HomeMy WebLinkAbout2005-P09221 - plumbing ' � � PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P09221
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952)249-4600 Date Issued:
9/26/2005
SITE ADDRESS: 1580 Sixth Avenue N Uuit#
Long Lake,MN 55356
PID: 26-118-23-32-0006
DESCRIPTION:
Proposed Use: Residential
Pernut Class: Pluxnbing
Pemut Type: Fixtures Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Sepazate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pemut Fee: $ 273.44 Valuation: $ 21,875.00
State Surcharge Fee: $ 10.94
TOTAL FEE: $ 284.38
APPLICANT: City View Pluxnbing&Heating OWNER: Robert Mack
1880 B Wayzata Blvd W. 1650 North Farm Rd
P.O.Box 150 Long Lake,MN 55356
Long Lake,MN 55356
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.
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APPLICANT P TEE SIGN ISSUED BY NATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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O,¢�� CityofOrono , "
� P.o.Box 66 I�F'�.t�ve�:,.,,,,,,.�._..,.��C.#
2750 Kelley Parkway ' i `
Crystal Bay,MN 55323 �P��`�' ,..:—..-'�'�='
� �. � (952)249-4600
CITY OF ORONO—PLUMBING PERNIIT
(AII Commercial permits must be ap�oved by ihe Building Official or Inspxoor)
:;4�`, ���-�Q�.�Q�: -
1. You may apply for plumbing permits by mail or in person at the City o�'ices. Applications will be
reviewed and a permit will be issued within two working days.
2. Permit cards will be sent by return mail af3er a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MU5T NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Plumbing permits may be issued ONLY to licensed plumbing cot►tractors and to properiy owners
residing in the dwelling.
4. When any new construcdon or r+emodeling is involved,a separ�te 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)
`��'E('�F�E�ER1�'P
: �he�����`I�at.�5; .�,, ,.
�Residential ❑Commercial(Approval Required)
[�New ❑Additional ❑Repairs ❑Replace
❑ In Accessory Structure?
*You will need orior aooroval and may need CUP.(Per Orono City Code,Chapter 78,Article IV)
7ob Site/()wn�x�i��x�on:
Site Address: ' S a � G d �� �
Owner: /"aL� Mailing Address:
. Crty. �,�On � Zip:
Home Phone: Alternate Phone:
Contractor In,forma�ion;
Contractor: C
;� � � �� Contact Person: 'U� � ' r �� I�""
Address: ����Q w.�a�l ��v� State Bond#:
City: � �1 � CC Zip•�s3��Expiration Date:
Phone: �'(� ��� Alternate Phone: 6� �6� ��7 3 �
❑ Insurance—Current:
1
FIXTURE BSMT 1 2 01'HER FIXTURE BSMT 1 2 OTHER
TYPE FL FL TYPE FL FL
Water Closet a � Floor Drains �
Lavatory S Sewer Ejector
Bathres� � `-� Laundry Tray �
U o�
Shower � I Washer
Kitchen Sink � Water Heater
Disposal + Water Softener
Dishwasher � W�B� I
Sillcocks � Misceilaneoas
,
❑ Yes,this section applies
The replacement of a Residential fixture or appliance that meets all three of the following requirements:
_ 1. Dces not require modification to electrical or gas service.
2, Has a t tal c�st of$500.00 or less; ci ' 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 �
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
(Permit Fees Continued On Next Page)
2
If above does not apply>
follow guidelines below:
1. CONTRACT PRICE *is 1.25%of cantract Q O��a(MiII�am F�of�5.�)
'1 rj ---� x.0125$
d� (minimwn S35.00)
(contracc�ice)
2. STATE SU GHAR
**Add the State Bldg Code Div.SucchaT6e(�ut�nimnm Fa of S.50)
x.0005 $
(conuact Pr�e) (minimum S .50)
3. POSTAGE&HANDLING(On1Y on Mail-In Applications)
$ 150
$
4. TOTAL PERM1T FE'E(Add Lines 1-3 Above) doltar amount chargecl for the
. * CONTRAC'T PRICE or JOB COST means�th����fiX�� It�s t�►e�ount to be chazS�
permitted work including materials,labor,m�l������t�labor or installatians aze furnished by
to the customer for the work done. If anY
the owner,tenant or any other party,the reasonable m�ket n�tluie evenit that there ista di put don the
rice for permit fee purpo of the actual contract.
estimated cost or �n��e City cnaY re9°��S°��1°n of a signed caPY
amount of the job cost, or$.50—whichever is
** The STATE SURCHARGE is.0005 of the conuact price under$�,�.�49�Q0 for the pri�•
r greater. For valuations over$1,OOQ,000 call the Building Department at(952)
;���,r�;
���
Permit, agrees to do all
a lies to the City for issuance of a Plumbing ulations of the State of
The undersigned hereby pP and the �b lete, true and
work in strict a����a��statemen mad°n � �Pptt���n � COmp
Minnesota, and
correct. � Q�
Date:
ppplicant's Signature:
�,��(��r��, � �;�` �
r .r�� R �a'r*
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DATE TIME �
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED � "� `'���
PERMIT NO. ��9'o�oZ I COMPLETED rt'2 � "�l D
ADDRESS � � g 0 �� ��'�^ ���� /�-� '
OWNER � CONTR.
TELEPHONE NO.
� DESCRIPTION ��U�v`+3,��l(r— �- _-
tu 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
Q 03 INSULATION 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
J 07 DEMO-FINAL 15 SEPTIC INSTALI. 22 FOLLOW-UP
? 09 PLUMBING Rt'r�ti� 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL WO�K 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CQRRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-4600
Owner/Contractor on site:
Inspector. �U�� �3��
White Copyllnspector's File Canary CopylSite Notice
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/ DAT TIME
CITY OF ORONO CALLED IN � " ����
INSPECTION NOTICE-� scHEou�E� -�'� "��
PERMIT NO. ,'`<%������ coMP�E1E� r ; '� .���?� �[� i �
ADDRESS 5 �D �� '''�-`�� �L �' /�l�
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OWNER CONTR. / ����
TELEPHONE NO. �J S � �� 7� �� 7� �
� DESCRIPTION f(`t� G�'� (. C�l�� _
L� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLWG
� 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 O5 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-F1NAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
_ �09 PLUMBING R 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 1 FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� �ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑C RRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WlLL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. �952� Z49-Q6��
OwnerlContractor n site:
Inspector. `�-� �''�/���-S
White Copyllnspector's File Canary CopylSite Notice
/(�,� ��� � T /�� TIME �/
��CITY OF ORONO CALLED IN �, � `-�
INSPECTION NOTICE / SCHEDULED �����
PERMIT NO. ���2/ COMPLETED
ADDRESS f� �,r% �C-�/�-s�- /v
OWNER CONTR. � � �
TELEPHONE N0. ��� `� 73 � ��3 ��� '
� DESCRIPTION �"���� f'"!/��
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 COMPIA�NT
� 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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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � 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� Z49-46��
OwnerlContractor ite:
Inspector.
White Copyllnspector's File Canary CopylSite Notice