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Home My WebLink About2002-P05043 - plumbing PERMIT C I TY�..�� O RO N O Permit Number: 2750 Kelley Parkway- PO Box 66 P05043 Crystal Bay, Minnesota 55323 Permit Type: FiX�es (952) 249-4600 Date Issued: aii6i2oo2 SITE ADDRESS: 525 Sussex Circle Long Lake,MN 55356 PID: 04-117-23-32-0012 DESCRIPTION: Proposed Use: xesiclenriai Permit Class: Plumbing Permit Type: Fixtures Pernut Sub-type(s): Multiple Fixtures DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 225.00 Valuation: $ 18,000.00 State Surcharge Fee: $ 9.00 TOTAL FEE: $ 234.00 APPLICANT: Burton L.Pavek OWNER: Tony Eiden 4550 County Road 10 4100 Berkshire Ln Watertown,MN 55388 Plymouth,MN 55443 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. `�-� !��' ��!/'lCe �t APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE �� Conies: 1-File(SiQnitures Required), 1-Atmlicant, 1-Monthlv Renorts, 1-AssessinQ, 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 cazds wil�be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTII., YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 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 APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call (952) 249-4600. Please check one: �New Addition Repair Replace . Residential Commercial � JOB SITE: �� S�Ks ' � Zip: Owner's Name: Telephone Numher: Mailing Address• City: Zip: Contractor's Name: Telephone Number: � � q 5'S=380� Mailing Address: SSO � ��( !d City: � �✓/iZip: 5'`S3 PLUMBING FIXTURE SCHEDULE FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER TYPE FL FL TYPE FL FL Water Closet t � Floor Drains ' Lavato I � Sewer E'ector Bathtub � Laun Tra � � Shower / � Washer Kitchen Sink � Water Heater f Dis osal / Water Softener Dishwasher � Wet Bar 1 Sillcocks � Misc (list) PERMIT FEE CALCULATION(S) 2002 State Statute ❑ Yes, Tlus Section Applies The replacement of a Residential fixture or a�pliance 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; excluding 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) i , oad x .o12s $ . (contract 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. Postage and Handling (Only mail-in applications) $ 1.50 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ * CONTRACT PRICE or JOB COST means the actual or estimated dollaz amount chazged for the permitted work including materials,labor,profit,and other fixed costs. It is the amount to be chazged 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 mazket 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 urider$1,000,000 or $.50-whichever is greater. For valuations over$1,000,000 call ttie Department of tnspection Services for the price. The undersigned hereby applies to the City for issuance of a Plumbing Pemut, 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. � �P � �'� �- Applicant's Signature: Date: � � � � DATE TIME CITY OF ORONO CALLED IN ' INSPECTION N IC SCHEDULED �� _�� PERMIT NO. COMPLETED -� � ADDRESS_ _ �a.S^c�-t.c�l_,�.e/�C �� C � OWNER CONTR. �_� /��. � TELEPHONE NO._ C� �o�- �CI'Co C! �P�.St � DESCRIPTION ��L�i-�� -�- � 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 O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 15 SEPTIC INSTALL. 22 FOLLOW-UP Q 09 PLUM ING 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 BING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO y COMMENT � W � a j O a � O � W � Q � W � W � � � ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-460� Ow r/Contractor o ite:__ �/ Inspector. W e Copylinspector's File Ca CopylSite Notice ( / '� DATE TIME CITY OF ORONO CALLED IN � � INSPECTION NOTIC �h SCHEOULED PERMIT N0. ��J�� COMPLETED ADDRESS `J� � ��;c C�`e. . OWNER CONTR.��.r'c�n� TELEPHONE NO. __ � � �- —�'�4i — (G S � DESCRIPTION ��.�.m,� : �i��'Y:�-�� 01 FOOTING i t MECHANICAL RI 18 EXCAU/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 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 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 FOUNDATIONlREMOVAL � OWNER/CONTRACTOH TO MEET YOU:�YES_NO � COMMENTS: � W � j L y O �. .,...� � —' 0 � W � Q � C � � T � L � - 1/ w � � � a W WORKSATISFACTORY:PROCEED ❑ PFiOJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CAIL INSPECTOR ❑INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlC trac on ite: �� Inspector. '" � e Copy/lnspector's File Canary Copy/Site Notice