HomeMy WebLinkAbout2005-P09430 - plumbing PERMIT
CITY-OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P09430
Crystal Bay, Minnesota 55323 Permit Type:
Fixtures
(952) 249-4600 Date Issued: 11/17/2005
SITE ADDRESS: 825 Tonkawa Rd Unit#
Long Lake,MN 55356
PID: 08-117-23-21-0002
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: $ 362.50 Valuation: $ 29,000.00
State Surcharge Fee: $ 14.50
Misc.Fee: $ 1.50
TOTAL FEE: $ 378.50
APPLICANT: Stewart Plumbing OWNER: Scott Bissen&Michelle Morey
3025 George Weber Dr. Suite#1 16025 36th.Place North
Rogers,MN 55374 Plymouth,MN 55446
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.
'h aa (x1.
APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
FOR CrrY USE ONLY
City of Orono
O¢O40 P.O.Box 66 Date Received: Permit#
h 2750 Kelley Parkway
Crystal Bay,MN 55323 Approved By: Amount$:
(952)249-4600
CITY OF ORONO-MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
GENERAL INFORMATION
I. You may apply for mechanical permits by mail or in person at the City offices. Applications will
be reviewed and a permit will be issued within two working days.
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. Mechanical Designs—Complete calculations,details and specifications are required for each
heating,ventilation,humidification-dehumidification,and air conditioning installation including
heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to
type,manufacturer and model. Data shall be presented on form provided.
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 Uniform Mechanical Code/State Building Code
requirements.
6. All work must be inspected(rough-in and final). Call(952)249-4600.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before final.
TYPE OF PERMIT
Check All That Apply)
Residential ❑Commercial(Approval Required)
❑ New ❑ Additional ❑ Repairs Replace
Job Site/Owner Information:, /p
Site Address: �'t SO 0h[yt '`1'j�Oi"l ' load
Owner: L a rn, Moram Mailing Address:
City: WCALJ ZQf 9 Zip:
Home Phone: q o� �71-77f Alternate Phone:
Contractor Information:
Contractor:K1eve Htg- & A/r Inc Contact Person: rhar1 Pe Ma ii
Address: 6365 Carlson Dr. Ste GState Bond #: RLT-561 165
City: Eden Prairie Zip: 55346EYpirationDate: 8/14/05
Phone: 952-941-4211 Alternate Phone: 952-345-7242
❑ Insurance-Current:
1
7A
CHANTC YS MSS "USED` arY . ����;err
HEATING SYSTEMS
Quantity:
Make: /� I,L��.ttM
noL
Model: 0-1
Fuel: "Q t
Flue Size: ,I 'Vv
Input BTUs: oco
Output BTUs: jq If ocow
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIREPLACES
❑ Gas Factory Fireplace
❑ Wood Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: Model No.:
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfm
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
2
VIP
PERMIT:FEECALCULATIQN(S);
_.r....
]BASED QFF.,,2002_STATE STATUE
❑ Yes,this section applies
The replacement of a Residential fixture or appliance that meets all three of the following requirements:
1. Does not require modification to electrical or gas service.
2. Has a total cost of$500.00 or less;excluding the cost of the fixture or appliance: and
3. Is improved, installed or replaced by the homeowner or licensed contractor.
Skip next section,if this applies; Cost of Permit $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
PERMIT FEE CALCUL ATION S -'JOBS OVER$500.00
If above does not apply;follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00)
4 � SO00 x .0125 $
(contract price) (minimum$35.00)
2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(itinimum Fee of S.50)
4250, x .0005 $ 2 A
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 15 (011'14
■ * 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 installations are fumished 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 Building Department at(952)249-4600 for the price.
MECHANICAL`PERMIT APPLICATION AGREEMENT
The undersigned hereby applies to the City for issuance of a Mechanical 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:
Reset Form
DATE �. TIME V
CCITY OF ORONO CALLED IN
INSPECTION NOTIC SCHEDULED
PERMIT NO. 9V30 COMPLETED
ADDRESS S Dn ka w
OWNER CONTR. ��G��
TELEPHONE NO. Zo/a -3e
DESCRIPTION
W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
W 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 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�9 PLUMBING 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J i8-PL'IIl BING FINAL 36 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
W
C
j
O
cc
O
W
W
cc
Q
Z
LUW
oc
d
W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
LU ❑CORRECT
W WORK&PROCEED 11ISSUE CERTIFICATE OF OCCUPANCY
OO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
U BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. El PHOTO TAKEN
INSPECTOR WILL RETURN
1-1 CITATION ISSUED
1-1STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call forth eKt inspection 24 hours in advance. (952) 249-4600
Ownericon sit
Inspector.
White Copy/Inspector's Fib Canary Copy/Site Notice
G6D IME
CITY OF ORONO CALLED IN 'S" E
INSPECTION NCITIC SCHEDULED 3 o
PERMIT NO. Vnn COMPLETED
ADDRESS
OWNER CONTR.
TELEPHONE NO. ((tel o� 36rj 133
DESCRIPTION
W 01 FOOTING 11 MECHANICAL RI 18 EXCAWGRADING/FILLING
Q02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLAND§
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
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J--A.PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNERICONTRACTOR TO MEET OU:_YES-O _t
COMMENTS:.
N
W
Q_
cc
J
cc
cc \ C
O
W
ccQ
Z
W
W
cc
GW WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑ CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
OO ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
U BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETURN
ElSTOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contrac r n site:
Inspector.
White Copyllnsp tor's File Canary Copy/Site Notice