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Home My WebLink About2004-P08178 - plumbing � t PERMIT CITY OF ORONO 2750 Kelley Parkway - PO Box 66 Permit Number: P08178 Crystal Bay, Minnesota 55323 Permit Type: Fixtures (952) 249-4600 Date Issued: 11/122004 SITE ADDRESS: 3220 Watertown Rd Long Lake,MN 55356 PID: 32-118-23-44-0013 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: $ 100.00 Valuation: $ 8,000.00 State Surcharge Fee: $ 4.00 TOTAL FEE: $ 104.00 APPLICANT: Stewart Plumbing OWNER: Mr. &Mrs.Henderson 25800 Deepwoods Ct. 3240 Watertown Rd Rogers,MN 55374 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. V APPLICANT PERMITEE SIGNATURE SSUED BY SIGNATURE Conies: 1-File(Sienitures Required), 1-Applicant, I-Monthly Reports, 1-Assessine, 1-Finance Page 1 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 (952) 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 (952) 249-4600. Please check one: New Addition Repair Replace Residential Commercial JOB SITE: �d O LjcjaJ'� ,� kc,.,d Zip: Owner's Name: ��c%,%�y -� 46 m,,s Telephone Number: Mailing Address: City: Zip: Contractor's Name: 1, 59 Telephone Number: Mailing Address: S'7�e w�, y A/uri,b.,A City: R owe r�S Zip: 3,S �v� �Q�p�,��1s c�t PLUMBING FIXTURE SCHEDULE FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT IST 2ND OTHER TYPE FL FL TYPE ` FL FL Water Closet f E-03 Floor Drains ` Lavatoryl Sewer Ejector Bathtub d Laundry Tray Shower Washer Kitchen Sink Water Heater r Disposal Water Softener Dishwasher Wet Bar Sillcocks Misc (list) PERMIT FEE CALCULATION(S) 2002 State Statute ❑ 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 licenced contractor. Skip next section; Cost of Permit $ 15.00 State Surcharge $ .50 Mail In Fee $ 1.50 If above does not apply, follow guidelines below: 1. Contract Price* is .0125 % of job with a Minimum Fee of ($35.00) oc-50 x .0125 $ (contract price) (minimum$35.00) 2. State Surcharge. ** Add the State Building Code Division a (Minimum Fee of $ .50) x .0005 $ (contract price) (minimum $ .50) 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 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 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 Signature: �� Date: ll-rte a�/ DATE TIME CITY OF ORONO CALLED IN i ( 1- INSPECTION INSPECTION NOTjE SCHEDULED �/ = 30 PERMIT NO. , O�/ / COMPLETED ADDRESS 22y tW je, -:;tv.� OWNER CONTR. La 7— TELEPHONE NO. 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 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 W 0Q9 P,_U,MBING I 23 SEPTIC FINAL 35 HARD COVER REMOVAL v i� rcrn AL 36 FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: Q. �V�l cc J 0 a cc 0 U_ W cc Q Z W Z. W CZ d 41 WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE cc W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN 11 CITATION ISSUED El STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for then t inspection 24 hours in advance. (952) 249-4600 Owner/Contraetdr-,Z s t Inspector. White CopylInspector's File Canary Copy/Site Notice DA TIME CITY OF ORONO CALLED IN INSPECTION NOT SCHEDULED p SCHEDULED 'Z 2 PERMIT NO. 2F COMPLETED ADDRESS 322.0 tj0-+e-'r _fvw✓j OWNER CONTR. �"F� wit- ►�/� TELEPHONE NO. �� oZ 3 L9& 3.3(�y DESCRIPTION 4 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS CO03 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 PLUMB �� 36 FOUNDATION/REMOVAL OW RICONTRACTO EET YOU:_YE✓ S_NO CO NTS: cc a 5 &u. Z) A'211 cc — �P.tl °�' d0a 5 W CC Q z W Z W rt d � ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑ RRECT WORK&PROCEED ElISSUE CERTIFICATE OF OCCUPANCY 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY CiBEFORE COVERING 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 inspection 24 hours in advance. (952) 249-4600 Owner/Contractor ort 4ite: Inspector. v White Copy/Inspector's File Canary Copy/Site Notice