HomeMy WebLinkAbout2000-P02848 - plumbing � - �
PERMIT
G I TY O F O RO N O Permit Number:
27�0 Kelley Parkway - PO Box 66 Po2saa
Crystal Bay, Minnesota 55323 Permit Type: F�Xtures
(612) 249-4600 Date Issued: si2ii2oo
SITE ADDRESS: 2060 Sixth Ave N
LONG LAKE, MN 55356
PID: 27-118-23-31-0002
DESCRIPTION:
Proposed Use: iii�iiiuii�iidi
Permit Class: Plumbing
Permit T e: Fixtures Permit Sub-type(s): Water Closet
yp Lavatory
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUAAMARY: Permit Fee: $ 90.94 Valuation: $ 7,275.00
State Surcharge Fee: $ 3.64
TOTAL FEE: $ 94.58
APPLICANT: BREDAHL PLUMBING INC OWNER: TRINITY ENG EVAN LUTH CH INC
7916 73RD AVE N 2060 SIXTH AVE N
BROOKLYN PARK,MN 55428 LONG LAKE MN 55356
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE TI�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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APPLIC NT P ITE SI N TURE ISSLIED BY SIGNATURE
Copies: City,Applicant,Assessor,Finance Page 1
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CITY OF ORONO APPLICATION FOR PLUMBING PERMTT
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 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 sepazate 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
Residential �/Commercial
JOB STI'E: 2060 - 6th Avenue North Long Lake Zip: 55356 -
Owner's Name: Trinity Lutheran church Telephone Number:
Mailing Address: Same City: Zfp:
Contractor's Name: Bredah 1 P 1 umb i nq, I nc. Telephone Number: 763/424-2646
Mailing Address: 7916-73rd Avenue North City: Brooklyn Pk ZiP� 55428
PLUMBING FIXTURE SCHEDULE
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
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Sillcocks Misc (list) ,3
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PERMIT I'EE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00) ��
� �,� x .0125 $
contract price)
2. State Surchar�e. ** 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 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 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 Jnspectional 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 statements made on this application are complete, true and
correct.
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Applicant'sSignature: �-�" - Date: �/17/00
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION TIC i.� SCHEDULED � a�'�
PERMITNO. ���� 1� COMPLETED �� ����
ADDRESS �C°� ��X� �� � •
OWNER CONTR. �t���'7���'�-�l�
TELEPHONE NO. ya�-a(c���
� DESCRIPTION �v'C'j0�! ? L�dtUS_
lL 01 FOOTWG 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
� LUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J10 P � 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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GW �ORK SATISFACTORY:PROCEED �ROJECT COMPLETE
� ❑ ORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY
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� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. PHOTO TAKEN
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. 249-46��
OwnerlContr tor on site:
Inspector.� -.S
White Copyllnspector's File Canary CopylSite Notice