HomeMy WebLinkAbout2002-P05181 - plumbing r �
PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 P05181
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued: 5/14/2002
SITE ADDRESS: 2425 Thoroughbred La
LONG LAKE,MN 55356
PID: 04-117-23-11-0018
DESCRIPTION:
Proposed Use: Residential
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00
Valuation: $ 950.00
State Surcharge Fee: $ 0.50
Misc. Fee: $ 1.50
TOTAL FEE: $ 37.00
APPLICANT: Nowthen Plumbing OWNER: P M DEJUTE&S H DEJUTE
22311 Norris Lake Rd 2425 THOROUGHBRED LA
Anoka,MN 55303 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.
APPLICANT PERM ITEE SIGNATURE ISSUED BY SIGNATURE
Conies: 1-File(Siznitures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing, 1-Finance Page 1
CITY OF ORONO
APPLICATION FOR PLUMBLNG PERMIT a
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323 Qp-
GENERAL Ul TORMATION
I. 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
UNTIL 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 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. �/,I,
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Please check one: New Addition __ Repair Replace
—) _ Residential Commercial
JOB SITE: � )-), 11;:J--1 Zip:SS3slo
Owner's Name: / e, elephone Number:
Mailing Address: ✓ City: Zip:S 5—
Contractor's Name:/4a c,4L, C Telephone Number: ) (o
Mailing Address:�o� ,� City: YNo Zip
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT IST 2ND OTHER FIXTURE BSMT IST 2ND OTHER
'TYPE FL FL TYPE FL FL
Water Closet Floor Drains
_Lavatory x Sewer Ejector
13athtub Laundry Tray
Shower x Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
sillcocks Mist (list)
PERMIT TEE CALCULATION
1. 1.251%, of Contract Price* or.MjWWum Fee 035.001
950: 0 _ x:.0125 $ S.
(contract price)
2.. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $ _.Sj
(contract price)
or $.50, whichever is greater
3. Postage and Hag (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ _-E- On
* 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 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 under $1,000,000 or $.50 - whichever is
greater. For valuations over$1,000,000 calf 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: A Date:
CITY OF ORONO CALLED IN DATE TIME
INSPECTION NO CSCHEDULED O•'30,
PERMIT NO. 551k I COMPLETED �' O,4
ADDRESS �01rerV
OWNER 2 CONTR. Z�/OL/ PIUn-4
TELEPHONE NO. �� 3 55 5a 16-2
3Z DESCRIPTION �fU
W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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Q 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 06 PROGRESS
07 DEMO-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
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
OWNER/CONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
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Uj PORK SATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
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W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
U BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
11 CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector. /jl�
White Copy/Inspector's File Canary Copy/Site Notice
CITY OF ORONO CALLED IN DATE TIME
INSPECTION NOTICE SCHEDULED 3 6 P41
PERMIT NO. COMPLETED
ADDRESS 26-11f
OWNER CONTR.,! �7410—L _
TELEPHONE NO. 7(jo3 75-3 5i2/la
DESCRIPTION
01 FOOTING 11 MECHANICAL RI 18 EXCAWGRADING/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 06 PROGRESS
07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
OWNER/CONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
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W ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSU E CERTI FICATE OF OCCU PAN CY
QO ElCORRECT WORK,CALL FOR REINSPECTION TEMPORARY
U BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next ins 24 rs in ad . (952) 249-4600
Owner/Co r on site: l
Inspect
it pylinspector's File Canary Copyl Notice