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HomeMy WebLinkAbout2003 - P07098 - plumbing • PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway - PO Box 66 P07098 Crystal Bay, Minnesota 55323 Permit Type: Fixtures (952) 249-4600 Date Issued: 12/16/2003 SITE ADDRESS: 870 Willow View Dr Long Lake,MN 55356 PID: 28-118-23-44-0015 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: $ 237.50 Valuation: $ 19,000.00 State Surcharge Fee: $ 9.50 TOTAL FEE: $ 247.00 APPLICANT: Lee Plumbing OWNER: RVC Homes 8148 Everest Lane No. 1003 Twelve Oaks Circle Maple Grove,MN 55311 Wayzata,MN 55391 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. APPLICANT PERMITEE SIGNATURE ' ISSUED BY SIGNATURE Copies: 1-File(Siinitures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing, 1-Finance Page 1 7a1.? 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 xResidential Commercial JOB SITE: 0 ?C) 2/(/ ; //d z,v t2i `e vti Zip: Owner's Name: Telephone Number: Mailing Address: City: Zip: Contractor's Name: L Z E fJ -e ) Telephone Number: ?C 7-4/9 y-$25-C Mailing Address: r/ ' g L c, ,.(), City:/YJ - Zip: ç '7/ / 11as 7� PLUMBING FIXTURE SCHEDULE FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER TYPE FL FL TYPE FL FL /Water Closet / 3 Floor Drains Lavatory / l S Sewer Ejector Bathtub / Z Laundry Tray Shower 2 Washer f Kitchen Sink / Water Heater 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) 77o C. 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. C -43 Applicant's Signature: Date: �� DATA TIME \/ / CITY OF ORONO CALLED IN lS INSPECTION N TICE Cj Q' SCHEDULED /-/6 -0 3 j I)PERMIT NO. f0 7D ! LI COMPLETED ADDRESS 67 o W LU'ow Vi e c,J OWNER CONTR. Lee /4eCJ TELEPHONE NO. 43 2 ^ 8'05 /4 762 DESCRIPTION lee" — 13114077c12#0/- 1.... 01 FOOTING 11 MECHANICAL P 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 v 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 o COMMEN S: 4(__±_csr u., ```` Q. f 10 eCA-7 cc 0 cc 4. Ce z.,,c ,,,Ca,4-e., vJ Q / W f0 7o�R toe cc a Lu WORK SATISFACTORY:PROCEED ElPROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR 0 CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner!Contr or n stet Inspector. White Copy!Inspector's File Canary CopylSite Notice ce4 v CITY OF ORONO CALLED IN ��7 4 f TIME INSPECTION NOTIC, SCHEDULED l S Z�rf -.l PERMIT NO. J�'! VOCh COMPLETED �f ADDRESS ?-7 0 LA ) //O u J ( ...Le...L/4 OWNER CONTR. _C-e_ ;x6eir....._ . TELEPHONE NO. / t.,1-16 DESCRIPTION &/al - 0b 5 -- /6 /7 114 I 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLINp Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLAND 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 v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP U 09 PLUMBING RI 23 SEPTI FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU: YES_NO Co (1 COMMENTS: cc LLJQ. CC O Utile Ems` U O >. CC O U. W CC Q W Z W CC IS tum WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 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 CI CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next ins ction 24 hours in advance. (952) 249-4600 Owner/Contractor of sitez\ Inspector. 4(---' White Copy/Inspector's File \- Canary Copy/Site Notice