HomeMy WebLinkAbout2006 - P09615 - plumbing PERMIT
dill OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: P09615
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued:
2/23/2006
SITE ADDRESS: 1050 Willow View Dr Unit#
Long Lake,MN 55356
PID: 28-118-23-41-0011
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: $ 35.00
Valuation: $ 1,900.00
State Surcharge Fee: $ 0.95
Misc.Fee: $ 1.50
TOTAL FEE: $ 37.45
APPLICANT: R M Mechanical OWNER: Konstandinos&Cristina Nicklow
6545 Clemnta Ave. SW 1050 Willow View Dr
Montrose,MN 55363 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.
A,
C42-e_
APPL ITEE SIGNATURE
G It SUED BY SIGNATURE
G TURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
Feb-21-2006 01:I4am From-CITY OF ORONO +9522484616 T-086 P002/004 F-253
! FOR",CIITY VSE'ONLY: ,
J o -. City of Orono Dati'Rcceivad:. • • : Prnnii A
p$ O P.O.Box 66 ._.•
...
2750 Kelley Parkway
ApproV aY ATriorint$
q i I C7721 Bay,MN 55323 .., .
(9S2)249.4600
CITY OF ORONO—PLUMBING PERMIT
(All Commercial permits mint be approved by the Building Official or Inspector)
r> �AL"nh'ORMATIOrr' _J
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. WORN MUST NOT BEGIN UNTIL THE
PERMIT CARD I5 POSTER 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
(CheC1All.That App1Y) .. ,..
Jil Residential 0 Commercial(Approval Required)
0 New 0 Additional 0 Repairs ❑Replace
❑ In Accessory Structure?
'"You will 1 need nrJpr approval,and may need CIT.(Per Orono City Code,Chapter 78,Article IV)
rvl.)Site�(4wiler Issfommatioir '. I
Site Address: /050 WI.I-LC`ni )b' t&) al._.
Owner:- W 1 Mailing Address: 10 s0 I,low 4 Lo ''
City: 0 PO 0 Zip:
Home Phone: Alternate Phone:
r.Contract&Inforrnationi .. .
Contractor: e ti m ec h.,,,,t Contact Person: /14e Q`,e16 e
Address: `S 4'S Ciemevik/-/ve-s" ' State Bond#: f 4 S q 3i3 7,t.
1'tvitro,ie Zip:5-130 Expiration Date: 1 "31- 06
City: _ - -'
Phone: 7h3-‘75 3390 Alternate Phone: _ 1 2-190-1544
0 Insurance—Current: ¶Lues JVS A 6Pvc y
1 x763-6n-Is-91
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Feb-21-2006 01:14am From-CITY OF ORONO +9522494616 1-066 P.003/004 F-253
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FIXTURE BSMT 1 2'' OTHER FIXTURE BSMT l" ' 2" OTFIER
TYPE FL FL TYPE FL FL
-1
Water Closet X Floor Drains
Lavatory XSewer Ejector
(—
Bathtub 'Laundry Tray
Shower Washer
Kitchen Sink
Water Heater
Disposal — Water Softener 1
Dishwasher Wet Bar
Sillcocks Miscellaneous
li4 ',,x, 1. I Ii.1, ' i 1:;1 ' q Iii:,'hilt/ K I 'r Ml�I�J'''i :'4','',11I�, l iti,I J.11L�1'I 1;,5''I'I1I I,j,;,i�,,'1,I Lf;Iij�ht.14 i',i''! + lf<1 14,I+n(4! 1
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0 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 cot 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
Mail-In Fee(If Applicable) $ 1,50
Total Permit Fee S
(Permit Fees Continued On Next Page)
2
Feb-21-2006 01:I4pm From-CITY OF ORONO +9522494616 1-086 P.004/004 F-253
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If above does not apply;follow guidelines below:
1. CONTRACT PRICE '"is 1.25%of contract price with a(Minimum Fee of$35.00)
Lt 1900 Go
x.0I25s
(c mu'eet prier) (minimum 535.00) •
2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum pee of S.50)
I �G x.0005 S •
9S
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
i
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 35
• * 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.
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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: 71.1(4.-"2 M
Date: 2 ZZ-G"t
3
DAZ TIME
CITY OF ORONO la 696/4. �((
INSPECTION NOTICE SCHEDULED a-2 //%D 0
PERMIT NO. COMPLETED
ADDRESS /°50 W///D w Vi a&L_'
OWNER CONTR. AM //(e
TELEPHONE NO. Z 'iVg() ' 513 V V
P
DESCRIPTION um./n 41—
W 01 FOOTING 11 MECHANICAL/RI 18 EXCAV/GRADING/FILLING
02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
h
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
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
r09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
▪ OWNER/CONTRACTOR TO MEET YOU: YES NO
o COMMENTS:
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ORK SATISFACTORY:PROCEED El PROJECT COMPLETE
1 CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
C) El CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
j BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector. �.� (, rjç,,,ij'
,
White Copyllnspector's File Canary CopylSite Notice