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.
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APPLICANT PERMITEE SIGNATURE [SSU BY SIGNATURE
Copies: 1-File(Sienitures Reauired), 1-Aoplicant. 1-Monthlv Reoorts. 1-Assessin�. 1-Finance Page 1
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�'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.
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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)
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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
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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