HomeMy WebLinkAbout2005-P08566 (plumbing) PERMIT
CITY OF ORONO Permit ►vumber:
2750 Kelley Parkway - PO Box 66 P08566
Crystal Bay, Minnesota 55323 Permit Type: FiX�res
(952) 249-4600 Date Issued: a�4�2oos
SITE ADDRESS: 3760 Bayside Rd
Long Lake,MN 55356
PID: OS-117-23-21-0022
DESCRIPTION:
Proposed Use: Kesidentiai
Pernut Class: Plumbing
Permit Type: Fixtures Pernut Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: PermitFee: $ 162.50 valuation: $ 13,000.00
State Surcharge Fee: $ 6.50
TOTAL FEE: $ 169.00
APPLICANT: Plymouth Plumbing&Heating OWNER: Steve&Alyson Murray
12270 43rd Street NE 3760 Bayside Rd
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 SI'RICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMITEE SIGNATURE SSUED BY SIGNATURE
Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports. 1-Assessine, 1-Finance Page 1
C��'Y OF ORONO APPLICATION FOR PLUMBING PER1dIIT
Box 66 (2750 Kelley Parkway)
Crystat �ay, NFN ��323
GENERAL �Fr'ORMATION
1. You may apply for plumbing pernuts by mail or in person at the City offices.
2. Permit cards will be sent by return mail after a review is compieted. 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. ��hen any ne�v coastruction or remodeling is invo:ved, a separate building permit must �e 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 SI'I`E: O • ( t�'-�.�_� Zip:
dwner's Name: -2c�- �eiephone N�mber:
1Vlailing Address: City: Zip:
Contractor's Name: • > ' � Telephone l�Tumber: '7(� 3 �!1� 6� �
1V�ailing Address: C �lU� '�� City: `�t ��l'L�'��y.r_.�ZiP= 5�
PI,LTI�BING FIXTLJRE SCHEDUI.E
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet �-- � Floor Drains
Lavator} � Sewer Ejector
Bathtub � Laundry Tray
Showcr ' `J�asher
Kitchen Sink Water Heater
rJisposal Water Softener
Dishwasher � Wet Bar �
Sii1COCi�S i � , ` i �1SC �IiStj �
c
PE12I�'��rr r,�� �-�,r�r�r ���nlv
�i i iu c.. �, c1 iiv �
1. 1.2s% of Contract P:ice* or 1Vlinimu:n Fee 3�.04
-C"��=��-' x .0125 $
(contract price)
2. State SurcharQe. ** Add the State BuildinQ Code Division
Surcharge to each permit. x .0005 $
(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) $
� CvivT�=.,",CT PRICE or 30B COST means the accual cr estimated dollar ameunt char�ed for the permitted
work including materials, labor, profit, and other fixed costs. It is the amount to be charged to the
cus[omer 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 Ci�y may request the submission of a signed copy of the actual contract.
** The STATE SURCHARGE is .0005 of the con�ract price under $i,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
con-ect.
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Applicant's Signature: � � �� Date:
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CC� D 9TE TIME
CITY OF ORONO CALLED IN S /O�OS�
INSPECTION N T C SCHEDULED � � �
PERMIT NO. S�O�O COMPLETED
ADDRESS 37�0 ��il��'� ��
OWNER CONTR. �i�
TELEPHONE NO. 7l0 3 02 CS��O �•3�
� DESCRIPTION"�k�G��p "�
� 01 FOOTING �� 1 ME�H�,�Q�(�/��}{�`i%rL�/jy^ / 18 EXCAV/GRADING/FILLING
Q 02 FRAMING �3 M�fCH ,1�ICAL�FINAL ��/ 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS 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
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑COFRECT WORK&PROCEED C! ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REfNSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WlLL RETItRN
❑STOP ORDER POSTED.CALL INSPECTOR '� CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (J52� 249-4600
Owner/Contr n ' e:
Inspector. �
White Copyllnspector's F e Canary CopylSite Notice
� D TIME �
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CITY OF ORONO CALLED IN
INSPECTION TI SCHEDULED — % �
PERMIT NO. connP�ErEo,
ADDRESS 37100 �� �
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OW N ER CONTR. �������
TELEPHONE NO. a�6 ��0
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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Q 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
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMM S:
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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
❑ CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the xt inspection 24 hours in advance. (Q52� 249-46��
Owner/Contr r n ite:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
� DA TIME �
�
CITY OF ORONO CALLED IN �'��
INSPECTION N TICE SCHEDULED :
PERMIT NO. COMPLETED
ADDRESS D
OWNER CONTR. �
TELEPHONE NO. �l0� ad � T{��
� DESCRIPTION � ��
� 01 FOOTING 11 MECHANIC 18 EXCAV/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 O6 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
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� ❑ CORRECT WORK&PROCEED �i ISSUE CERTIFICATE OF OCCUPANCY
0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR '� CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cail for the n xt inspection 24 hours in advance. (952� 249-4600
Owner/Cont r ite:
Inspector. `
White Copyllnspector's Fil Canary CopylSite Notice