HomeMy WebLinkAbout2004-P07236 - plumbing ., - ..
CITY OF ORONO PERMIT
2750 Kelley Parkway - PO Box 66 Permit Number: Po�236
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued: Zii�i2oo4
SITE ADDRESS: 2980 Sussex Rd
Long L,ake,MN 55356
P��: 04-117-23-31-0015
DESCRIPTION:
Proposed Use: xesidentia�
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE $UMMAR�(: Permit Fee: $ 53.75 Valuation: $ 4,300.00
State Surcharge Fee: $ 2.15
TOTAL FEE: $ 55.90
APPLICANT: P�Ymouth Plumbing&Heating OWNER: Scott Weisberg&Claudia Mitchell
122�0 43rd Street NE 2980 Sussex Rd
St. Micheal,MN 55376 Long Lake,MN 55356
THE UNDERSIGNID HFREBY 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 BUII.DING CODE REQUIREMF.NTS.
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APPUCANT PERMI E SIGNATURE ` ISSUED E3Y SIGNATURE
Copies: 1-File(SiQnin�res Requiredl, 1-Aoplicant 1-Monthlv Reoorts. 1-Assessing, 1-Finance Page 1
1 �
CITY OF ORQNO APPLICATI�N FOR PLUMBING PERMIT
Box 66 (2750 Kelley Parkway)
Crystai Bay, MN 55323
G�NERAL INFOR1�iATION
1. You may apply for plumbing permits by mail or in person at the City ofFices.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID
UI�ITIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Plumbina perniits may be issued ONLY to licensed plumbing contractors and to property owners residing
in the dwelling.
4. �,�hen any new constructien or :emodeling is involved, a separate buildin� permit must be obtained.
5. All work must be done in accordance with the Sta[e 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
/�i esidentiai Commerciai
JOB SF�: �� �� c�J `�.�-�5�-��C JlC C::c� Zig:
�wner's �ame: �t� �,� F��,.� (� �.j� Teiephone Numbe�:
Mailing Address: City: Zip:
Contractor's Name: ��b�-�-�-� �� �� Telephone Number: �� '3 y`t� �,/ �'�
Mailing Adciress: � 1 �% " `-( � �l- City:S� 1,��In�-� Zip: S" S 3 1 �
PLLTMBING F�XTLIRE SCHEDULE
FIXTURE BSIvIT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet � � � � Floor Drains
La�aton � � � Scwer Ejector
Bathtub � �j Laundry Tray � I
Slwwcr ' ' '� � ' `rVasher ' '
i �
Kitchen Sinl: / Water Heater
Disposal � � Water Softener P
DishGvasher I � ( VJet Bar I �
��, ,_ � T� �,� �
J111COCnS � � i i � � Tvi1SC �iiSi� i � I I
� �
PEP.I!'��'I' rE� C��LTL.A'�'I�1lT
l. 1.25% of Contract Price* or Minimum Fee 3".QO
�-C�� .. x .012� $
(contract price)
2. State SurcharQe. ** Add the State Buildina Code Division
Surcharge to each permit. x .0005 $
(contract price)
or $.50, whichever is greater
3. PostaQe and Handlin� (Only mail-in applications) $ L50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $
COi�T:..�,�.T PRICE or JOB COST mca;�s the a��ual c:estimated dollar amour.; cl�arged for the pe:mitted
work including materials, labor, profit, and other fixed costs. I[ is the amount to be charged to the
customer for the work done. If any inaterial, equipment, labor, or installation are fumished by the owner,
tenant or any other party the reasonable market value of such items must be added to the esti�nated cost
or contract price for permit 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 SURCfIARGE is .0005 of thc cont.ac� price uncter ai,000,000 or $.50 - whichever is
greater. For valuations over $1,000,000 call the Departmen[ 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
corrPct.
;
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Applicant's Sianatu �� ' Date: - lp ` �
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DATE TIME
CITY OF ORONO CALLED IN _�%J C'r
INSPECTION N TICE SCHEDULED .- " ��
PERMIT NO. �� � Z -�� COMPLETED
ADDRESS � �t S ��
OWNER CONTR.����D G�- �� Gt�1�G
TELEPHONE N0. ��(�� /�D� �tS�L4� - Y•-��
� DESCRIPTION � �t--t�v��Lti� � �'t- "�
� 01 FOOTING 11 MECHANICA�RI 18 CAV/GRA�tfdGlFi[CIIaL'r'"�
Q 02 FRAMINCa 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 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC F AL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL
� OWNERICONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS.
Call forthe nex inspection 24 hours in advance. (g52) 249-4600
Owner/Contractor o it :
Inspector.
White Copyllnspector's File Canary Copy/Site Notice
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DAT TIME
CITY OF ORONO CALLED IN �
INSPECTION N TICE SCHEDULED - :a�
PERMIT NO.�1�� COMPLETED
ADDRESS 9 g� �
OWNER CONTR.
TELEPHONE NO. �4 l Z Z�T g Z S/ I
� DESCRIPTION L��%7''"� �"�"'�"�
ly� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTA�L. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINA� 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. G PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ,�CITATION ISSUED
❑ INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS.
Cail for the next ins ection 24 hours in advance. (J52� 249-4600
Owner/Contraptcf',§�site
Inspector. �7 � r
White Copyllnspector's Fiie Canary CopylSite Notice