HomeMy WebLinkAbout2005-P09306 - plumbing . PERMIT
CE,TY OF ORONO
Permit Number:
2750 1`.Il�y Aarkway- PO Box 66 P09306
Crysta��ay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued:
10/14/2005
SITE ADDRESS: 2550 Sixth Ave N Unit#
Long Lake,MN 55356
P��� 28-118-23-41-0005
DESCRIPTION:
Proposed Use: Residenrial
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s):
DETAI LS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 125.00 Valuation: $ 10,000.00
State Surcharge Fee: $ 5.00
Misc.Fee: $ 1.50
TOTAL FEE: $ 131.50
APPLICANT: Joe's Plumbing,Inc. OWNER: Ed&Tess Rice
23375 Drake St.N.W. 2550 Sixth Ave N
St.Francis,MN 55070 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 RMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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4,���� City of Orono �� _ " :�; � �
` P.O.Box 66 ���R��*�d �t�3t#�,,,
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2750 Kelley Parkway �`� `'
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CITY OF ORONO—PLUMBING PERMIT
(All Commercial permiu must be approved by the Building Official or Inspector)
�EN�RA�INFC�R�.TI4�1 ,�. ,. ��;;;� ,°xz.��.r: '
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)
T��f�F � �„�';��
'� ��ck A1�'T1� .�: X F�. ,�. ��� ��; .
�Residential ❑Commercial(Approval Required)
�New ❑Additional ❑Repairs ❑Replace
❑ In Accessory Structure?
*You will need arior annroval and may need CUP.(Per Orono City Code,Chapter 78,Article IV)
�'ob�ite 1 O��r Traf€irri��t�o�; '
Site Address: �SJ`� �J� /�1l�n�c�'.
Owner: Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Con��tor�fci�at�c�ri.; . ��� '
Contractor: �e 5 1"�����1 ��C. Contact Person: �Udan �,S��
Address: �7'S��'�� S��i� State Bond#: a�313��
City: ��it-r►��S Zip: /)')� Expiration Date: ol'�l �J
Phone: 7,Ez3 �'�''�/3 a' Alternate Phone: �� � ��7'�l�a"
❑ Insurance-Current: c� �s D�/S/p�,
1
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FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER
TYPE FL FL TYPE FL FL
Water Closet � � Floor Drains � a
Lavatory / Sewer Ejector
Ba� � Laundry Tray
Shower I Washer - �
Kitchen Sink � Water Heater �
Disposal Water Softener
Dishwasher I Wet Bar �
Sillcocks � Miscellaneous '
❑ 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;excludins 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
+ PERMIT FEE CALCt1�,ATZt�I*T S. -7QB�OVER�500.�0
If above does not apply; follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00)
/Lr���Ii x .0125 $ �^,.':.
-�;1 -� "';
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(contract pricc) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of 5.50)
x.0005 $ -"
(contract pricc) (minimum$ .SO)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ I.50
) / '�.,i�
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ /�(,,,i=: "
■ * 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.
PLUMBING PERMIT APPLICATION AGREEMENT
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 Signature: , Date:
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CITY OF ORONO � CALIED IN r� O
INSPECTIO OJ,I�E (� SCHEDULED �
PERMIT NO �'` v COMPL ED� �I'i .�_1 '�r, �/•��L�
ADDRESS "��J� 9�1 _ a'Y"V'� (�•
OWNER CONTR. �YT�S ��(�piL� �
TELEPHONE N0. �• � � ���
� DESCRIPTION 1 ��''
� 01 FOOTING 11 MECHANICAL RI 8 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 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
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN
INSPECTOR WILL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTtON REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-46��
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary Copy/Site Notice
DATE n� TIME v
CITY OF ORONO CALLED IN /d`��"`'�
INSPECTION N�TICE SCHEDULED �Uw2( -t.� �%30 P�✓!
PERMIT NO. 6`U �3 O�P COMPLETED
ADDRESS ��_`� G Lp� �V� ,'�.% ,
OWNER CONTR. � c�s PI�n��l�
TELEPHONE NO. -7� � "3 �(�-7 7/ 3 Z
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILL�NG
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 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
Q
09 PLUMBING�J� 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J10 PLU 8 G FINAL 36 FOUNDATION/REMOVAL
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�CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETUFN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUiRED.CALLTO ARRANGE ACCESS.
Call forthe ne t inspection 24 hours in advance. (g52) 249-46��
OwnerlContr ite:
Inspector.
White Copyllnspector's le Canary Copy/Site Notice
V � ��GL/� �
F� �� /�ATE� TIME
CITY OF ORONO ALLED IN �_
INSPECTION OT CE SCHEDULED �3•'�
PERMIT NO. COMPLETED �a'��-0'�
ADDRESS a 5✓"�D S 1�1��� �'19,P /U ,
OWNER CONTR. ��� �.���►ti`��
TELEPHONE NO. �I�3 �a 7 7 ��2'
� DESCRIPTION r���
� 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
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 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:,�YES_NO
ti COMME �ITS:
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W� �I WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
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V FORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN
INSPECTOR W4LL RERIRN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail forthe next inspection 24 hours in advance. (952) 249-4600
OwnedContractor�nrsi e:
Inspector._P � �
White Copyllnspector's File Canary CopylSite Notice
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION N TICE SCHEDULED 1� •a� — �'�,.5�
PERMIT NO. COMPLETED
ADDRESS v?S�G =•��t-F-1.1
OWNER CONTR. �U/<<'S i�Cv�..,�',
TELEPHONE NO.
� DESCRIPTION � �t�� � �C�i-�S �C�l'f•
� 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 05 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 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J �LUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOFi TO MEET YOU:_YES_NO
� COMMENTS:
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WlLL RETURN
�STOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� 2Q9-46QQ
OwnerlContractor or�s� ����
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Inspector. (, ►
White Copyllnspector's File Canary Copy/Site Notice