HomeMy WebLinkAbout2001-P04195 - plumbing CITY OF ORONO PERMIT
2750 Kella'y Parkway - PO Box 66 Permit Number: Po4i9s
Cryst�l Bay, Minnesota 55323 Permit Type: FiX�►res
(952) 249-4600 Date Issued: sitsi2ool
SITE ADDRESS: 285o Somerset Lane
Long Lake,MN 55356
PID: 04-]17-23-21-0013
DESCRIPTION:
Proposed Use: itesidentiai
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Plumbing Undefined
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
For a Backflow Preventor for Sprinkler
FEE SUMMARY: Permit Fee: $ 35.00
Valuation: $ 275.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 35.50
APPLICANT: Roto Rooter Services Co. OWNER: Mr. &Mrs. Trangsrud
14530 27th Ave.N. 2850 Somerset Lane
Minneapolis,MN 55447 Long Lake MN 55356
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVENIENTS 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 PERMITEE SIGNATURE ISSUED BY SIGNATURE
Coqies: 1-File(Sienitures Reauired). 1-Applicant. 1-Monthlv Renorts, 1-Assessine, 1-Finance Page 1
CITY OF ORONO APPLICATION FOR PLUMBING PER1vII'I'
Box 66 (2750 Kelley Parkway)
Crystal Bay, l�i�i 1 55323
GENERAL INFOR��IATION .
1. You may apply for plumbing permits by mail or in person at the City offices.
2. Permit cazds will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECENfi A PERMIT. WORK MUST NOT BEGIN UNTII.. THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to properry owners residing
in the dwelling.
4. When any new construction or remodeling is involved, a separate building permit must be obtai.ned.
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
JOBSITE: �g5� �o�...�r,�,ev�sP�' Lo_�� Zip: 5�35(�,
Owner's Name: Telephone Number:
Nlailing Address: City: �.-o�.o Zip: S s 3s 6
Contractor's Name: �,�-o - ae�.e.,• S�r,,, C � Tele hone N ber: ��� _s�F-�s� �
Mailing Address:j 4���� a?f-lL �4 v e �o City: � Zip: 5S t'�7
PLUMBING F'IX'TURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSbiT 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
Sillcocks Misc (list)
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PERMIT TEE CALCULATION
1. 1.25% of Contract Price* or Mi imum Fee 35.00
o�7���'S x .0125 $ � 5, od
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $ � �O
(contract price)
or $.50, whichever is greater
3. Postage and Handlin,g (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ ,3 5, 50
* CONTRACT PRICE or JOB COST means the actual or estimated dollaz 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 installation aze fiunished by the owner,
tenant or any other party the reasonable mazket 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 Ciiy may request the submission of a signed copy of the actual contract.
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. ** The STATE SURCHARGE is .0005 of the contract price under $1,000,000 or $.50 - whichever is
grea[er. For valuations over $1,000,000 call the Department of Tnspectional 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.
Applicant's Signature: �..�� �!� p��-( Date: �—�5���
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DATE TIME
�ITY OF ORONO c � D IN -�
INSPECTION NOT C S EDULED - -��;�
PERMIT NO. S COMPLETED
ADDRESS =� �S�� Sc� mC�-'�f' ��
OWNER CONTR.JZGfO �c�f��.
TELEPHONENO. � - , CJ�'�-
� DESCRIPTION `-""�L�-�l�`� ��'P��f�Z�r �11��C�
� 01 FOOTING 11 MECHANICAL RI 18 EXCA�//GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 0 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 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
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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��WORK SATISFACTORY:PROCEED �ROJ ECT COM PLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
O STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (952) 249-46��
Owner/Con t r on site:
Inspector,� �
White Copyllnspector's File Canary Copy/Site Notice