO. l� l o� �� /�7�f-'-f' � DESCRIPTION �C� � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL ��LUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � . W � J �� O � >. � O � W � Q ti Z W � W � j d W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALL FOR RE�NSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WlLL RETURN u CITATION ISSUED ❑STOP ORDER POSTED.CALLINSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the n t inspection 24 hours in advance. (952� 249-4600 Owner/Co ` cto ite: Inspector. � � White Copyllnspector's F le Canary CopylSite Notice