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Home My WebLink About2000-P03000 - plumbing � � '; PERMIT C I TY O F O RO N O Permit Number: 2750 Kelley Parkway - PO Box 66 Po3000 Crystal Bay, Minnesota 55323 Permit Type: F�X�ures (612) 249-4600 Date Issued: 9i21i2oo SITE ADDRESS: 455 Sussex La LONG LAKE, MN 55356 P I D: 04-117-23-32-00 l 1 DESCRIPTION: �-,--.�_, Pl'OpOSeCI USe: nc�iuciii�ai Permit Class: Plumbing Permit Type: Fixtures Permit Sub-type(s): Single Family DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 237.50 Valuation: $ 19,000.00 State Surcharge Fee: $ 9.50 TOTAL FEE: $ 247.00 APPLICANT: sovTxwEST METRo PLUBirr�co OWNER: B N c�wFo�&c D c�wFo� 2077 WOODSTONE DR 455 SUSSEX LA VICTORIA, MN 55386 LONG LAKE MN 55356 TI-�UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE TI� 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. � �� APPLI ANT PERMITEE IGNATURE ISSUED BY SIGNATiIRE ' Copies: City,Applicant,Assessor, 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 off'ices. 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECENE A PERMTT. 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 sepazate 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 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 249-4600. Please check one: � New Addition Repair Replace � Residential Commercial JOB SI1'E: � s f �K,S Pt x � � Zip: O�cmer's Name: �' �a � � Telephone Number: SJ� o Z f l Mailing Address• City: Zip: Contractor's Name: ffw m e � F��.0 m 6► �-,e Telephone Number: ��3 Z y'�/ Mailing Address: 17 0� f�r{r� � �l c /— Cit3': L�1c,�i��►--�. Zip: S!'3d 6 PLUMBING FIXTURE SCHEDULE FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER TYPE FL FL TYPE FL FL Water Closet � a�'' 3 Floor Drains � Lavatory � � J Sewer Ejector � Bathtub �. Laundry Tray � � Shower � � Washer I . ' Kitchen Sink � Water Heater � Disposal � Water Softener Dishwasher � Wet Bar i Sillcocks �- Misc (list) PERNIIT TEE CALCULATION ' 1. 1.25% of Contract Price* or Minimum Fee ($35.00) ��, (�--X� x .0125 $ (contract price) 2. State 5urcharge. ** Add the State Building Code Division Surcharge to each permit. x .0005 $ (contract price) or $.50, whichever is greater 3. Posta.g,e and Handling (Only mail-in applications) $ 1.50 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ * CONTRACT PRICE or 30B COST means the actual or estimated dollaz amount charged 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 instaUation aze 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 Ciiy 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 Inspectional 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. . Applicant's Signature: ��.. Date: l �� T �IME CITY OF ORONO CALLED IN �� U'� INSPECTION �Q�T,I�E ` � SCHEDULED q�- {� � PERMIT NO. r�-�`'"-�� COMPLETED � — `� ar ADDRESS �S�s -�'`�SSc�-.��"�" OWNER CONTR. 5�� '�'��r`� � TELEPHONENO. ��`{��"t�t � DESCRIPTION LV 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 07 D - L 15 SEPTIC INSTALL. 22 FOLLON/-UP W 09 PL QBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J�Q'PCt'JIOf AL 36 FOUNDATION/REMOVAL Q OWNERICONTRACTOR TO MEET YOU:_YES_NO Z � COMMENTS: � w � � J O � � O � W � Q � Z W � W � � d ORKSATISFACTORY:PROCEED 1- PROJECTCOMPLETE W � i�CORRECT WORK&PROCEED f ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. I' PHOTOTAKEN INSPECTOR WILL RETURN i ' CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. 249-460� Owner/Contr or on site: �J Inspector. White Copyllnspector's File Canary CopylSite Notice DATE TyME CITY OF ORONO CALLED IN 1�X, `D` �An-. INSPECTION OTfI�CE SCHEDULED /�/—�� --�,��.� '0� PERMIT NO.� (/�l�L� COMPLETED 1�1�`�`, O�dcl ADDRESS �-f Sr� `>�-t s�,.cX i� �f OWNER CONTR. �.� �.t%' • ` �:f IZ{; TELEPHONE NO. ��U 3 ��>��--/ � DESCRIPTION ��b�!� � ly 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FIL�ING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z Q 05 FINAL 14 SEWER HOOK-UP O6 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 � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Q OWNERICONTRAC70 TO MEET YOU:_YES •NO -"" Z � CO MENTS�� ?O � � ' D a v�-- �.. Y • hG� _._. _�c;� L1a� o � u � �t S-e�' C '' S��„� � o -. L � � � , W � Q � a W � W � � d W Cl WORK SATISFACTORY:PROCEED '' PROJECT COMPLETE � ❑ CORRECT WORK 8 PROCEED � ISSUE CERTIFICATE OF OCCUPANCY W O�ORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. - pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ' CITATION ISSUED ❑ INSPECTION REOUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-46�� OwnerlContractor on site: Inspector.��L��'� �Lr White Copyl�nspector's File Canary CopylSite Notice