HomeMy WebLinkAbout2002-P04767 - plumbing . - � r-
PERMIT
CITY OF ORONO permit Number:
2750 Kelley Parkway - PO Box 66 P04767
Crystal Bay, Minnesota 55323 Permit Type: F�Xtures
(952) 249-4600 Date Issued: 1i4�2oo2
SITE ADDRESS: 1525 Sixth Avenue N.
L.ong Lake,MN 55356
P I D: 26-118-23-3 3-003 3
DESCRIPTION:
Proposed Use: Kesidentiai
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: $ 35.00 Valuation• $ 1,000.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 35.50
APPLICANT: Owner/Self OWNER: S& S Morrison
MN 1525 - Sixth Avenue N.
Long Lake, MN 55356
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES T�DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA UILDIN ODE REQUIREMENTS.
�� � � �
L-�--��y ��-y�i"�_.� j'��
APPLICANT PERMITEE SIGNATURE ��SUED BY SIGNATURF,
Cooies: 1-File(Sienitures Reauired), l-Aoplicant, 1-Monthlv Reports. 1-Assessine, 1-Finance Page 1
r
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 offices.
2. Permit cazds will be sent by return mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTII, 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 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, ca11249-4600.
�.
Please check one: ew Addit�on Repair Replace
�Residential Commercial
rsZ��-� ��� �v 5�3�-�
JOB SITE• � Zip:
Owner's Name: Sc o-�— /l�o rr�s pn Telephone Numher: 5�2 5��y' O/o/
Mailillg Address: S'� a s cc d�v� City: L on Lq�� Zip: $�"S 3 5'�'
Contractor's Name: S"�%� Telep one Number:
Mailing Address• 5��,�s a�-✓� City: '� Zip; �•
PLUMBING FIXTURE SCHEDULE
�D�1�5I��� �a�S O�oo,,.�
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
Lavatory Sewer Ejector
Bathtub Laundry Tray
Shower Washer �
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar �
Sillcocks Misc (list)
PERNIIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00) �
��
i�oo x .0125 $
(contract price)
2. State Surchar� ** Add the State Building Code Division
Surcharge to each permit. x .0005 $
(contract price)
or $.50, whichever is greater
3. Postage and Handling (Only mail-in applications) $ 1.50
4. TOTAL PERNIIT FEE (Add lines 1-3 above) $ '
* CONTRACT PRICE or JOB COST means the actual or estimated dollaz amount chazged for the permitted
work including materials, labor, profit, and other fized costs. It is the amount to be charged to the
customer for the work done. If any material, equipment, labor,or installation aze fumished 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 Ciiy 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 City and the regulations of the State of
Minnesota, and certifies that all s tements made on this application are complete, true and
correct. �
, � � � 2-
Applicant s Signature: Date:
/
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTI E SCHEDULED St�-S /UL}.iV1
PERMIT N0. Oy7 COMPLETED
r 1�
ADDRESS �Sa1 0,._- ,��li�� /U
OWNER ��C_6?'l� �i(�rj,` u�CONTR. ��^c�(
TELEPHONE N0. G��a '�Dr� n7 y��
c�UeSy`%a h S
� DESCRIPTION � - � G�1 �vc
� 01 FOOTING 11 MECHANICAL RI 18 EXCA�J/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
Q03 INSUTATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 D - AL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= PIUM ING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBIN INAL 36 FOUNDATIOWREMOVAL
2 OWNERICONTRACTOR TO MEET YOU: YES_NO
y COMMEN S:
�
a � 4
j "
0
>.
�
0
�
W
�
Q
�
z
W
�
W
�
J
d
W��17 WOR ATISFACTORY:PROCEED ❑PROJECTCOMPLEfE
W ❑ RECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p PHOTOTAKEN
INSPECTOR WILL RETURN p CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cail forthe ext inspection 24 hours in advance. (952) 249-4600
OwnerlContractor .
Inspector.
e opyllnspector's Fiie ry Copy/Site Notice