HomeMy WebLinkAbout2006-P10640 - plumbing PERMIT
CITY OF ORONO
� 2750 Kelley Parkway - PO Box 66 Permit Number: p1064o
, Crystal Bay, Minnesota 55323 Permit Type: Fixtures
�, (952) 249-4600 Date Issued:
12/19/2006
SITE ADDRESS: 430 Stubbs Bay Rd N Unit#
Long Lake,MN 55356
PID: 32-118-23-13-0005
DESCRIPTION:
Proposed Use: Residential
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): ,/A��i,f/��'
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DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pemut Fee: $ 150.00 valuation: $ 12,000.00
State Surcharge Fee: $ 6.00
TOTAL FEE: $ 156.00
APPUCANT: Precision Plumbing Inc. OWNER: Custom Structures LTD
4124 Mackenzie Ct P.O. Box 633
St. Micheal,MN 55376 Wayzata,MN 55391
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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� PLICANT ERMITEE SIGNATURE SSUED BY SIGNATU
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page ]
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FOR CITY USE ONLY
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� City of Orono � U�
O¢ '�� P.O.Box 66 Date Received: �����"�'G'Permit# � � �
f y,;,� 2750 Kelley Parkway �
� 1 j'���'�F,rR � Crystal Bay,MN 55323 Approved By: Amount$: '� ��G�
�'��'���wa~ (9�2)249-4600
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CITY OF ORONO —PLUMBING PERMIT
(All Commercial permits must be approved by the Building Official or Inspector)
GENERAL INFORMATION
1. You may apply for plumbing permits by mail or in person at the City offices. Applicarions will be
reviewed and a pernut will be issued within two working days.
2. Peiznit cards will be sent by rettuzi mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORIi MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON TAE JOB SITE.
3. Plumbuig perrnits may be issued ONLY to licensed plumbing conhactors and to property owners
residing in the dwelling.
4. When any new construction or remodeling is involved,a separate building pemut must be
obtained.
5. All work must be done in accordance with State Code requirements.
6. All work nlust be inspected and air tested before it is covered. Call (952)249-4600.
(24-48 hour notice rc�4ired)
TYPE OF PERMIT
(Check All That A ply)
�Residential ❑ Commercial(Approval Requu•ed)
�New ❑ Additional ❑Repairs ❑ Replace
❑ In Accessory Structure?
*You will need prior approval and may need CUP.(Per Orono City Code,Chapter 78,Article IV)
Job Site/Owner Information:
Site Address: �3� �7�u��Sga,� /�D�G' , ��'
Owner: Cusfc*Yv!�/�,ec��S U�`� Mailing Address:
City: _ Zip:
Home Phone: Alternate Phone:
Contractor Inforn7ation:
Contractor: ���+�P��eci�i'u��uM�ay��c.Contact Person: r` o �5��, _
Address: �{12� 1�a���Z�� � t° State Bond #: �v���
City: "5`�'•+�/(�c�c.�� Zip: ��3�� Expiration Date:
Phone: 7�3��l�'�-']��G� Alternate Phone: �I Z-3�c`�-75 I�o
� Insurance— Current:
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`` � PLUlY�BI1VG,��IX�'�RES°��ING:INSTAI;L�D ,. =;,:F �..w' 4.�,._�� : .
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FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OT'HBR
TYPE FL FL TYPE FL FL
Water Closet � � Floor Drains +
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Lavatory j � Sewer Ejector
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Bathtub 2 Laundry Tray '
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Shower � W asher
Kitchen Sink I Water Heater I
Disposal I Water Softener
Dishwasher + Wet Bar
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Sillcocks � Miscellaneous
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T''I#3�.,,T�` 2f6�4'- ��q��; ;'�'v+��.t`117i1���'� li.��is.��.��.�5.'.., .�,���`:�_.4 s� 2� y�`ts ;'r"r1•., :A:.
❑ 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;excludina 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 Pernut $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
(Permit Fees Continued On Next Page)
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�..,. " ' `�� , '; :P�RMIT F�E GALCULA?'ION S `�-JQBS OVE�.$SQO 00:`..
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If above does not apply; follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00)
�2���� x.0125$
(contract price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
x.0005 $
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $
■ "` CONTR.ACT 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 pernut fee puiposes. 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.
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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: �Z'�����
3
( � �/"li l/'I/ ��T` TIME •
/ CITY OF ORONO L�CALLED IN
INSPECTION N TICE SCHEDULED � ��
PERMIT NO. � COMPLETED
ADDRESS 3� � �
OWNER CONT Le�d''t-
TELEPHONE NO. �J��- 369 �91,�
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� DESCRIPTION OL������ ��
lL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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O 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 MEEf 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 WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. �95Z� Z49-46��
OwnerlContractor on site:
Inspector. �� ""'�� .� J
White Copyllnspector's File Canary CopylSite Notice
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C I T Y O F O R O N O C A L L E D I N �
-3T� 6���g � i
INSPECTIOI�I���/`f'}� SCHEDULED � � ��`�
PERMIT NO. �� � �`J COMPLETED
ADDRESS 3O 5���'S i��' I��-�
OWNER �.L�,S'Ft�l�� /S ONTR.
TELEPHONE NO. � c�4�- - ��
� DESCRIPTION �� �� � �.si - �n��c�e c� �
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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Q 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
v 07 DEMO-FINAL 15 SEPTIC INSTALL 22 FOLLOW-UP
W 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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� ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
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� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN
INSPECTOR W!LL RETURN
❑STOP ORDER POSTED.CAIL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CA�L TO ARRANGE ACCESS.
Ca11 for the next inspection 2a hours in advance. (J52� 249-46��
OwnerlContr r site:
Inspector.
White Copyllnspec r's File Canary CopylSite Notice
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��� DAT TIME
�'� CITY OF ORONO CALLED IN �Q.Q�
INSPECTION NO ICE SCHEDULED , � • 3�`�
PERMiT NO. � COMPLETED
ADDRESS �� S � � ' �� ��►✓�
OWNER CONTR.� �,,,� �
TELEPHONE N0.YV�� �A ��Z ��QR� 7Q��D
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� DESCRIPTION
ly 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
h� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
Q 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
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEEf YOU:_ ES_NO
c�., COMMENTS:
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1 NORK SATISFACTORY:PROCEED PROJECT COMPLETE
ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
1RRECT WORK,CAIL FOR REINSPECTION TEMPORARY
=ORE COVERING PERMANENT
'RECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
NSPECTOR WILL RETURN
ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
':TION REQUIRED.CALL TO ARRANGE ACCESS.
a11 for the ne inspection 24 hours in advance. (g52) 249-4600
itra or n i e:
�ite Copyllnspector's Fii Canary CopylSite Notice