HomeMy WebLinkAbout2004-P07832 - plumbing '� PERMIT
C�rfY OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 P07832
Crystal Bay, Minnesota 55323 Permit Type: FiXc�res
(952) 249-4600 Date Issued: g�i2i2ooa
SITE ADDRESS: 285o Somerset Lane
Long Lake,MN 55356
P I D: 04-117-23-21-0013
DESCRIPTION:
Proposed Use: xesidentiai
Permit Class: Plumbing
Pernut Type: Fixtures Pernut Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 2>500.00
State Surcharge Fee: $ 1.25
TOTAL FEE: $ 36.25
APPLICANT: All Ways Water Inc. (See Comments) OWNER: Mr. &Mrs.Trangsrud
14667 Chesmut Road 2850 Somerset Lane
Milaca,MN 56353 Long Lake MN 55356
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES T DO ALL WORK IN STWCT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA B ILDING CODE REQUIREMENTS.
�
yL.
� 0 ��/�lC ,�r � C C C��'1 �C��� ���"�
APP CAN ERMITEE ATURE SSUEDBYSIGNATURE
Copies: 1-File(SiQnitures Required), 1-Anolicant, 1-Monthlv Reoorts, 1-Assessine, 1-Finance Page 1
CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
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 offices.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VAL[D UNTIL YOU
RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB
S[TE.
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 the State Code requirements.
6. All work must be inspected and air tested before it is covered. Call (952) 249-4600. 24-hour notice required.
Instructions Complete all items on this application. Compute the permit fee. Sign and date the
certification. INCOMPLETE APPL[CATIONS WILL NOT BE PROCESSED. If you have questions,
ca(1 (952) 249-4600.
Please check one: New �Addition Repair Replace
� Residential Commercial
JOB SITE•��5��C�YV1 t�i�S�� Zip: �-5��
Owner's Name: Telephone Number:
Mailing Address: City: Zip:
Contractor's Name: Telephone Number: r7 �3 z 8 lo`�3�
Mailing Address: City: ,yJ��iL+4�y� Zip:S o � '�
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1 ST 2ND OTHER • F[XTURE BSM 1 S 2ND OTHER
TYPE FL FL TYPE T T FL
FL
Water Closet I Floor Drains
Lavato + Sewer E'ector
Bathtub Laundr Tra �
Shower � Washer
Kitchen Sink Water Heater
Dis osal Water Softener
Dishwasher Wet Bar
Silicocks Misc list
PERMIT FEE CALCULATION(S)
2002 State Statute ❑ 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; excludin the cost of the fixture or appliance: and
3) Is improved, installed or replaced by the homeowner or licenced contractor.
Skip next section; Cost of Permit $ 15.00
State Surcharge $ .50
� Mail In Fee $ 1.50
If above does not apply, fol(ow guidelines below:
1. Contract Price* is .0125 � of job with a Minimum Fee of ($35.00�
�,j�✓ x A125 $
(contract price) '(minimum$35.00)
2. State Surchar�e. **Add the State Building Code Division a (Minimum Fee„of$ .50)
x .0005 $
(contract price) (minimum$.50)
3. Postage and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $
* CONTRACT PR(CE or JOB COST means the actual or estimated doliar amount charged for the permilted work
including materials, labor, proFit, and other fixed costs. It is the amount to be charged to the customer for the work
done. lf 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 oP the actual contract.
** The STATE SURCHARGE is .0005 oE the contract price under $1,000,000 or $.50-whicheverisgreater.
For valuations over$1,000,000 call the Department of Inspection 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 ordi nces of the City and the regulations of the State of Minnesota, and
certifies that all statements made o this a lication are complete, true and correct.
Applicant's Signature: . Date: ����~�
, .;.e ;�,,��,r��,,��, � _ ��, ;.�
� �..-_ y�naeset�FflrmtiN , , �� �
�_... .�,v;,._.:�,�y.��...��Yo___,a�. ...,t�_..
�-� J
DATE TIME
CITY OF ORONO CALIED IN �� ��l��f
INSPECTION N ICE SCHEDULED � �� � ° �='�a
PERMIT NO. �� ��3� COMPLETED
c
ADDRESS ��SS� C -�G�YY��'1..1-Z� �=�-/"�'.�
OWNER CONTR. ��""f�l �1_��1
TELEPHONE N0. _ � � � `� ��S�v ` � � �
� DESCRIPTION � ���-'�-�-`�"���
� Ot 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 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 FOUNDATIOWREMOVAL
� OWNERICONTRACTORTOMEETYOU:�YES_NO
� COMMENTS:
�
W
0.
�
J
O
�
�
O
�
W
�
Q
�
Z
W
�
W
�
�
a
� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call forthe nex inspection 24 hours in advance. (g52) 249-46��
OwnerlContract 't :
Inspector.
White Copyllnspector's File Canary CopylSite Notice
�l/ _ �DAT� ; TI M E �
CITY OF ORONO CALLED IN � -�r�
INSPECTION N ICE SCHEDULED � Z �
PERMIT NO. ���� COMPLETED
ADDRESS �O SU /�''
OWNER CONTR. ��
TELEPHONE NO. 76 3 a�6 U�
� DESCRIPTION �L���i1 -�i ���✓�'�'
� 01 FOOTING 11 MECHANICAL 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 IAKESHORE/WETLANDS
� 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
= 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:
�
W
a
J — � l
O
a
�
O
�
W
�
Q
�
Z
� �
r
� a . > � G� �
�
d
� 0 WORKSATISFACTORY:PROCEED C-i PROJECTCOMPLETE
W ❑C RRECT WORK&PROCEED r7 ISSUE CERTIFICATE OF OCCUPANCY
0 CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN
INSPECTOR WtLL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REOUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952� 249-4600
OwnerlCo site:
Inspector. �
White Copyllnspector's Fiie Canary CopylSite Notice