HomeMy WebLinkAbout2007-P11745 - plumbing z �
PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 P11745
Crystal Bay, Minnesota 55323 Permit Type:
Fixhues
(952) 249-4600 Date Issued:
12/11/2007
SITE ADDRESS: 2005 Sugarwood Dr Unit#
Long Lake,MN 55356
P��� 34-118-23-21-0011
DESCRIPTION:
Proposed Use: Residenrial
Permit Class: Plumbing
Permit Type: Fixhues Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: PernutFee: $ 87•50 Valuation: $ 7,000.00
State Surcharge Fee: $ 3.50
TOTAL FEE: $ 91.00
APPLICANT: Welter&Baylock Inc. OWNER: Bill Bigley
2014 4th Ave. SW#3 16119 Ringer Rd
New Prague,MN 56071 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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APP AN PE ITEE SIGNATURE ISSUED BY SIGNATURE �
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
, �
FOR CITY USE ONLY
O¢p�O City of Orono
P_O.Bo�c 66 Date Received: Permit#
2750 Kelley Paricway
.� h- � Crystal Bay,MN 55323 Approved By: Amount$:
�r�t �o` (952)249-A600 — —
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CITY OF ORONO—PLUMBING PERMIT
(All Canmercial pennits must be approved by the Building Official or Inspector)
GENERAL INFORMATION
I. You may apply for plumbing permits by mail or in person at the City offices. Applications will be
reviewed and a permit will be issued within two working days.
2. Pennit cards will be sent by retum mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERNIIT CARD IS POSTED ON THE JOB SITE.
3. Plumbing pc;rmits mav be issued ONL Y to licensed plumbing contractors and to property owners
residing in the dwelling.
4. When any new construction or remodeling is involved,a separate building permit must be
obtained.
5. All work must be done in accordance with State Code requirements.
6. All work must be inspected and air tested before it is covered. Call(952)249-4600.
(24-48 hour notice required)
TYPE OF PERMIT
Check Ail That A I
�esidential ❑Commercial(Appfoval Reguired)
❑New ❑Additional ❑Repairs ❑Replace
❑ In Accessorv Shucture?
*You wil!need prar approval and may need .(Per Orono City Code,Chapter 78,Article IV)
3ob Site/Owner Information_
SiteAddress: ���Q� �u�1af �%�'��S �r����—
Owner: �'����� Mailing Address: 5�m ti.
City: �.Dv�a�--a f\+� Zip: 5 �3�l�,
Home Phone: Alternate Phone:
Contractor Informarion:
Contractor: i�� ��-!' ���.H�r��I��1C Contact Person: `��''��-�f�CTZc�
Address: ��/ ����'✓. �w �--� State Bond #: �7b�$ ;3:37.�
City: �`Y(' Zip: ����� Expiration Date: 1��-_ �� �'�
Phone: q`�� ��� " '��SE� Alternate Phone: �/,� �-�/- G�S�/
❑ Insurance—Current:
1
PLi�MBING FIXTURES BIING INSTALLED
FIXTiJRE BSMT 1 2 OTHER FIXTURE BSMT 1 21'1D OTHER
TYPE FL FL TYPE FL FL
Water Closet � FSoor Diains
Lavatory Sewer Ejector
Bathroom Laundry Tray �
Shower ' Washer
Kitchen Sink � Water Heater
Disposal / Water Softener
Dishwasher � Wet Bar
Sillcocks Miscellaneous
PERMIT FEE CALCULATION(S)
BASED OFF-2�2 STATE STATUE
❑ Yes,this section agplies
The replacement of a Residential fixture or appliance that meets all three of the following requirements:
l. Does not requue modification to electncal or gas service.
2. Has a total cost of$500.00 or less;excludin�t the cost of the fiart�ue or appliance:and
3. Is improved,installed or replaced by the homeowner or licensed contractor.
Skip next section,if this applies; Cost of Pemut $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
(Permit Fees Continued On Neat Page)
2
rExNnT�c�.ctn.A�ax s -JOBs ovEx asoo.00
If above dces not appty;follow guidelines below:
1. CONTRACT PRICE s is l.25%of contract price with a(Mmimnm Fee of S35.O11)
C 0 G'Q
���� x.0125$ � u?'�
(��x�) (m��mum$3s.00�
2. STATE SURCHARGE �'Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
�OOD �n x.0005 $ �� ✓��
(contrsct pricx) (minimum S .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ ��!.3�
���DO
4. TOTAL PER1VaT FEE(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�one. If any material,equipment, labor or installations are fiunished by
the owner, tenant or any other party,the reasonable market value of s�h items must be added to the
estimated cost or contract price for perQut 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 si�ed 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 51,000,000 call the Building Department at(952)249-4G0�for the price.
PLI�1+IBiIl�TG PERMIT APPLICATIOI�T 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 �es that all stabements made � this application are complete, true and
corc�t.
Appli��t�S 5���: � � L Date: /a�- �i-a7
�F�
3
ATE TIME
V
CITY OF ORONO CALLED IN d �
INSPECTION NOTICE � SCHEDULED �
PERMIT NO. COMPLETED
ADDRESS
OWNER CONT
TELEPHONE NO. - � —�— ��
� DESCRIPTION
�G ,b �/Gj �
� ❑ FOOTING ❑ ANICAL RI G%� ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAI ❑ LAKESHORE/WETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
? '��LUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PIUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEEf YOU:�YES_NO
� COMMENTS:
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W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� O CORRECT WORK,CALL FOfl REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WFLL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 2a hours in advance. (952) 249-4600
OwnerlContractor on site:
�
Inspector. J �
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White Copyllnspector's File Canary Copy/Site Notice