HomeMy WebLinkAbout2003-P06849 (plumbing-fixtures) PERMIT
C� �` F O RO N O permit Number:
2750 K II Parkway- PO Box 66 P06849
Crys I�,B , Minnesota 55323 Permit Type: FiXtu�es
(952) 249 600 Date Issued: ioi2i2oo3
SITE �D ESS: 3120 Sussex Rd
Long Lake,MN 55356
PID: 0�-11 -23-32-0009
DESC �T N:
Propose Use: Kesidenriai
Pemut ass: Plumbing
Permit T . Fixtures Permit Sub-type(s): Mulriple Fixtures
DETAI �:
Approve �er solurion#:
Separate � ' required:
NOTIC $/ MARKS:
I�
FEE S RY: Permit Fee: $ 231.25 Valuation• $ 18,500.00
State Surcharge Fee: $ 9.25
� TOTAL FEE: $ 240.50
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APPLI /�N : T�ompson Plumbing OWNER: Brett&Stephanie Anderson
' 15001 Minnetonka Ind.Rd. 11244 Cedar Pointe Dr S
Minnetonka,MN 55345 Minnetonka,MN 55305
THE IGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND �RE TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
�OT BUILDING CODE REQUIREMENTS.
�-'
ANT PERMIT NATURE ISSUED BY SIGNATURE
Covies 1+Fil Si¢nitures Required),1-Anplicant, 1-Monthlv Reports, 1-AssessinQ, 1-Finance Page 1
Ncv-19-2�C2 78:18am Frem-CITY OF ORONO +9F22494516 T-4F6 P.002/003 f-155
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CIT`Y 4�' ORfJNQ APPLTCATIO;v1 FOYt P��1vIBIN�PERMIT
�ox 66 (275�Kclley Parkway)
Crystal Bay, 1�1N 55333
��Ax.rn�o���.^�
1, You may apply for plumbing permits by maii ur in persan ac the City offices.
2. Permit carcis wili be se�,e tiy rentm mail atter�review is compl�ted, F&R1vIT'fS A�NOT VALIIy UN'TYL
ypU RECEIVE A�'LRMTT, WOItK h1i.JST NOT B�GFN U�TTi�, EP�kIvfIT CART)iS P453'ED ON
T#iE JOB 5��,,.
3. Plumbin�p�nnits may be issued ONLY to licensed plumbir�g contraCt�rs and to p=opercy owners rtsid�r.g
in the dwelling.
q, When�y ntw consTructicz�or remodeling is involvecf, a s�parate building permit musc be obtai�d.
5, A�il work must be done in acCorda�e W�t�the Stace�ode rcquiraments.
g, All work mu5t be insp�c'ted and air test�d bcfore it is covered. Call (952) 2�3913600. 24-huur notice
required,
�istxt�ctfA� �C'OMPLETE APPLICATIONS WYL�N'4T B� PR CESSED n Tf aou�hae
certification,
quastio:s.s, call (g52) 249-4600. .
Please check t►ne: x N��' Additian _Repaix R�placc
'k _Resident�al Commercial.
J�I�SITE: I� ��— �_�_ --- C �rp:
Ovvner's Name: i � ,-- , � ' � , r-__ Telephc►ne Number: _
Mail3ng A�3dress: City: Zip: G � �� r -- �
' Conlrr�ctor's Naz�ie: �� � � r � '�'eleph�sneI��rnber:�.��►`�'� - � 1) 7
NLvling Addt'ess; � c� � �lv � �; C9ty: ��\� ' Zip: <��5��'�l�
P �� DC7Y.�
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FIXTUFt� BShiT 1ST 2ND �THER T�'1'�JRE BSMT FL FLl7 0�'HER
TYPl? FL FL
VVacer Closet � �`'�- �-�' Flo4r �rains �
�. ��, '�'.� > �
Lavuto /'/�.2_:'� =�
Banc�ub � � La Tra �
Shawer " � Washer
�=��n�� Y ' lWattr�Ieater
lbi� osal I water soPcener
I D:shwasher � Wct Ha: ""� �
� / -ici��Y e.�. � �s�
Sillcocks � Misc list) �
Ncv-13-2�02 68:iBam From-CITY OF ORONO +8822464616 T-4?8 P.003/003 F-163
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p��,�vrTT �E CALCULATICl��
2�0 _2_State�,�g ❑ Yes, ThiS Secdon Applies
The replacement of a �esi ial fix��. �►nnli nce that meets all three af the foilowin8
requirernents: �
1) �,� requixe modi rion elecuical or ga� service,
2) Has a to cost of$500. less; udin the cost of the fixture or appliance:
ana
3} Is irrtproved, inscalled � replace b� thc homeowner or li�enced contractar.
Skip next sect ; tCost of PerrRii $ 5
�tate Surcharge $ .SO �
Mail In Fee $ 1.50
Tf abovc do�s not apply, follow guideliz�s below:
1, � ntrac �* is ,0125 � Qf}ob with a Minimurn Fee of�$3S.Q02
� �
� �; �,(� x .0125 $ v�,�I �'�-��
(concract price) (miniuxum$35.Q0)
2, St, at�S rc� r . "* Add the State Building Code 17ivision a (1Vl�nimu�a Fee of$ .50)
Fx 1 � t � .00as � ,.�, ; c-
, ��C.�c� � �
(contract pricc) (��'���' �3a�
3 �„� (C3nly mail-in applicaLiorys) � �..--
4, '�'pTAY,p�RMIT FEE (Add lines 1-3 above) $ '-�'��.�'�`� �
* CdN'1"RACT'PR1C�ar J�B CUST means the actual or estimated dollar amounc char�ed Pas thc perm'st�ed
wark includ'utg materials,labos,profit,anQ o�:�r fixed casts. Ic is thc amounc to be c!�arged co che cusroma�
for the work done, If any macerial, equipment, labor,or iustailadon&re furaishad by the owner, tena3lt or
�ty othex pa�ry the reasounble market vAlue of such items must ba added tv thc esdmated cost ar eontract
price for percnit fec pur�oses. In the event that shere ts a dispuie on tt�amouni of tt�t jab cos�,ttle Ciry muy
rcqucac the siabznission of a signed copy of rhe acrual contracc.
' w� 'T'�e STAT�SURCHARGE is .00C}5 of the contract ptice under$1,QOO,Q00 ar $.50-whicY�.ewcr is �re�ter.
rar valuations over$1,000,000 call the 1?eparcmenr•of Inspte�ion Scrvices for rhe price.
The undersigned t�ereby applies tQ thr City for issuanc� of a PlumbirAg Permit, agrees to do all
; vaork in strict a�c;orda�ee with the ordin�nccs of the Ciry and the regulations of ttie Staie of
i lvli.nncsoza, and certifi.es that all staternents madc on this application are com�lete, true and
carrect.
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Applicant's Sigz�axure:•._1`.%� < � ,z1 .�,;�, T�ate:��'/�
DATE ,. TIME
CITY OF ORONO CALLED IN �G? ":�U�
INSPECTION NOTIC SCHEDULED i c-� -Ci�' s��,�
PERMIT N0. > �` � COMPLETED
ADDRESS �/�� .S�USSf' ' ��
OWNER CONTR. S �
TELEPHONE NO. �-S �� ��--j -� �,� �
�— , �
� DESCRIPTION -�/1 �-� �� �'�
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WEfLANDS
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 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 15 SEPTIC INSTALL. 22 FOLLOW-UP
Q�.w.
� 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 1 G FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑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 forthe next in pection 24 hours in advance. (952� 24J-4600
OwnerlCon�n te
Inspector. �
White Copy/lnspector's File Canary CopylSite Notice
i �
ATE TIME
-r ^,-
CITY OF ORONO CALIED IN 3
INSPECTION TICE p� n SCHEDULED ./�
PERMIT N0. � � "��% COMPLEfED
ADDRESS �f ZC� �2;L ��Q
OWNER CONTR. �
TELEPHONE N0. �� ~ �� � -� �� � ���m�
� DESCRIPTION l�� /�t.-<--�.-�n.l�
� 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
Z04 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
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
� OWNERlCONTRACTORTOMEETYOU: YES_NO
� COMMENTS:
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W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑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.CALLTO ARRANGE ACCESS.
Call for the n inspection 24 hours in advance. (952� Z49-46QQ
OwnedCon r on it :
Inspector.
White Copyllnspector's File Canary CopylSite Notice
� DA TIME �
CITY OF ORONO CALLED IN ��—�� -�
INSPECTION C SCHEDULED ,�� /'�'���' ��'��
PERMIT NO. COMPLETED
ADDRESS �_
OWNER CONTR. / /�r
TELEPHONE NO. �'SZ ��3 �7��
`
� DESCRIPTION
� 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
Z0 D. 12 WATER HOOK-UP 17 SITE INSPECTION
05 FIN 14 SEWER HOOK-UP 06 PROGRESS
EMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 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
c�., COMMENTS:
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W� �NORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTIOIJ TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTOTAKEN
INSPECTOR WFLL RETURN ❑CITATION ISSUED
�STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALLTOARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-4600
OwnerlContractg�n`s�e:
Inspector ���V
White Copyllnspector's Fi e Canary CopylSfte Notice