HomeMy WebLinkAbout2011-00026 - plumbing * i �
CITY OF ORONO PERMIT NO.: 2oii-00026
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE IssuED: OU1U2011
� 952 249-4600 FAX: 952 249-4616
ADDRESS : 1980 SIXTH AVE N
PIN : 27-118-23-42-0004
LEGAL DESC : UNPLATTED 27 118 23
: LOT 000 BLOCK 000
PERMIT TYPE : PLUMBING(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: PLUMBING FIXTURES:
(1 EACH) WATER CLOSET,LAVATORY,SHOWER,WASHER,AND STANDPIPE
VALUATION OF PLUMBING 7500
APPLICANT PLUMBING FIXTURE FEE 93.75
EARL W. DAY& SONS,INC, STATE SURCHARGE PLBG(VALUATION) 5.00
520 BRIMHALL AVE TOTAL 98.75
P.O. BOX 294
LONG LAKE, MN 55356
(952)473-8403
OWNER
PIERPONT,JUDY&JIM
1980 SIXTH AVE N
LONG LAKE,MN 55356-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances goveming this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in confo ance with the State Building Code.This permit may be
rev d at any t� e r due se. �%�l�✓''"v
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Applicant Per tee Signature Date Issu By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
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1. You may apply for plumbing permits by mail or in person at the City of�ices. Applications will be
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FIXTURE BSMT 1 2 OTI�R FIXTURE BSMT 1 2 OTf�R
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 Miscellaneous standpip
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❑ Yes,this section applies
The replacement of only one Residential fixture or anpliance that meets ail three of the following
requirements:
1. Does not r�uire modification to electrical or gas service.
2. Has a total cost of$500.(30 or less;exciudina the cost of the fi�cture or a�oi:znc�:;.:.i
3. Is improved,installed or replaced by the homeowner or licensed pl��r_���na c���act��_.
Ski�ncxt scction,if this applies; Cost of Permit $ 15.00
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PERMIT FEE C,��,TI.A�'"It31�i � ;���Q�R�500.00 '
If above does not apply;follow guidelines below:
1. CONTRAC"T PRICE *is 1.25%of contract price with a(Mi�imum Fee of$50.00)
7,500.00 x.0125$ 93.75
(contract price) (minimam 550.00)
2. STATE SURCHARGE #*Add the State Bldg Code Div.Surcharge(Minimum Fce of�5.00)
x.0005 $5.00
(conuact price) (minimam S 5.00)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $98.75
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount chazged 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 ott►er party,the reasonable market value of such items must be added to the
estimatod cost or contrac,t 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$5.00—whichever is
greater. For valuations over S 1,OOU,Ot�I call the Building Department at(952)249-4600 for the price.
P�..[71�BII�G P��VBT APPI.IGATIOI�ACtr
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, tiue and
corr�t.
ApplicanYs Signature: Date: 01/12/11
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� � D�qTE� TIME
CITY OF ORONO CALLED IN ' ��� �
INSPECTION NOTICE SCHEDULED ' �—� `� ;'S C3'
PERMIT NO���� —�G��COMPLETED
ADDRESS 1�8� �Gt ��'�'(�' /� "
OWNER TELEPHONE NO. �Z �-73��0`j
CONTRACTOR �' �'I
>; DESCRIPTION �L�'����'�-� �'`�� ��
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
Q ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
� ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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��.60RRECT WORK,CALL FOR REINSPECTION TEM PORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CAIL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-46��
Owner/Contractor on site:
Inspector.
White Copy/lnspector's File Canary CopylSite Notice