HomeMy WebLinkAbout2006-P09936 - plumbing PERMIT
CITY O� ORONO
Permit Number:
2750 Kelley Parkway- PO Box 66 Po9936
Crystal Bay, Minnesota 55323 Permit Type:
Fixtures
(952) 249-4600 Date Issued:
6/2/2006
SITE ADDRESS: 800 Brown Rd N Unit#
Long Lake,MN 55356
P��� 34-118-23-11-0007
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: $ 0.00
State Surcharge Fee: $ 0.50
Misc. Fee: $ 1.50
TOTAL FEE: $ 17.00
APPLICANT: Owner/Self OWNER: Meg&Jon Pendleton
� 800 Brown Rd N
Long Lake,MN 55356
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEM,�NTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO DI NCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
.
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APPL[CANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
PERMIT
CIT�''OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P09936
Crystal Bay, Minnesota 55323 �`-, Permit Type: Fixtures
(952) 249-4600 �\ Date Issued:
6/2/2006
SITE ADDRESS: 800 Brown S � Unit#
Wayzata, 55391
PID: 03-117-23-43-0005 ,
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: $ 15.00 ``y�aluation: $ 0.00
� .,.,,�
State Surcharge Fee: $ 0.50 `�
�
��Misc. Fee: $ 1.50
TOTAL FEE: $ 17.00 �
APPLICANT: Owner/Self OWNER: Jon&Meg Pendleton ''
��N 350 North Arm La
Mound,MN 55364
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.
s
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APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page l
PERMIT
GITY �w ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P09936
Crystal Bay, Minnesota 55323 Permit Type:
Fixtures
(952) 249-4600 Date Issued: 6/2/2006
SITE ADDRESS: 800 Brown Rd S Unit#
Wayzata,MN 55391
PID: 03-117-23-43-0005
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: $ 0.00
State Surcharge Fee: $ 0.50
Misc � SD
TOTAL FEE: $�'
��i.b
APPLICANT: Owner/Self OWNER: 7on&Meg Pendleton
NIN 350 North Arm La
Mound,MN 55364
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING COD EQUIREMENTS.
�
AP ICA PERMITEE SIGNATURE [ SUED BY SIGNATURE
Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
� � , � FOR CITY USE ONLY
City of drorro
¢�'� P.O.Box 66 Date Received: Pennit#
��x;,- � 2750 Kelley Parkway
�i A roved B Amount$:
(�� � ��: � Crystal Bay,MN 55323 PP Y�
`����'���"�..o'` (952)249-4600
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CITY OF ORONO—PLUMBING PERMIT
(All Commercial permits must be approved by the Building Official or Inspector)
GENERAL INFORMATION
1. You may apply for plumbing permits by mail or in person at the City offices. Applications will be
reviewed and a pernut will be issued within two working days.
2. Pernut 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 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 A ly)
�Residential ❑ Commercial(Approval Required)
❑ New ❑Additional ❑Repairs �Replace
❑ In Accessory Structure?
*You will need prior approval and may need CUP. (Per Orono City Code,Chapter 78,Article IV)
�Job Site/Owner Information:
Site Address: ��G� <�►'OwY1 �,L:'CtC�� I�Ur��
� � /,,� f
Owner:. E' ��� ���'l� Mailing Address: ��+`�i
City: ��C�nT� �- Zip: `����(C2—
Home Phone: C��� �a� �`��� Alte�rnat�e Phone: �''S oL_ �p�(�_� �Z���
Contractor Information:
--__
Contractor; ��--� Contact Person:
Address: � �"�._ State Bond#:
City: Zip: Expiration Date.
Phone: Alternate Phone:
❑ Insurance — Current:
1
` � • �
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 r Washer r
�
Kitchen Sink � Water Heater
Disposal ( Water Softener
Dishwasher i Wet Bar
Sillcocks i cellaneou� I
u� ice mal�z�
- PERMIT FEE CALCULATION(S)
BASED OFF - 2002 STATE STATUE
�, Yes, this section applies
The replacement of a Residential fixture or appliance that meets all tlu�ee of the following requirements:
1. Does not require modification to electrical or gas service.
2. Has a total cost of$500.00 or less; exclud' s f the fixture or appliance: and
3. Is improved, installed or replaced b e homeowner r licensed contractor.
Skip next section, if this applies; Cost of Permit $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $ �'1. �
(Permit Fees Continued On Next Page)
2
� • . .
PERMIT FEE CALCULATION(S)—JOBS OVER$500.00
If above does- ply; follow guidelines below:
1. CONTRAC RICE *is 1.25%of contract price with a(Minimum Fee of$35.00)
x.0125 $
(contract price) (minimum$35.00)
2. STATE SURCHARGE **Add State Bldg Code Div. Surcharge(Minimum Fee of�.50)
x.0005 $
(coniract pr (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applicatio $ 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 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.
PLUMBING PERMIT APPLICATION AGREEMENT
TY:e undersigned hereby applies to the City for issuance of a Plumbinb Permit, ab ees 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: b
�
3
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NO I F SCHEDULED ('o` 7-G�¢'
PERMIT N0. ��� � � COMPLETED
ADDRESS �i.'U YJ�711.�'� �� �
OWNER CONTR.
TELEPHONENO. -�CU j"� j�/�� '�(�� O�/�/�
� 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
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
"1 INAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
PLUMBIN AL 36 FOUNDAT�ON/REMOVAL
� NTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� T��lORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑C&RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR W4LL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR '�CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. �95Z� Z49-46��
OwnerlContractor on site:
Inspector. � �
White Copylinspector's File Canary CopylSite Notice