HomeMy WebLinkAbout2003-P05970 - plumbing ' - � PERMIT
CITY OF ORONO Permit Number:
275U Kelley Parkway - PO Box 66 Pos9�o
Cryst�l Bay, Minnesota 55323 Permit Type: FiX�ures
(952) 249-4600 Date Issued: l�l�i2oo3
SITE ADDRESS: 2915 Somerset Lane
I.ong Lake,MN 55356
P I D: 04-117-23-24-0019
DESCRIPTION:
Proposed Use: xesidennai
Pernut Class: Plumbing
Permit Type: Fixhzres Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: Perniit Fee: $ 212.50 Valuation: $ 17,000.00
State Surcharge Fee: $ 8.50
TOTAL FEE: $ 221.00
APPLICANT: Stewart Plumbing OWNER: Nancy&Brent Bordson
25800 Deepwoods Ct. 2915 Somerset La
Rogers,MN 55374 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 PERMITEE SIGNATURE -TISSUED BY SIGNATURE
Copies: 1-File�Si�nitures Repuired), 1-Applicant, 1-Monthlv Reoorts, 1-Assessing. 1-Finance Page 1
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= PERMIT FEE CALCULATION(S)
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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, follow guidelines below:
1. Contract Price* is .0125 % of job with a Minimum Fee of ($35.00)
� �D x .0125 $
(c ntract price) (minimum$35.00)
2. State Surcharge. ** Add the State Building Code Division a (Minimum Fee of$ .50)
x .0005 $
(contract price) (minimum $ .50)
3. Posta�e and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT F'EE (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 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 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: �� �7-- ��
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DATE TIME
CITY OF ORONO CALLED IN � ��
INSPECTION N T � SCHEDULED
PERMIT NO. � � COMPLETED
ADDRESS , '1 I � S�i SQ ��
OWNER CONTR.
TELEPHONE NO. � ✓ � �l a�� t�3 3-j
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� DESCRIPTION
� 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 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
Q
09 PLUMBING RI � 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEEi YOU:_YES_NO
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W ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next i pection 24 hours in advance. (952� 249-4600
OwnerlContr e
Inspector.
White Copy/InspectoPs File Canary Copy/Site Notice
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DATE TIME
CITY OF ORONO CALLED IN _�;� `�- _
INSPECTION NOTIC , scHe�u�Eo /o` U� /�(%�1�.'�
PERMIT NO. 7C COMPLETED
ADDRESS � 6-�gIS �C7��'i'��-Gl��-�,
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OWNER CONTR. ��V�"'r �'/ar�h,
TELEPHONE NO. U' l� �-� I D l� 7�'l?�
� DESCRIPTION (��{��lN t'�,4�.
� 01 FOOTING i t 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
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J LUMBING �� 36 FOUNDATION/REMOVAL
� , TO MEET YOU:"YES_NO
c� COMMENTS:
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W ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the ne t inspection 24 hours in advance. (952� 249-46��
OwnerlConUac o s te-
Inspector. �' �,�'� ,o
White Copyllnspector's File Canary CopylSfte Notice