HomeMy WebLinkAbout2002 - P05057 - plumbing s
CITY OF ORONO PERMIT
2750 Kelley Parkway- PO Box 66 Permit Number: P05057
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued: 4/18/2002
SITE ADDRESS: 372 Westlake St
Long Lake,MN 55356
PID: 05-117-23-23-0044
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: $ 400.00 Valuation: $ 32,000.00
State Surcharge Fee: $ 16.00
TOTAL FEE: $ 416.00
APPLICANT: Standard Plumbing&Applicance OWNER: Robert Erickson
8015 Minnetonka Blvd 372 Westlake St
St. Louis Park,MN 55426 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.
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APPLICANT PERMITEE SIGNATURE / ISSUED BY SIGNATURE
Copies: 1-File(Siinitures Required). 1-Applicant, 1-Monthly Reports, 1-Assessing, 1-Finance Page 1
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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 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 249-4600.
Please check one: >- New Addition Repair Replace
Residential Commercial
JOB SITE: ufp /4-6 S'7 t Zip:
Owner's Name:X6A n Telephone Number: ' `f 7a 1337
Mailing Address: 4 4t 3p0 � Leuk_ C�t
Lucy City: pw�i g it- Zip: 55 3 l7
3.5-2q-PM Contractor's Name: �'fiewtd �"wnie A6&Telephone Number: Q5:.2 '55,7
Mailing Address: c>p / t eij7Pfon(( Igkv4_, City: S'/ ,iit/k Zip: c5(12...6
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet a ��r�� ,
�„ � Floor Drains � ��� ,�j�,,
Lavatory ` 3 Sewer Ejector
Bathtub I Laundry Tray t 43- e.
Shower I Washer
Kitchen Sink i Water Heater ,2
Disposal Water Softener
Dishwasher C Wet Bar 1
Sw dee
Sillcocks L_� Misc (list) " ,
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
c9eD-) x .0125 $
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. 3 z 6o C x .0005 $ 1 C
(contract price)
or $.50, whichever is greater
3. Postage and Handling (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ 9/40 QU
* 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 Inspectional 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.
App / s Date: �—
Applicant's Signature � � ! �ti
jed V
DATE TIME
CITY OF ORONO CALLED IN
INSPECTI NrOIIC. t SCHEDULED Jt- S-C,;1...--- • E>G1
PERMIT O. J t_'"� . COMPLETED C-&-62-- 2_,.:c,c1)
ADDRESS - T.• GC ,- e.-/J
OWNER_ t c-,/-t-/-'c — fK CONTR. --i fl.���CC�t�C- t (/� .
TELEPHONE NO. / 5 % )> Sr _� -�> j
DESCRIPTION
4, 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
h 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
1, 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
W 9'PCUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMB RGTIT AL 36 FOUNDATION/REMOVAL
Q OWNER/CONTRACTOR TO MEET YOU: YES NO
oy COMMENTS:
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' WQRK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY
O 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORE COVERING
PERMANENT
0 CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN
INSPECTOR WILL RETURN
0 CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContr c r on sit
Inspector. iGtr/t-Vrti
White Copy/Inspector's File Canary Copy/Site Notice
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_ DATE TIME
CITY OF ORONO I CALLED IN
INSPECTION NOTR Ej SCHEDULED r CC
PERMIT NO. r(F �'7 COMPLETED
ADDRESS ---l? t j- _ '. .i- L0 /z- . ;
OWNER CONTR. �-. i/�'h�
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TELEPHONE NO. (.... ,,-'- -,1 / -- -7 )7
DESCRIPTION - , tt-t-°' try- /--?,a`", ,
01 FOOTING 11 MECHANICAL RI 18 EX AV/GRADING/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
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
14.1 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU: YES_NO
o COMMENTS:
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▪ 0 WORK SATISFACTORY:PROCEED 0 PROJECT COMPLETE
CC
W 0 CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY
CZI 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
✓ BEFORE COVERING PERMANENT
0 CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN
INSPECTOR WILL RETURN
0 CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlCon mon sit -
Inspector. �� �% F Ir..""
White Copy/Inspector's File Canary C.r/Site Notice
,, q��,�r - r�HOUSE HEATING TEST RECORD
OGRESS I1 ffl t :H-'FC._ 4 APT. F OOR CITY CZSUBURB
OCCUPANT n Z C'1sr,S- -F9 OWNER CCAr'Naff e
HAT LOSS103 + I DATE MTG. INST.
SOLD BY 'f tV INSTALLED B>j_ eirrr'
-Electrical Werk B,("'�', t Ges L . Ey Air
TYPE OF HEAT GA FA 7Nw STEAM SPACE HTR. UNIT HTR. OTHER
L GAS DESIGN CONVERSION
MAKE t. �l0 MAKE OF BURNER
•t--63—
Model r� P �"�''-� Model apprimpor,,
S. i.l t� KO Mee. BTU Rating
INPUT )x'1,, 1 MAKE OF FURNACE
Model
CONTROLS 9,II , �
THERMOSTAT) �
6O Heat Plug ,o Vent Sis.
Valve., > \gyp,\ KIND OF LIN 7 , SIZE N E
Lir.�it t t Iflte� Drell Hood ,Regulero► •�� [s "r
Limit Setting) kE t► FIIte►s Sine unt►er
Fen Setting, V. yh41 ` al., beetles nsIdS V......- Outside
Pilot Type - .21" 0 G:E- Chlnrney C.nstrvetlen4)+41;7
Pilot Meke h,d
Piles Me/.l Smelt* Baer Wiring
Pilot Timing Se-C,5 Mak To eg
L.W. Cut 011 `" nn Deer P►essu► IgIrting In
Pressure . t� i`�'s ` Percent CO "1;0 Deis Tested CST
Input CF,H-.,// 0 P«cent 01 it .- I Cee eny Testing �.1�'f'
Steele Temp. 1 VV 0 P.resnt COs.. 0 Nerw. .1 'restoreFin