HomeMy WebLinkAbout2005-P08509 - plumbing PERMIT
CITY OF ORONO
y
2750 Kelley Parkway - PO Box 66 Permit Number: P08509 �--
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued: 3/10/2005
SITE ADDRESS: 3520 Watertown Rd
Long Lake,MN 55356
PID: 32-118-23-43-0013
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:
re-using existing fixtures
FEE SUMMARY: Permit Fee: $ 150.00 Valuation: $ 12,000.00
State Surcharge Fee: $ 6.00
TOTAL FEE: $ 156.00
APPLICANT: Lanars Plumbing&Heating OWNER: Thomas&Jennifer Schulenberg
Ivan C. Lanars 3520 Watertown Rd
6945 Queen Street Long Lake,MN 55356
Greenfield,MN 55357
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.
'J4� E ���(:I
APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Conies: 1-File(Signitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessing, 1-Finance Page 1
FOR CITY USE ONLY
¢per City of Orono ' �
P.O.Box 66 Date Received: �a Permit# ! W dy
2750 Kelley Parkway
p'. Crystal Bay,MN 55323 Approved By: Amount$:
�tas
$46' (952)249-4600
CITY OF ORONO—PLUMBING PERMIT
(All Commercial permits must be approved by the Building Official or Inspector)
GENERAL INFORMATION
1. You may apply for plumbing 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. 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 State Code requirements.
6. All work must be inspected and air tested before it is covered. Call(952)249-4600.
(24-48 hour notice required)
TYPE OF PERMIT
(Check All That Apply)
Residential ❑ Commercial(Approval Required)
❑NewP�Additional epairs ❑ Replace
❑ In Accessory Structure?
*You will need prior approval and may need CUP.(Per Orono City Code,Chapter 78,Article IV)
Job Site/ Owner Information:
Site Address: "7ryo w7�
Owner: 70�'LlMailing Address:
City: o ., Zip: c ��
Home Phone: cllg ' 4r73 '6O'68 Alternate Phone:
Contractor Information:
Contractor: Contact Person:
Address: �� s ��� s State Bond#: d 6 Rc
City: ZiP4 3s7 Expiration Date:
Phone: 7Z =68's�8'� Alternate Phone:
❑ Insurance—Current:
1
„:PLUlVIBING,FIX'TURES BEING;INSTALI ED 2 . ' .
FIXTURE BSMT 1 2 ND OTHER FIXTURE BSMT 1 2 N13 OTHER
TYPE FL FL TYPE FL FL
Water Closet C 3 Floor Drains
Lavatory 'S Sewer Ejector
Bathroom ! Laundry Tray
Shower Washer
Kitchen Sink Water Heater
� l �
Disposal CJ U D Water Softener
Dishwasher f Wet Bar
Sillcocks C Miscellaneous
FE'PIN �CATULAT10,_(7)�u
fi s7J�r✓s < ht £
Y1 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 Fees Continued On Next Page)
2
I
PERMIT FBE CALCULATION S �OVER
If above does not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of cont�ntract price with a(Minimum Fee of$35.00)
/lP) 0 00 x.0125 $
(contract price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
X.0005 $
(contract price) (minimum$ ,50)
3. POSTAGE&HANDLING(Only on 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 installations 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 Building Department at(952)249-4600 for the price.
i PLUMBINGl'E
` WTAPPLICA'T.IO9AGR�EIVIEI�7T�Y
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: 3 `/D
3
\ /
DATE, TIME
CITY OF ORONO CALLED IN 3-/Q-0S—
INSPECTION NOT CE SCHEDULED /0L30: 14
PERMIT NO. f COMPLETED
ADDRESS
OWNER CONTR.
TELEPHONE NO. �I77
DESCRIPTION LrrouiIG1rw0, �C
W 01 FOOTING 11 MECHANICAL RI 18 EXCAWGRADING/FILLING
02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
Q
= PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 INAL 36 FOUNDATION/REMOVAL
OWNERICONTRACTOR TO MEET YOU:_YES NO
COMMENTS.
� `�v V
U14
cc
J
0
cc
0
U_
W
CC
Q
1
Z:
W
W
CC
d
W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
Cr. ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
U BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR El CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the ext inspection 24 hours in advance. (952) 249-4600
Owner/Co a 0 si
Inspector.
White Copyllnspecto s File Canary Copy/Site Notice
Y
DAF€/
TIME
CITY OF ORONO CALLED IN 9P
INSPECTION N TI G� SCHEDULED "
PERMIT NO. 1 e� COMPLETED
ADDRESS 35W
?0 �^
OWNER 'C9#@TR�—/�SY►t
TELEPHONE NO. r�i Q7:031S
DESCRIPTION 7P.�/'��
01 FOOTING 11 MECHANICAL RI L.� 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 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:
cc
W
a
cc
Z) cewO
O
W
W
C
Q
Z
W
Z
W
cc
d
W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W _TJ CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
C) ElCORRECT 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 ne inspection 24 hours in advance. (952) 249-4600
Owner/Contra o s e:
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice