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HomeMy WebLinkAbout2005-P08825 (plumb) � PERMIT GITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: po8825 Crystal Bay, Minnesota 55323 Permit Type: FiXtures (952) 249-4600 Date Issued: 6/13/2005 SITE ADDRESS: 3845 Bayside Rd Unit# Long Lake, MN 55356 PID: OS-117-23-23-0006 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: Pernut Fee: $ 15.00 valuation: $ 350.00 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 15.50 APPLICANT: Manatee Plumbing OWNER: John&Sherri Thiesse 11525 199th Circle 3845 Bayside Rd Silverlake,MN 55381 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 REQUTREMENTS. � ^. . , �--�! �� C;�� -,�__ ���� �,.��.. -� � APPLIC PER TEE SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 � FOR C[TY USE ONLY City of Orono . O�O�O P.O.Box 66 Date Received: Permit# �,r, 2750 Kelley Parkway a "��� � Crystal Bay,MN 55323 Approved By: Amount$: � ��-- � ���'f�v�o�o` (952)249-4600 �ags CITY OF ORONO—PLUMBING PERMIT (All Commercial permits must be approved by the Buiiding Official or Inspector) GENER.AL INFORMATION 1. You may apply for plumbing permits by mail or in person at the City offices. Applications will be reviewed and a perniit will be issued within two working days. 2. Permit cards will be sent by retlun 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 pernuts 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 (Check All That Apply) [�,Residential ❑ Commercial(Approval Required) ❑ New ❑Additional ❑Repairs �eplace ❑ In Accessory Structure? *You will need prior approval and may need CUP.(Per Orono City Code, Chapter 78,Article IV) Job Site/ Owner I�iformation: Site Address: ��� W 5 �U�l S��� 4�4 Owner: \�_�1-��, e S�c' Mailing Address: �J� �e _ City: �r f�vl � Zip: Home Phone: LO►Z- 10 7�-( ��,I Alternate Phone: 7�O 3�- ��3 - d��� Contractor Information: Contractor: (�1�(:��nt��c� ��vc�►'��,n� ContactPerson: OV b�� Address: �i�ZS I��h L i rLI� State Bond#: City: S�!��f (<<k� Zip:��j Expiration Date: Phone: (Q l 2 - +l 5b �I 1 � Z Alternate Phone: � ❑ Insurance—Current: � � � 1 � ���' �' � ii � � � ; ' �� �� ��, � � �i ,� � " '4 � � � � �*�.� i � 5 �, i� � ��li � �'� � �'', .� ""& '� �, � ? �r �� �� k a PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sink i Water Heater I Disposal i Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous PERMIT FEE CALCULATION(S) BASED OFF- 2002 STATE STATUE � 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; excludin�the cost of the fixture or appliance: and '--Is-i�gr-o�ed��stalled-or-Fep�ased�3�tl���eo�eF-er-�ic-�sec�-sont�-ac-to . Skip next section,if this applies; Cost of Pemut $ 15.00 State Surcharge $ .50 - ,�arl-�x-�e�-(I�Applicable) � -1.-50— Total Permit Fee $ (Permit Fees Continued On Next Page) �i:..... P:� . I � �i � � �''• 2 u ,� ; 4 � � na ��'. _ . II � �I'�. �' � . . ' � - PERMIT FEE CALCULATION(S -JOBS OVER$500.00 If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of conn�act price with a(Minimum Fee of$35.00) '� �-', �'� x.0125$ (contract price) (minimum$35.00) 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) x.0005 $ (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on 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 pernutted wark including materials, labor, profit, and other fixed costs. It is the amount to be charged to the customer for the wark 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 puiposes. 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 conhact price under$1,000,000 or $.50 -whichever is greater. For valuations over$1,000,000 call the Building Depariment at(952)249-4600 for the price. PLUMBING PERMIT APPLICATION AGREEMENT 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: � Date: ^ - ( �-U`� fJ , � � � �� 3 , � � � � �� � � r� �; � � � � ; x � � � � � � � '�� DATE TIME CITY OF ORONO CALLED IN � v� `/ INSPECTION NOTICE � SCHEDULED ��-/�l-U� �:cx: �.�.'l PERMIT NO. �C'��Y�S COMPLETED ADDRESS "��� �J ������C , I���✓ OWNER CONTR. !�✓�th-�o�"�2.�_ TELEPHONE NO. l� �,� �-5-��. /I �� � DESCRIPTION l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � O 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 � 07 -FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP Q = 09 PLUMBIN 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 1 MBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a J � �\ O � � O � W � Q � Z W � W � � d W WORK SATISFACTORY:PROCEED PROJECT COMPLETE � ❑CORRECT WORK&PROCEED !7 ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED. ALLTOARRANGEACCESS. Call for the t inspection 24 hours in advance. (Q52� 249-4600 Owner/Contr to 't .- Inspector. White Copyllnspector's File Canary CopylSite Notice �� '`� ATE TIME � CITY OF ORONO CALLED IN ���31�� INSPECTION NOT CE SCHEDULED `7//S��C� � PERMIT NO. �� COMPLETED ADDRESS .��5�� �� ;%� / �-C- �� OWNER CONTR. �-�'-t.-�f"'��-�-- TELEPHONE NO. �-P�� �j� ���+��`��.��''� . L ���- fj�`� � � DESCRIPTION ��1f(� "`��� G'�"""-' � 01 FOOTING 11 MECHANICAL RI 8 EXCAV/GRADING/FILLINC� i 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 Z 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 � OWNERICONTRACTOR TO MEET YOU:�YES_NO � COMMENTS: � W a � � O � � O � W � Q � Z W � W � j / d Y W WORK SATISFACTORY:PROCEED L" ROJECT COMPLETE � ❑ CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY W � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. �; pHOTOTAKEN INSPECTOR W{LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for th next inspection 24 hours in advance. (J52� 249-4600 OwnerlC� r n site: Inspector. � White Copyllnspect 's File Canary CopylSite Notice