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HomeMy WebLinkAbout2003-P07141 - plumbing CITY OF ORONO PERMIT Permit Number: 2750 K ;Iley Parkway- PO Box 66 P07141 Cryst4Bay, Minnesota 55323 Permit Type: Fixtures (952) 249-4600 Date Issued: 12/31/2003 SITE ADDRESS: 680 Tonkawa Rd Long Lake,MN 55356 PID: 05-117-23-33-0010 DESCRIPTION: Proposed Use: Kesidential Permit Class: Plumbing Permit Sub-type(s): Multiple Fixtures Permit Type: Fixtures DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 150.00 Valuation: $ 12,000.00 State Surcharge Fee: $ 6.00 TOTAL FEE: $ 156.00 APPLICANT: Plymouth Plumbing&Heating OWNER: Melinda Lee 12270 43rd Street NE 680 Tonkawa Rd St.Micheal,MN 55376 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 PERMITEE SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(Siznitures Required), 1-Applicant, 1-Monthly Reports, 1-Assessin¢, 1-Finance Page I 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 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. Please check one: New Addition Repair Replace 4- Residential Commercial JOB SITE- TW K- Owner's Name: elephone Number: Mailing Address: City: Zip: Contractor's Name: Telephope Number: Mailing Address la it �(/ �(� Q� Zip: PLUMBING FIXTURE SCHEDULE FIXTURE BSMT IST 2ND OTHER FIXTURE BSMT IST 2ND OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains I Lavator} Sewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sink Water Heater Disposal Water Softener I Dishwasher I Wet Bar f Sillcocks Misc (list) PERMIT FEE CALCULATION 1. 1.25% of Contract Price* or Minimum Fee ($35.00) D x .0125 $ (contract price) 2. State Surcharge. ** Add the State Building Code Division Surcharge to each permit. x .0005 $ (contract price) or $.50, whichever is greater 3. Postage and Handling (Only mail-in applications) $ 1.50 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ CONTRACT PRICE or JOB COST means the actual o.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 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: del (( �AT� TIME CITY OF ORONO CALLED IN JJ INSPECTION N CE SCHEDULED PERMIT NO. COMPLETED ADDRESS 4,g0 TUU7Lk44,4_,;4- OWNER ,7CONTR.. //1 TELEPHONE NO. 7&:3 2-2-8'68' 3 0 DESCRIPTION 01 FOOTING 11 MECHANICA 18 EXCAV/GRADING/FIWNG Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL 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 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 FOUNDATIOWREMOVAL OWNERICONTRACTOR TO MEET YOU:_YES_NO ti COMMENTS: W a J O J. cc O 2 W c Q W W VSATISFACTORY:PROCEED ❑PROJECT COMPLETE ECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C1 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the ne inspection 24 hours in advance. (952) 249-4600 OwnedCono st Inspector. White CopyMspector's File Canary CopylSite Notice 49—J DATE TIME CITY OF ORONO CALLED IN INSPECTION NQTICE SCHEDULED ^� T30 PERMIT NO. // COMPLETED ADDRESS t0 to OWNER CONTR. TELEPHONE NO. 2-0 DESCRIPTION 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING tLj 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 05 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 v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: a J O a cc O LL W cc Q 2 W Z W cc O W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE cc W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the nex Inspection 24 hours in advance. (952) 249-4600 OwnerlContr o Inspector. White Copy/Inspector's File Canary Copy/Site Notice