Loading...
HomeMy WebLinkAbout2001-P04027 - plumbing PERMIT CITY OF ORONO 2750 KPlley Parkway - PO Box 66 Permit Number: Po4o2� Crystal ��y, �Vlinnesota 55323 Permit Type: FlXcures (952) 249-4600 Date Issued: �i3�2oo1 SITE ADDRESS: 809 Brown Rd N L.ong Lake,MN 55356 P I D: 27-118-23-3 4-0006 DESCRIPTION: Proposed Use: Kesidentiai Permit Class: Plumbing Permit Sub-type(s): Multiple Fixtures Permit Type: Fixtures DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 547.94 Valuation: $ 43,835.00 State Surcharge Fee: $ 21.92 Misc. Fee: $ 1.50 Mail In TOTAL FEE: $ 571.36 APPLICANT: P�Ymouth Plumbing&Heating OWNER: Jerad Hahn 6909 Winnetka Avenue N 809 Brown Rd N Brooklyn Park,MN 55428 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. ��� -.�-w- � ���-� APPLICANT PERMITEE SIGNATURE [SSU BY SIGNATURE Copies: 1-File(Sienitures Reauired), 1-Aoplicant. 1-Monthlv Reoorts. 1-Assessin�. 1-Finance Page 1 � � �'ITY 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 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������, questions, call 249-4600. •���� � �d0� Please check one: New Addition Repair Replace Residential Commercial ��� � �r�RONO JOB STTE: rd�� Zip: Owner's Name: c, Telephone Number:�. I �U- � Mailing Address: �{� City: ����� Zip: Contractor's Name: � Telephone N ber�'" 3 33-� Mailing Address: City: Zip� � PLUMBING FIXTURE SCHEDULE FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER TYPE FL FL TYPE FL FL Water Closet � d� /-� Floor Drains Lavatory Sewer Ejector Bathtub 3 Laundry Tray i Shower � Washer � Kitchen Sink � Water Heater �, Disposal � Water Softener � Dishwasher Wet Bar Sillcocks S Misc (list) � � PERMIT :'EE CALCULATION + . 1. 1.25% of Contract Price* or Minimum Fee ($35.� ' 1-��'t���i .GC,� x .0125 $ ��{'�], q� (contract price) 2. State Surcharge. ** Add the State Building Code Division Surcharge to each permit. t-� �j, `�'JCj ,�(� x .0005 $ �. < <� � (contract price) or $.50, whichever is greater 3. Postage and Handlin� (Only mail-in applications) $ 1.50 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ 5`7 (� * 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 pernut fee purposes. In the event that there is a dispute on the amount of the job cost, the Ci:� .^.:�, r:yuest the submissior, cf a sigr.e� copy of the actual contract. ** The STATE SURCHARGE is .00u� oi �ne cu���racc price under $1,000,000 or $.50 - whichever is greater. For valuations over $1,000,000 call the Department of Tnspectional 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. Applicant's Signatu : Date: — �DATE T�E�� CITY OF ORONO CALLED IN INSPECTION NOTIC� SCHEDULED �3C PERMIT NO._ �' i Q y^ COMPLETED � � , O •�a ADDRESS ���.�� �Y��`-�^ 1�GY . OWNER ' CONTR. ( ��U-`� `� � TELEPHONE NO. �LP 3 �3� ��� � DESCRIPTION ` {�� ' �� � Ot FOOTING 11 MECH ICAL I 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANIC 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 OS FINAL 14 SEWER HOOK-UP O6 PFOGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP W 09 PLUMBIN I 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL ' � 36 FOUNDATION/REMOVAL � ERICONTRACTOR TO MEET YOU:_YE NO � C MENTS: " '���`''��� �� � a � /G<e j �� s / o • �2 � � k-��-- d�--. o s- s .-� � W Q� � -� � ss z - W � W � � � � J/ d W� WORKSATISFACTORY:PROCEED �OJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContra r on site: Inspector.� ��/J-� White Copyllnspector's File Canary Copy/Site Notfce