HomeMy WebLinkAbout2007-P11183- plumbing PERMIT
CITY C�F ORONO
2750 Ke�ley Parkway- PO Box 66 Permit Number: P11183
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued:
7/2/2007
SITE ADDRESS: 2055 Salem Ct Unit#
Long Lake,MN 55356
P��� 27-118-23-34-0008
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: $ 37.50 valuation: $ 3,000.00
State Surcharge Fee: $ 1.50
TOTAL FEE: $ 39.00
APPLICANT: Victoria Plumbing OWNER: Jeffrey&Mary Soderstrom
1855 West 80th St/PO Box 174 2055 Salem Ct
Victoria,MN 55386 Long Lake,MN 55356
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO L WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BU DI ODE REQUIREMENTS.
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APPLIC NT PE E SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthiy Reports, 1-Assessing,(If Septic, 1-Septic) Page l
i ' .
� FOR CITY USE ONLY
¢0�, City of Orono
P.O.Box 66 Date Received: Permit#
, �'� � 2750 Kelley Parkway
� > � � Crystal Bay,MN 55323 Approved Byr Amount$:
�,_ "' ��o (952)249-4600
'�`atis
CITY OF ORONO-PLUMBING PERMIT
(All Commercial permits must be approved by the Building O�cial or Inspector)
GENERAL INFORMA�'ION
1. You may apply for plumbing pernrits by mail or in person at the City offices. Applications will be
reviewed and a pemut will be issued within two working days.
2. Perniit cards will be sent by return mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Plumbing pernuts may be issued ONLY to licensed plumbing contractors and to property owners
residing in the dwelling.
4. When any new construction or remodeling is involved,a separate building pernrit must be
obtained.
5. All work must be done in accordance with State Code requirements. �
6. All work must be inspected and air tested before it is covered. Call(952)249-4600.
(24-48 hour notice required)
TYPE OF PERMIT
Check All'That A 1 )
�,Residential ' ❑Commercial(Approval Required)
❑ New �Additional ❑Repairs ❑Replace
❑ In Accessory Structure?
*You will need arior apnroval and may need CUP. (Per Orono City Code,Chapter 78,Article N)
Job Site/Owner Information: "
Site Address: 2D�� ��, (eM C , T
Owner: Mailing Address:
City: �v�.�, Lt�, �� Zip:
Home Phone: Alternate Phone:
Contractor Information: '
Contractor: �i C,���.�.. �'��!ty Contact Person: Qo���-� �.�-�lth�er
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Address: P•D ,� I�� State Bond#: � � �Z Z��
City: �f /'�� Zip:���(�xpiration Date: ,� - ( 1- p�
Phone: Cl�$Z �f�f�- 3 7�2 Alternate Phone: ��Z - �f4o - 2�S 7
❑ Insurance-Cunent:
1
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,' : PLUIVI��TG�I,XTURES$EING`�TSTAI:�ED ` .' ..';- � -
FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
Lavatory Sewer Ejector
Bathtub Laundry Tray
Shower Washer
Kitchen Sink � Water Heater �
Disposal r Water Softener
�
Dishwasher � Wet Bar
Sillcocks Miscellaneous ��
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❑ Yes,this section applies
The replacement of a Residential fixture or appliance that meets all three of the following requirements:
1. Does not require mod�carion 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
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, � : ` P��1VJ.IT FEE CAlCUT:ATION��S =JOBS QVER.�SOO:�Q. ;'
If above does not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00)
�B�n x.0125 $
(contract price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
x.0005 $
(contract price) (minimum$ .50)
3: POSTAGE&HANDLING(Only on Mail-In Applicarions) $ 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
pernutted 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 installarions are fizrnished 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 pernrit 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.
, � ** 'T$e STATE SURCHARGE is .0005 of the contract price under$1,000,000 or$.50—whichever is
greater. For valuarions over$1,000,000 call the Building Department at(952)249-4600 for the price.
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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 statem a e on this application are complete, true and
correct.
Applicant's Signature: Date:��_ d�
3
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CITY OF ORONO CALLED IN ��
INSPECTION NOTIC,�j���p� SCHEDULED -7
PERMIT NO. � � COMCPLE�TED
ADDRESS �G�� �%C-'�-LC_�
OWNER CONTR. ,b
TELEPHONE NO. %� � -�� y 3" 3 ���
� DESCRIPTION �l L��`'`� ����
L� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 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
J 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
� OWNERICONTRACTOR TO MEET YOU:�YES_NO
� COMMENTS:
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V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-4600
OwnerlContractor on sit '
Inspector.
White Copyllnspector's File Canary CopylSite Notice
1..�4 1 m � ��'/�V�
CITY OF ORONO CALLED IN w E �T�p�. "'" �
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INSPECTION NO SCHEDULED '.�
PERMIT NO. � COMPLETED
ADDRESS /�
OWNER CONTR.
TELEPHONE N0.�Q I� lV 05 ���
� DESCRIPTION � I
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
y ❑ FR,4MING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
O ❑ INSULATION ❑ WOOD BURNER/FIREPL ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
� ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
� ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTHACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. C, pHOTOTAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. �95Z� Z49-46��
OwnerlContr site:
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Inspector.
White Copyllnspector's ile Canary Copy/Site Notice