HomeMy WebLinkAbout2003-P06859 - plumbing • PERMIT
CITY OF ORONO Permit Number:
2750'Kelley Parkway- PO Box 66 P06859
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued: 10/6/2003
SITE ADDRESS: 847 Tonkawa Rd
Long Lake,MN 55356
PID: 08-117-23-21-0003 '
DESCRIPTION:
Proposed Use: Residentiai
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: $ 525.00 Valuation: $ 42,000.00
State Surcharge Fee: $ 21.00
TOTAL FEE: $ 546.00
APPLICANT: Thompson Plumbing OWNER: Dennis&Shawn Vaillant
15001 Minnetonka Ind.Rd. 847 Tonkawa Rd
Minnetonka,MN 55345 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.
APP PERMIT IGNATURE ISSUED BY SIGNATURE
Conies: 1-File(SiQnitures Required).1-Annlicant. 1-Monthlv Reports. 1-Assessina. 1-Finance Page 1
Nev-15-2002 08:I8am Frcrr-CITY OF ORONO +9522494616 T-456 P.002/003 F-155
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CITY OF ORONO APPLICATION FOR PI.tWBING PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
' xAL ORIS
1. You may apply for plumbing permits by mail or in person at the City offices.
UNTIL
2. Permit cards will be sent by return mail after a review is completed. PAF p�TSIAT CARTS S POSNOT mTED QIP
YQU RECEIVE A PERMIT, WORK MUST NOT BEGIN'UNTIL T
3. inma-ennits may be issued ONLY to licensed plumbing contractors and to property owners residing
plumin the dwelling.
a, When arty new construction or remodeling is involved, a separate building permit must be obtained.
5, All work must be done?n accordance with the State Code requirements.
6. All work mut be inspected and air tested before it is covered. Call (952) 249-4600. 24-hour notice
.equired.
jpstruettons Complete all items on this application. Compate the permit fee. Sign and date the
certification, INCOMPLETE APPLICATIONS WILL NOT BL PROCESSED. If you have
questions, call (952) 249-4600.
Please check one: _X_New Addition Repair Replace
x _Residential Commercial.
JOB SITE: `' I c�, vJ o o ckt ,\
Owner's Wayne:��v��`1 �rr��, �� �^ Telephone number;
NO
Mailing Address: City: ZIP:
Contractor
Telephone 1V'umber:`l �13� `1'7�7
Mailing Address:i. $ _Cityn)'\'\ _Zip: x;53
p Yn 4BIN F1K 1T2.E SCHEDf.7Y.E
FIXTURE BSMT IST 2ND OTHER FE<TURE SSMT IST 2ND OTHER
TYPE FL FL TYPE FL FL
=' Floor Drains
Water Closet -�
Lavato
Bathtub La Tray
Shower Washer
Kitchen Sink Water Beater
P' h �"�► O�
Disposal Water Softener I
Dishwasher ' Wet Ha.
Sillcocks Misc (list)
S i cxr�,okan�ir�.(,t�
if'\,k- Cdr 60X Ct)
Wos -fZ&, Lt
Ncv-15-2002 06:162M From-CITY OF ORONO +9522464616 T-41E P.003/003 F-155
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9ER�IT FEE CALCULATICIYI,S)
20Stgle Stalute [ Yes, This Section Applies
The replacement of a It si nt 1 fix i t meets all three of the following
requirements:
1) �,y„W require modi/\�
ical or gas service.
2) Hasa cost of$50u in the cost of the f cure or appliance:
and
3) Is improved, installed e homeowner or licenced contractor.
Skip next section; Cost of Permit $ _ 15.00
State Surcharge $ .50
i�
Mail In Fee $ 1.50
If above does not apply, follow guidelines below:
1. Contract * is .0125 % of job with a Minlmum Fee of($35.00)
kt J-(--�,�.- `, x .0125 $ .�a> • �-� --
(contract price) (minimum$35.00)
2, Stale Soh r ** Add the State Building Code Division a (Minimum Fee of$ .50)
, (IQ<_ _ x .0005 $ of l ,
(contract price) (minimum$ .50)
3, Posta (Only mail-in applications) $ _
4, 'TOTAL PERMIT FEE (Add lines 1-3 above) $ 5`F r. Oy
* 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 dose. If arty material, equipment, labor,or installation are furnished by the owner, te^.art or
any other parry the reasonable market value of such items must be added to the estimated cost or contract
price for penait fee purposes. In the event that there is a dispute on the amount of the job cost,the City may
request the slxbraission of a signed copy of the actual contract.
w* The STATE SURCHARGE is .0005 of the contract price under$1,000,000 or S.50- whichever is greater.
For valuations over$1,000,000 call the Department.of Inspection Services for the price.
The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all
work in strict accordance with the ordinances of the City and the regulations of the State of
Minnesota, and certifies that all statements made on this application are complete, true and
correct.
Applicant's Signatur"-)r621x�_0� _ bate:
/ DTE TI
CITY OF ORONO CALLED IN `® O-
INSPECTION WTICE SCHEDULED '
PERMIT NO. E3S7Q COMPLETED
ADDRESS g�1 T VA
OWNER CONTR.I h_nf_QJn �^-$
TELEPHONE NO. �-15� ��3 —17 17
DESCRIPTION Lgydjo wt
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
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 NA 15 SEPTIC INSTALL. 22 FOLLOW-UP
Q
09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 P 36 FOUNDATION/REMOVAL
OWNERICONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
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� RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
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 next pection 24 hours in advance. (952) 249-4600
Owner/Contract s .
Inspector.
White Copyllnspectoes File Canary Copy/Site Notice
DATE
CITY OF ORONO CALLED IN /�/&_Q; TIME
INSPECTION NOTICE SCHEDULED ;y o M
PERMIT NO. (09 59 COMPLETED /t !!
ADDRESS S'q-7 ��ICCs (,r/G�
OWNER CONTR. 'f''u —
TELEPHONE NO. Som �3 37217
DESCRIPTION
14 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
Q03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
i05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
07 L 15 SEPTIC INSTALL. 22 FOLLOW-UP
PLUMBIN 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J10 ING FINAL 36 FOUNDATION/REMOVAL
Z OWNER/CONTRCTORTOMEET YOU:rZYES_NO
vOi COMMENTS:
W
a
j
O
a
cc
O
W
W
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Q
2
W
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W
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LU RK SATISFACTORY:PROCEED ❑PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP 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/Contras 0 s'
Inspector.
White Copy/Inspectoes File Canary Copy/Site Notice
�k DATE TIME
CITY OF ORONO CALLED IN U 1(0q
INSPECTION NOTICE SCHEDULED
PERMIT NO. COMPLETED _0
ADDRESS U1 .
OWNER CONT R.
TELEPHONE NO.
s��� .� —7 7/7 l c cn-ip,
3Z DESCRIPTION
4 01 FOOTING 11 MECHANICAL RI J 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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
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
OWNERICONTRACTOR TO MEET YOU: YES_NO
COMMENTS:
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Q
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OU WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETURN
El CITATION ISSUED
11STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the n t inspection 24 hours in advance. (952) 249-4600
Owner/Co r n ite:
Inspector.
White Copy/Inspector's Fil Canary Copy/Site Notice