HomeMy WebLinkAbout2001-P03535 - plumbing PERMIT
CITY OF_ORrJNO
2750 Kelley Parkway - PO Box 66 Permit Number: Po3s3s
Crystal Bay, Minnesota 55323 Permit Type: F1XtureS
(952) 249-4600 Date Issued: 2i2oi2oot
SITE ADDRESS: 480 Sussex La
LONG LAKE, MN 55356
PID: 04-117-23-31-0013
DESCRIPTION:
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PTO]JOSed USe: nc�iiiciiiiai
Permit Class: Plumbing
Permit Sub-type(s): Fixtures>3
Permit Type: Fixtures
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 2�1•25 Valuation: $ 21,700.00
State Surcharge Fee: $ 10.85
TOTAL FEE: $ 282.10
APPLICANT: SOUTHWEST METRO PLUBING CO OWNER: N W& D C WILDMAN
1709 GREENCREST DRNE 480 SUSSEX LA
VICTORIA, MN 55386 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.
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APPLICAN I PERMITEE SIGNAT � ISSUED BY SIGNATiJRE
Copies: City, Applicant, Assessor, Finance Page 1
CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
Box 66 (2750 Kelley Parkway) .
Crystal Bay, 1VIN 55323
GENERAL INFORMATION
1. You may apply for plumbing permits by mail or in person at the City offices.
2. Pemut 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 PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Plumbing pemuts may be issued ONLY to licensed piumbing contractors and to property owners residing
in the dwelling.
4. When any new construction or remodeling is invol��ed, 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 249-4600. 24-hour notice required.
Instructions Complete all items on this application. Compute the permit fee. Si�n and date
the certification. INCOMPLETE APPLICATTONS `VILL NOT BE PROCESSED. If you have
questions, call 249-4600.
Please check one: �_ New Addition Repair Replace
�_ Residential Commercial
JOB SITE: �"1 � � S ��'se x � n Zip:
Owner's Name: �, ,�, ,,, Telephone Number:
Mailing Address: City: Zip:
Contractor's Name: �';���-,-�, �'(�,,�,,,,��,_�, Telephone l�umber: 4 S Z y y;z 2�2 i
Mailing Address: 1��w ���t�, ��►� f� t�;� Cit3'. t ;, �_�.�:� ZiP���'�—
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BS:�iT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet L � �, Floor Drains �
Lavatory �- 3 �`� Sewer Ejector
Bathtub � I l Laundry Tray � �
Shower � � Nasher
Kitchen Sink � �Vater Heater �
Disposal � Nater Softener
Dishwasher 1 Wet Bar ( 1
Sillcocks � �fisc (list)
PERMIT TEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
� � '���;. ( ` `� x .0125 $
(contract price)
2. State Surchar� ** Add the State Buildi.�g Code Div�'sion
Surcharge to each permit. ��I ��;(; � x .0005 $
,
(contract price)
or $.50, whichever is greater
3. Postage and Handlin� (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 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 installation 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 pemut fee purposes. In the event that there is a dispute on the amount of the job cost,
the Ci�y 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
conect.
Applicant'sSignature: ���,�,� � Date: Zo �P (,, �/
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�/ZtJ I�1 TIME
CITY OF ORONO CALLED IN `� - �
INSPECTION NOTICE SCHEDULED 2�� I I U
PERMIT N0. 1��: ��;��� COMPLETED �'��� � 'c�
ADDRESS Cf �v c��S �--�
OWNER CONTR. �L�' �'����' ��a
TELEPHONE NO. �`I�J� -�-I LI � - o�� oZ I
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� DESCRIPTION �%S
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FR,4MING 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 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 OEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMn-F_ INA� 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 09 PLUMBfNG RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
AL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� �O WORKSATISFACTORY:PROCEED ❑ PFiOJECTCOMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONOITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-4600
OwnerlContr r on site:
Inspector. �i 4.-//1 S
White Copyllnspector's Ffle Canary Copy/Site Notice
DATE TIME
CITY OF ORdi�IO CAL�ED IN -' � �_T
INSPEf:TION NOTI %��. SCHEDULED - �� ���
PERMIT NO. ✓��COMPLETED '� 3
ADDRESS ��� ����-� L �
OWNER CONTR. S�l ) ��D
TELEPHONE N0. `�� " "���
� DESCRIPTION ' l��
� 01 FOOTING 11 MECHANICAL RI L 18 EXCAY/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 OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 OEMO-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 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALlTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-Q6��
OwnerlContractor on site:
Inspector�y�;���Gff�G/�
White Copy/lnspector's File Canary Copy/Site Nolice