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HomeMy WebLinkAbout2004 - P07218 - plumbing R NO PERMIT CITY OF Permit Number: 2750 Kenney Parkway - PO Box 66 P07218 Crystal Bay, Minnesota 55323 Permit Type: Fixtures (952) 249-4600 Date Issued: 2/9/2004 SITE ADDRESS: 865 Willow View Dr Long Lake,MN 55356 PID: 28-118-23-44-0005 DESCRIPTION: Proposed Use: xesidential 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: $ 156.25 Valuation: $ 12,500.00 State Surcharge Fee: $ 6.25 Misc.Fee: $ 1.50 TOTAL FEE: $ 164.00 APPLICANT: Plymouth Plumbing&Heating OWNER: Tom&Kathy Duxbury 12270 43rd Street NE 865 Willow View Dr St.Micheal,MN 55376 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. 17i1-)‘ • / (,)11L4—`( _ (5-6 APPLICANT PERMITEE SIGNATURE UED BY SIGNATURE Conies: 1-File(Siunitures Required), 1-Applicant, 1-Monthly Reports. 1-Assessing. 1-Finance Page 1 RECEIVED CITY OF ORONO APPLICATION FOR PLUMBING PERMIT Box 66 (2750 Kelley Parkway) FEB 0 9 2004 Crystal Bay, MN 55323 CITY OF ORONO 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 SHE: Nil I t) 2 \i Z'' Zip: Owner's Name: WS S '�.I I (OVA Telephone Number: Mailing Address: City: Zip: Contractor's Name:V ` YY1tV 4 V\VVV1 O In Lr Telephone Number:s.(i )1i b-b 0 Mailing Address: ZZ p 11. 7y.11 City: >i7 Zip:S'316 S1-MA al PLUMBING FIXTURE SCHEDULE FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER TYPE FL FL TYPE FL FL j Water Closet (— I I Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower I ! I j Washer Kitchen Sink / Water Heater Disposal Water Softener { / i { Dishwasher I Wet Bar I Sillcocks Misc (list) I PERMIT FEE CALCULATION 1. 1.25% of Contract Price* or Minimum Fee ($35.00) / ( c,c---) x .0125 $ 1 5(0. c" (contract price) 2. State Surcharge. ** Add the State Building Code Division Surcharge to each permit. x .0005 $ 5 (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) $ CONTI:ACT PRICE or JOB COST means the actual or estimated dollar amount charged for the per itted 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. E Applicant's Signature: ,. r . \. . Date: & �{ T V CITY OF ORONO CALLED IN INSPECTION NOTtSE t, SCHEDULED 0 PERMIT N0. 2 I . COMPLETED ADDRESS 81t06 63° 110L V'R,-) OWNER Qt`L. INSI-ik 1 1-1-01 CONTR. TELEPHONE NO. _ip ��� q G 1 DESCRIPTION IJP i ► � `�1 t 01 FOOTING 11 MECHANICAL RI J 18 EXCAV/GRADING/FILLING 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS " 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL 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 DEMQ_,-II 15 SEPTIC INSTALL. 22 FOLLOW-UP 9 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL • OWNER/CONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: cc W Q. J O cc O W W cc Q f2 z cc d W2 WORK SATISFACTORY:PROCEED ElPROJECT COMPLETE W ❑CORRECT WORK&PROCEED ElISSUE CERTIFICATE OF OCCUPANCY OO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY U BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN CISTOP 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/Con o site: Inspector. Uhl White Copy/Inspector's Vile Canary Copy/Site Notice S-C4 D TE TIME CITY OF ORONO CALLED IN 3 ' INSPECTIONI E C, SCHEDULED a- 3 a PERMIT NO. 72�d COMPLETED ADDRESS Y65 (0)///t ) VI e€.4 �v OWNER CONTR.// PO?1,1 . PG�4 -' TELEPHONE NO. 763 z6 T&l E DESCRIPTION P! -`�; Lis 01 FOOTING 11 MECHANICAL 18 EXCAV/GRA G/FILLING h 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHOREETLANDS /W 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION • 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 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO CI• COMMENTS: cc ccQ 401‹ 0 cc 0 W cc Q W z d WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CC LU 0 CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY • 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 6BEFORE 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 i spection 24 hours in advance. (952) 249-4600 Owner/Contractor t . Inspector. '3044 n White Copy/Inspector's File Canary Copy/Site Notice t DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED '-iG2-< 9 ; 36.111,0 PERMIT NO. /PO 72. 2 COMPLETED�ET / ADDRESS r1o �� �� !//Pi 7 OWNER �CONTR. /;YriZ4� 7/1-� gait'le'. TELEPHONE NO. 7625 d-Pb 3 CP.5 DESCRIPTION W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING c• 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL • 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 J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP W 09 PLUMBING RI 23 SEPTIC FI AL 35 HARD COVER REMOVAL v UM LBING FIN L 36 FOUNDATION/REMOVAL ' RACTOR TO MEET YOU: YES NO o COMMENTS: cc W cc 0 CC 0 W CC Q toW Z W CC El WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CCW ❑CORRECT WORK&PROCEED J ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ 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 nexinspection 24 hours in advance. (952) 249-4600 Owner/Contract n ' Inspector. n-\\)Ir White Copyllnspector's File Canary CopylSite Notice