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HomeMy WebLinkAbout2006-P09784 - plumbing, � PERMIT CITY OF ORONO 2750 Ketley Parkway- PO Box 66 Permit Number: P09784 Crystal Bay, Minnesota 55323 P,ermit Type: Fixtures (952) 249-4600 Date Issued: 4/24/2006 SITE ADDRESS: 1805 Sixth Ave N Unit# Long Lake,MN 55356 P��� 27-118-23-41-0002 DESCRIPTION: Proposed Use: Residential Permit Class: Plumbing Permit Type: Fixtures Permit Sub-type(s): Mulriple Fixtures DETAILS: Approved per resolution#: Separate pemuts required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 312.50 Valuation: $ 25,000.00 State Surcharge Fee: $ 12.50 TOTAL FEE: $ 325.00 APPLICANT: Thompson Plumbing OWNER: C�rtis Gardner 15001 Minnetonka Ind.Rd. 1805 Sixth Ave N Minnetonka,MN 55345 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. � d �f/L�"��T � \ APPLICANT PERMITEE SIGNATURE SUED BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, l-Septic) Page 1 t � � a FOR CITY USE ONLY City of Orono '�4� P.O.Box 66 Date Received: Permit# 4`+ h,, � 2750 Kelley Parkway �r � Crystal Bay,MN 55323 Approved By: Amount$: �����o (952)249-4600 CITY OF ORONO-PLUMBING PERMIT (AII Commercial permits must be approved by the Building Official or Inspector) G�I�+IERAL INF4R.M.�TION:': ,,;: . ' ;:� �� � , �� �'��� ��� 1. You may apply for plumbing permits by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two working days. 2. Permit 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 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 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 I �� �Residential ❑ Commercial(Approval Required) �,New ❑ Additional ❑Repairs ❑Replace ❑ In Accessory Structure? *You will need nrior approval and may need CUP.(Per Orono City Code,Chapter 78, Article iV) Job Site�/�Owner Infai-n�ation: Site Address: ��,�J- ��� ��� ��. l� Owner.:1�"" ���n�e._.�,��,��i 0�1� Mailing Address: ����'C 1�LA�-`�' ���s�, , City: � �)r c�,tl Zip: ���`_� �1 Home Phone: Alternate Phone: �±�ontractor Iriformation: ' ��-� �, , e ,h r_ . Contractor: I� l��» „ � 'r� Contact Person: �c� � �;�, Address: l5cx,l 1���_Lr���,,_S}-c`��,k �.�.1State Bond#: � `•`J��'1 - b`{�!- � :�.. City: M��t1c��on�Ccs. Zip�_j Expiration Date: 1•�- �l -r,�� Phone: ���-q�-���� Alternate Phone: ❑ Insurance-Current: l ' r � _;. FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet � Floor Drains / Lavatory / Sewer Ejector Bathree�n \ i Laundry Tray � `tttib f Shower � � Washer Kitchen Sink Water Heater Disposal ( -�� I ��tT�;1,��„�. �� Dishwasher i Wet Bar Sillcocks � Miscellaneous c�o�, - � " ��P;�� _I�r._� J�'CMIc� � _ '�,,w.l�,,`�.i.�. ' ���'��I'[�RNIIT�'CE CALCULAT[4N(S) ��"��� . ��=�� � �3,�1,Sf�U 0��� - 2�02 S`i'AI'L S"I'A'I"UE'. ❑ Yes,this section applies The replacement of a Residential fixture or appliance that meets all three of the following requirements: 1. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less;excludine 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) 2 ti . t �i If above does not apply; follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00) <� ��`�,<!n�.� X.oias$ �»•`�`� (Tcont�ract price) (minimum$35.00) 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) _���,���C.�l�: x.0005 $ /,� , �� (cont�ce) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ �t`� 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ���(�('� ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted 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. �� k 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 statements made on this application are complete, true and correct. Applicant's Signatur���,�'1� ,���,j/}� ,r' \ Date: �'- ��-{:',�C ^�se: Fa.:�i 3 DA/TE /- TIME " CITY OF ORONO CALLED IN �� 7`�f� INSPECTION�OTICEG SCHEDULED ' -U r' -1��I PERMIT NO.r[��rT O �/ COMPLETED ADDRESS_���� �"�� .�Uc � �--,/ OWNER CONTR. //��ti�5 C�� TELEPHONE N0. �1�5_02 ��:.3 -3 ? 7/ � � DESCRIPTION � 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 OS FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT �q�0-7-�-D—EMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP �Ci 09 PLUMBING 23 SEPTIC FINAL 35 HARD COVER REMOVAL J -�-#8-P FINAL 36 FOUNDATION/REMOVAL Z OWNERICONTRACTOH TO MEET YOU:_YES_NO � COMMENTS: � w a o '� i b�S �� ��" (`� � '' t �� c�.�.f"� ���ls� � l �� o ���n� � w � Q � z W � W � � j d W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑ ORRECT WORK&PROCEED r' ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR -! CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor on site: Inspector. �o/ 1—J _ White Copyllnspector's Fiie Canary CopylSite Notice � l �,� �,4 DAT TIME ' CITY OF ORONO CALLED IN l d�d G� INSPECTION NOT E -7 SCHEDULED U 3 �wERMIT NO. � / COJv1PLETED �� ��-�-�� � ADDRESS l�'S Si�.�TK •''T��� � OWNER CONTR. » �"f � (��f� S'vl�r� TELEPHONE NO. L� /� ��� (.-'–/ CP�S— � DESCRIPTION �i'/ciU y'l /c�1- ly� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � O 03 I ULATION 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-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP T09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a j �l/�v� � � c�l� 0 a � ° ,�. j(�vS � %Z e �A-T r 0 �e�-cf Q � Q� �t,t� ��.� �fe�9 �- Rz�..., �. � � ��,^�-} 1 � s v�'�,5" l�ri, . W � W � j GW WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � �L CORRECT WORK E�PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED �/���[ ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. �� �- y�p I 6 Call for the next inspection 24 hours in advance. �95Z� Z49-46�� OwnerlContractor on sit Inspector. /r/) j� White Copyllnspector's File Canary CopylSite Notice � \ DATE TIME CITY OF ORONO CALLED IN INSPECTION NOT C SCHEDULED � ,.,3�-vCo 3'3� P/�-'f PERMIT NO. _ COMPLETED ADDRESS �� � OWNER CONTR. .s TELEPHONE NO. �%_S � �13� `77��7 � DESCRIPTION L� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y O 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 � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUM„$1i�lC� 23 SEPTIC FINAL 35 HARD COVER REMOVAL 0 PLUMBING FINAL 36 FOUNDATION/REMOVAL � CONTRACTOfi TO MEET YOU:_YES_NO � COMMENTS: � 'A���� D a rv� j ' 0 � � � $ v W � Q � Z W � W � � d W WORK SATISFACTORY:PROCEED ROJECT COMPLETE W ❑CORRECT WORK&PROCEED n ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR W4LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUiRED.CALLTO ARRANGE ACCESS. Call for the next i pection 24 hours in advance. (952� 24J-46�� OwnerlContracto it Inspector. White Copyllnspector's File Canary CopylSite Nofice