HomeMy WebLinkAbout2004-P08008 - plumbing " R PERMIT
CITY OF ORONO Permit ►vumber:
2750 Kelley Parkway - PO Box 66 Pogoog
Crystal Bay, Minnesota 55323 Permit Type: FiXr�es
(952) 249-4600 Date Issued: 9i29i2oo4
SITE ADDRESS: 819 Brown Rd N
Long Lake,MN 55356
PID: 27-118-23-34-0005
DESCRIPTION:
Proposed Use: Kesidential
Pernut Class: Plumbing
Perniit Type: Fixtures Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: PernutFee: $ 125.00 Valuation: $ 10,000.00
State Surcharge Fee: $ 5.00
TOTAL FEE: $ 130.00
APPLICANT: Area Wide Plumbing OWNER: Franz&Kersten 7evne N
9989 190th St. 819 Brown Rd N
Silver Lake,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 REQUIREMENTS.
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APPLICANT PERMITEE SIGNATURE ISSU BY SIGNATURE
Copies: 1-File(Sienitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
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CITY OF ORONO APPL[CATION FOR PLUMBING PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
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GENERAL INFORMATION
1. You may apply for plumbing permits by mail or in person at the City oifices.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU
RECENE A PERMIT. WORK Ml)ST NOT BEGW 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
d�velling.
4. When any new construction or remodeling is involved, a separate buildina permit must be obtained.
5. All�vork must be done in accordance with the State Code requirernents.
6. All work must be inspected and air tested before it is covered. Call (952) 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 (952) 249-4600.
Please checic one: X New Addition Repair Replace
� Residential Commercial
JOB SITE• �� � � n GD /��
ro��� �.o�, ` Zip:
Owraer's Name: Telephone Number:
� Mailing Address: City• Zip•
Contractor's Name: �-Q� t,E3:� P f���,� G��z. Telephone Number: �952� ��.z - t�9 7
Mailin gAddress: °�'�S� �qo �-. C i t y: S:�v e�L y�E Z i p: � 5 5 3�/
PI.UIVIBING F[XTURE SCHEDULE
FIXTURE BSMT 1 ST 2ND OTHER FIXTURE BSh� 1 S 2ND OTHER
TYPE FL FL TYPE T T FL
FL
Water Closet � � Floor Drains i
Lavator � �� Se�ver E'ector
Bathtub � � Laundr Tra t
Shower � Washer � P
Kitchen Sink � Water Heater
Dis osai � Water Softener
Dishwasher � Wet Bar
Silicocks � Misc list
PERM[T FEE CALCULATION(S)
2002 State Statute ❑ 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 sen�ice.
2) Has a total cost of �500.00 or less; excludin the cost of the fixture or appliance: and
3) Is improved, installed or replaced by the homeowner or licenced contractor.
Skip next section; Cost of Permit $ 15.00
State Surcharge � .50
Mail In Fee $ 1.50
If above does not apply, follow guidelines below:
1. Contract Price* is .Ol 25 % of job with a Minimum Fee of ($35.00�,
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(contract price) (minimum $35.00)
2. State Surchar�e. ** Add the State Building Code Division a (Minimum Fee of $ .50)
�i ����'� G x .0005 $
contract price) (minimum$ .50)
3. Postage and Handling (Only mail-in applications) $ 1.50
;
4. TOTAL PERMIT FEE (Add lines 1-3 above) $
* CONTRACT PRICE or f OB 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 iurnished by ihe 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 ihe job cost, the City may request ihe 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 51,000,000 call the Department of Inspection 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 plica ion are complete, true and correct.
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Applicant s Signature: ����,1 � ��s���-�m-- Date: � � � �
i�eset Form
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DAT TIME
CITY OF ORONO CALLED IN 'v� � / �a�
INSPECTION NOTICE SCHEDULED �
PERMIT NO. �O�c'�'`��� COMPLETED
ADDRESS 5���` ���w� /L._P� ,�
OWNER CONTR. �r��- �� ��
TELEPHONE NO. �5� ��1� S�� �
� DESCRIPTION
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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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 O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPIAINT
� 07 15 SEPTIC INSTALL. 22 FOLLOW-UP
� 09 PLUMBi RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J G FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W ORK SATISFACTORY:PROCEED Cl PROJECT COMPLETE
� ❑CORRECT WORK 8 PROCEED G ISSUE CERTIFICATE OF OCCUPANCY
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O ❑ CI�RRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN
INSPECTOR WlLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the nex in ection 24 hours in advance. (952� 24J-46��
Owner/Contra sit :
Inspector.
White Copyllnspector's File Canary Copy/Site Notice