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HomeMy WebLinkAbout2005-P08424 - plumbing PERMIT CITY,� �� ORONO Permit Number: 2750 Kelley Parkway- PO Box 66 P08424 Crystal Bay, Minnesota 55323 Permit Type: Fixcu�es (952) 249-4600 Date Issued: 2�a�2oos SITE ADDRESS: 717 Sandstone Cir I.ong Lake,MN 55356 PID: 33-118-23-11-0046 DESCRIPTION: Proposed Use: Kesidenriai Permit Class: Plumbing Permit Type: Fixtures Permit Sub-type(s): Mulriple Fixtures DETAILS: Approved per resolurion#: Separate pernuts required: NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 112.50 Valuation• $ 9,000.00 State Surcharge Fee: $ 4.50 TOTAL FEE: $ 117.00 APPLICANT: Plymouth Plumbing&Heating QWNER: John Terrance Homes,LLC 12270 43rd Street NE 2500 Kelley Parkway St.Micheal,MN 55376 Long Lake,MN 55356 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENT'S SPECIFIED AND AGREES TO DO ALL WORK IN SfRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. APPLICANT PERMITEE SIGNATURE D BY SIGNATURE Conies: 1-File(SiQnitures Required), 1-Anplicant 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1 1 � CITY OF ORONO APPLICATION FOR PLUMBING PERMIT Box 66 (2750 Kelley Parkway) Crystal Bay, MN 55323 GENERAL INFORMATION 1. You may apply for plumbing permits by mail or in person at the City o�ces. 2. Permit cards will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Plumbing pemuts 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 the State Code requirements. 6: All work must be inspected and air tested before it is covered. Call 249-4600. 24-hour notice required. Instructions Complete all items on this application. Compute the permit fee. Sign and date the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 249-4600. Please check one: ��New Addition Repair Replace i/Residential Commercial JOB SITE: '�/� "SG�Id.S�-r�a. G��'�-c. Zip: Owner's Name: �b � �j �.�. Telephone Number: Mailing Address: City: Zip: Contractor's Name: (' Telephone Number: 7� 3 /9'ro�✓� Mailing Address: j a..a 7 0 -4��` � City: �-�,�hc�.� � Zip: SS 3�� PLUMBING FIXTURE SCHEDULE FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER TYPE FL FL TYPE FL FL yVater Closet Floor Drains ' Lavatory 3 Sewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sink Water Heater � Disposal Water Sofrener Dishwasher Wet Bar f Sillcocks a, Misc (list) . � PERMIT TEE CALCULATION 1. 1.25% of Contract Price* or Minimum Fee ($35.00) �000 x .0125 $ (contract price) 2. State Surcharge. ** Add the State Building Code Division Surcharge to each permit. x .0005 $ (contract price) or $.50, whichever is greater 3. Postage and Handlin� (Only mail-in applications) $ 1.50 4. TOTAL PERMIT FEE � (Add lines 1-3 above) $ * CONTRACT PRICE or JOB COST means the actual or estima[ed dollar amount charged for the permitted work including materials, labor, profit, and other fued costs. It is the amount to be charged to the customer for the work done. If any material, equipment, labor,or installation 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 Department of Inspectional Services for the price. 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 Ciry and the regulations of the State of Minnesota, and certifies that all statements made on this application are complete, true and correct. Applicant's Signature: Date: Z � _- � " � r�� /` � �. DATE � },�. TIME CITY OF ORONO CALLED IN - `"' � INSPECTION NOTI � �,�/`��SCHEDULED ��?L�G'�.S � PERMIT NO. Y COMPLETED ADDRESS � � ' �� � � OWNER CONTR. ; /�'�L�� TELEPHONE NO. ���J �;��� � ��5 C� � DESCRIPTION � /�Lf`'�t' �� l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 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 � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTI INAL 35 HARD COVER REMOVAL � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � W a � J O � � O � W � Q � Z W � W � � a W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL 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-Q6QQ OwnerlContract�-ejn��te: Inspector. � � U White Copyllnspector's Fi Canary Copy/Site Notice