HomeMy WebLinkAbout2004-P08297 - plumbing -► PERMIT
C I T'Y O F O RO N O Permit ►vumber:
2750 Kelley Parkway- PO Box 66 P08297
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued: i2ii�i2ooa
SITE ADDRESS: 2108 Sugarwood Dr
I.ong Lake,MN 55356
P I D: 34-118-23-21-0024
DESCRIPTION:
Proposed Use: Kesidential
Pernut Class: Plumbing
Permit Type: Fixtures Perxnit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARK :
Also Shower Steamer
FEE SUMMARY: PernutFee: $ 37.50 Valuation: $ 3,000.00
State Surcharge Fee: $ 1.50
Misc.Fee: $ 1.50
TOTAL FEE: $ 40.50
APPLICANT' plumbing West,Inc. (See Comments) OWNER' Micheal&Jacqeline Ricks
� 23248 Walden Avenue � 2108 Sugarwood Dr
Hutchinson,MN 55350 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.
�J�'yt..�t�c.0 �/i'�
APPLICANT PERMITEE SIGNATURE UED BY SIGNATURE
Coqies: 1-File(SiQnitures Required), 1-AnnlicanL 1-Monthlv Renorts, 1-Assessine, 1-Finance Page 1
Dec-15-2�04 08:52am From-CITY OF ORONO +9522494616 T-315 P.002/003 F-581
C�'TY U�' ORONO APFLICA'Y`IUN FOI�PLITMBII�I'G��`ER1V�Tt i
Box 66 (2754 Kell�y Parl�vvay)
c��� s�y, n�r s�a�
�ErtE�,a1._�ox��rtox
1, 1`ou may apply far glumbiug permiu by mail or iu person at the Ciry offices.
2. Permit cards will be sent by return mail after a review is completed. PE1tMITS ARL NaT VALID UN'I'IL
ypjl R$C�.IVE A PF..RIVITT. WORTC 11�f[�ST NOT P�EGIN 17NTTL THE p�RML CARI?TS POS�ON
T�70B S T�E.
3. Plumbing permizs may be�sseted ONLY ta licensed plumhing coniractors and io praperty ownPas residiug 4
in the dwelling. E
4, When auy new copsmictian or remodeling is involved,a separate buiiding perrnit must be obtained.
5. All wark ulust be done in accardance with the State Codc requiremen�s. ,
6, AlI work mus� be inspected and air tested bcfare it is covered. Call (952) 249-460D. 24-haur nouce
required.
�ons Complete all iterns on this application. Campute tt��errnit fee. Sign anad date the
certi�cation. INCOMPLET� APPLICATIONS 'DVILI� NOT BE PRC3CESSED. Yf you have
que�tions, caA (952) 249�4b�.
Please check one: l�Tevt� _�Addirion Repair �p1.ac.� '
�_Residential Commercial �
E
JO��I�'I'E:�Il'�`�`)c(T�i'��c��-� Dr- D�"��%1 G' zip:_ _ ,�
Qwner's Name:, ��c-� :k i � /�i�KS Telephoue Number�
1lnaiiingAdtiress: r�/ ` 5c��;� ��;%�'r��-/ I)r _City: c,' r-C;r �` Zip:
Contractor's Name:� , :�✓//��h!!,�/��f� Telephone Neymber: 3;�c� -��s-7_G�3 c'°�
MailingAddress:,� ,�� ° d�,��t d�rt 1�-U � _Cit3':L,",��- ,�5rh �rp��-�c�
PY.[TMSiNG FIl+�'I'Y7RE SC�DULE
FIX'�'CIRE BSM'� 1ST 2ND UTHEIL FIXTC7RE BSMT 1ST 2NA OTHER
TYP� FI.. FL TYP� �- �-
Water C10se� � Floor Draius
�v�4 Sewer E'ectar
i
Barh"Nb T� �
Sit4wer Washer i
Kitchen Smlc Water�Ieater
Dis sal Water Spften�r
Dishwasher Wet Bar
",G•�C'i'������cr
Sillc4cks
, �
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f
Dec-15-2Dd4 08:52am Fr�-CITY OF ORONO +Q522494616 T-315 P.003/003 F-581
�
. , �
PERMYT FEE AT. ATI N S I
f
2002 St�e S_t�te ❑ Yes� This SeCtron Applies ,
The replacement of a R�s�de�ial fixture or arplianc� thac meets all three.of che following 4
requirements: '
�
i
1} Doe��ot requue modificatian ta electrical or gas service. �
2) Has a total cost of$500.40 or less; exclu in che cast of�he fixture or�ppliance: ,
and
3} Is impro�ed, instalied oz rzplaced by the hameowner or licenced conaactar.
Sldp next section; Cost of I'ermit $ 15.00 ,
State Surcharge $ .50 ;
M�il Tn Fee $ _ 1 5� _
Tf above does noX appl�+, faltocv gui.deli�es below:
�
1. Cnnira Price'� is .OI25 % of job with a Minimunr� Fee of 5.00 � .
� 3 .�C� . �c> _ X .ozzs � 37� S-�? __
(couuact price) (minimum$35.00)
2, St?±e Su�rchar�e- �"` Add the Scate Build.ing Code Divisian a (Mix�imnm Fe�of$ .50}
x .000s � � . 5 C .
c���t�r��> c���� .so� —
3, �osta,ge an fTan� (Oflly mail-in applications) � � _50
4. TU�AT�PERMIT�`EE (Add lincs �.-3 above} $ yG �� �
* Ct'�NTRA,CT PTtIC�or JC1B C�ST means the accual or escimaied dollar amount charged for the permitcad f
work includiug materials,labar,profit,anti other f�xed cos�s• It is the amount to Tae charged co rhe custamer
for The work cEane. If any materiat, equipznent,labor,or instaliation are fiuriishetl by[he owner,cenant or f
any ather parry the reasonabie maxket value of such ittuis must be added to che estimated cost or contrac[ '
price for permiE fee purposes. In the avent that there is a dispuie on[he amount bf the job cost,the�icy may
requast d�e submission af a sigued copy of the actusl conu�aCt.
�* The 5TA�'E SURCHARGE is.OQOS of th�conrsact price unc�r$1,OOQ,t10Q or $.SO-whichever is�'eater.
�ar valuatioas over$1,OOQ.000 call the Department of Inspection Services for the price.
The undet'signed herelay �gplies to the City for issuance of a Plumbiug Fermit, agre�s to do alI
work in srrict accordance with the ordinances of tt� City and the regulations of the State of
Nlitmesota, and. certifes that a.il statements made on rhis application are comple�e, tru� and �
corrc�t,
, ,,
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_ � �, � ��
Applicant's Signanue: Date: ,��' -_L��
/ ��� V
I'( DATE TIME
� CITY OF ORONO CALLED IN a����6�
INSPECTION NO IC SCHEDULED I��7-0� �D:oOAM
PERMIT NO. 7 COMPLETED
ADDRESS ��� c��'� � �
�
OWNER CONTR. S
TELEPHONE N0. ��� S�� O��O C'2II �/�—
ao� �
� DESCRIPTION n C-/T r�� .�a-S�
� 01 FOOTING 11 MECHANICA 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 O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLU G R, 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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��RKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WIIL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Ca11 for the ins ion 24 hours in advance. (952� 249-4600
OwnerlContractor e:
Inspector.
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