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Home My WebLink About2008 - P12215 - plumbing PERMIT CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: P12215 Crystal Bay, Minnesota 55323 Permit Type: Fixtures (952) 249-4600 Date Issued: 6/30/2008 SITE ADDRESS: 155 Wear La N Unit# Long Lake,MN 55356 PID: 33-118-23-34-0013 DESCRIPTION: Proposed Use: Residential Permit Class: Plumbing Permit Type: Fixtures Permit Sub-type(s): Water Heater DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: Replace Water Heater FEE SUMMARY: Permit Fee: $ 15.00 Valuation: $ 0.00 State Surcharge Fee: $ 0.50 Misc.Fee: $ 1.50 TOTAL FEE: $ 17.00 APPLICANT: Norblom Plumbing Co. OWNER: J Winston&C Wersal 2905 Garfield Avenue S. 155 Wear La N Minneapolis,MN 55408 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. CYAN •• .�. / APPLICANT PERMITEE SIG URE / ISSUED BY SIGNATURE , Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 r s ;�(�— ,, City of Orono FOR'CITYU ONLY �r o P.O.Box 66 Date Receive Permit Pertr' #P0, 2750 Kelley Parkway • 11 t x Crystal Bay,MN 55323 Approved ��rr�� ,,>r o� B(952)249 4600 . Y Amount$ 7. lJ6/' 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. AQwork 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) � PPlY), . X ❑Residential Commercial(Approval Required) ❑ New ❑Additional ❑Repairs [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: 1 a IA, Q aV LGGW , Ownerr\jG)(1,Vl (kJ V s-1-0171 Mailing Address: S(AMC_ City: 0 II/Art U Zip: U 53 J (10 Home Phone: (2('a LI 0 LI a-1 N J Alternate Phone: Contractor Information Contractor: VGY bkA(171 Contact Person: ,Ckk. -_-t,Q Address:C9 OS (5-1,0#112-(4 Ar-r-State Bond#: 15 D-1 — P oll City: l_1J Zip: NAI\) Expiration Date: ` I O Phone: (Lei 9)kj-7 q 63)-2 Alternate Phone: ❑ Insurance—Current: 1 ._ FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector Bathroom Laundry Tray Shower Washer Kitchen Sink Water Heater ( — Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous �g f TW•k f rA 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 $' 11- (Il) (Permit Fees Continued On Next Page) 2 • PERMIT FEE CALCULATION(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$35.00) x.0125$ (contract price) (minimum$35.00) 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of 5.50) 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. PLUMBING PERMIT APPLICATION AGREEMENT 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 .at all statements made on this application are complete, true and correct. LiApplicant's Signature. % Date: (_/? /CfiC Reset Form 3 ATE TIME ,...__..--- Y- 5e-4-- CITY OF ORONO CALLED IN ��/ D INSPECTION NOTICE SCHEDULED 7 /S v Sl . 3:no PERMIT NO: /o�2)/1 COMPLETED ADDRESS 755 WL,v 4t.J/1 /A�� OWNER 1( /i L l't �.t,,Iif.s CONTR.NDYWo /6 6-. TELEPHONE NU' — /a -" „CI"7 — 4.0.iv/ a DESCRIPTION 142Z& '�A_ U4 ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT ✓ ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP LU ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: cc W C cc PrO v;de `�-FPor4- ec- o cc W CC Q W Z W CC d Lu ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CCW ❑CORRECT WORK&PROCEED L--, ISSUE CERTIFICATE OF OCCUPANCY O `CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V ,\\BEFORE 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 on site: Inspector. -. White Copy/Inspector's File Canary Copy/Site Notice ELI D TIME CITY OF ORONO CALLED IN 7 v INSPECTION NQV/024)2 TICE SCHEDULED 7- ' d,d PERMIT NO. / / A..5 COMPLETED ADDRESS /55 L- &- OWNERA -4'b '.S'aL CONTR./aarbLOrt PLit4-. TELEPHONE NO. 0/01 597 eoAO/ DESCRIPTION LUQ, L ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL • ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES NO o COMMENTS: cc W Q. cc O cc O W Q W W k 'VORK SATISFACTORY:PROCEED e..e4ROJECTCOMPLETE W• ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN O STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractoye� ite .J Inspector. White Copy/Inspector's File Canary Copy/Site Notice