HomeMy WebLinkAbout2004-P07146 - plumbing PERMIT
CIT�� C�F ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 Po�ia6
Crystal Bay, Minnesota 55323 Permit Type: FiX�ures
(952) 249-4600 Date Issued: iisi2ooa
SITE ADDRESS: 849 Brown Rd N
Long Lake,MN 55356
PID: 27-118-23-34-0003
DESCRIPTION:
Proposed Use: Kesidential
Peimit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 265.13 Valuation: $ 21,210.00
State Surcharge Fee: $ 10.61
Misc.Fee: $ 1.50
TOTAL FEE: $ 2�'7,24
APPLICANT: Lakeside Plumbing OWNER: Hossnpat Construction, Inc.
12469 Zinran Ave. 18105 31 st Avenue N
Savage,MN 55378 Plymouth,NIN 55447
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.
Vl.�t�� � ,
APPLICANT PERMITEE SIGNATURE SUED BY SIGNATURE
Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1
CITY OF URONO APPLICATION FOR PLUMBING PERMIT
}�os b6 (27�0 Kelley Parkway)
Cry.stal �ay, NIN 55323
GENERAL INFORMATION
1. You may apply for plumbing permits by mail or in person at the City o�ces.
2. Permit cards will be sent by retum 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 pemuts 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. AlI woric must be inspected and air tested befo�e it is cov�red. Ca!1 473-7357. 24-hour notice required.
` Instructioi�� Co:nplete all item� on this application. Compute the permit fee. Sign and date
,
the certificatioii. INC0:�9PLET� APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call 473-7357.
Please check one: _� New Addition Repair Replace
Residential Commercial
JOB SITE: ��� �oc�,uJ iP.O �t/ Zip; SS3-13
� Owner's 1�1ame: G•��L1�� �f�yy,unt,E,��,c�T' Telephone Number: y�',t_ 9��- oeai�
' Mailing Address: /��� :Yw�r T �v,T.e at�3 City: /�be°��.�s Zip: �S.S,�o,�'
Contractor'sName: c�� si�� Pu,�6 � f/'T6 TelephoneNumber: �'S'.?-�`'if�-7�o0
MailingA.ddress: �'a?��Q Z��a?��✓ .s�ti,� City: �ivv.v6� Zip: �S"S3 ��'
PLUMBING �'IXTURE SCHEDULE
�:
FIXTURF BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet j � � Floor Drains �
Lavatory j o2 6 Sewer Ejector
Bathtub a Laundry Tray l
Shower J� Washer f
Kitchen Sink l Water Heater �
Disposal 1 Water Softener
Dishw:,sher � Wet Bar J
Sillcocks �j Misc (list) / '� /
. .. .. .. .: .. .... ._� . _..� .. .,..., ,..
�.. . ..: ,,. � ,. ,, ,.:.. . .�,:.. .. . . ...__ . �,.. - __,.,,, ..
PERMIT FEE CALCULA�'ION
1. 1.25% of Contract Price* or Minirnum Fee ($35.00)
�/;� ,�/�• � x .0125 $ ��.� /.�
(contract price)
2. State Surchar�e. ** Add the State Building Code Division 6�
Surcharge to each permit. �l.a.ia- "° x .0005 $ /�•
(contract price)
or $.50, wluchever is greater
3. Posta e and Handlin� (Only mail-in applicatior�s) $ 1.50
� 4. TOTAL PERA%'��' ' r (Add lines 1-3 abave) $ 0?77• ��
* CONTRtiCT 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
r, rr f r k f� ?:1 �� �t
Lsto*n_ o_the wnr__c�on�. (_�..ny mat�rial, eq �mezt, la�cr,or i.*�stullati�m ar�fa�,�ish�u Vy u�c�wnzr,
tenant or any other party the reasonable mazket 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 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.
r
Applicant's Signature: Date: /� ,�� o.,�
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DATpE TIME
CITY OF ORONO CALLED IN 7 � � ` ' ��
INSPECTION NOTICE SCHEDULED '7-I� / .�'C7f�
PERMIT NO. ��71�I � COMPLETED
ADDRESS ���1 �(�C.(�� �- N �
OWN ER CONTR.
TELEPHONE NO. ��� �`� 71��D� P ���
� DESCRIPTION
LV 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETtANDS
�
O 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 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
iLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J LUM 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W ORK SATISFACTORY:PROCEED C_l PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
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O ❑ CI�RRECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. C, pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALI INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the ne t inspection 24 hours in advance. (952� 249-46��
OwnerlCo ite:
Inspector.R�.
White Copyllnspector's File Canary CopylSite Notice
C� � •�
I DATE TIME
CITY OF ORONO � CALL IN
INSPE�TION NOTICE j��(�CQ SCHEDULED� �� -�c�
PERMIT NO. v COMPLETED
ADDRESS o �GT �C'L�V� 2� N
OWNER CONTR. ��jLe,��2 7"��,�
TELEPHONENO. 1�a �5�� �CcC� J
� DESCRIPTION � �S � �'�
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
h
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
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
Q OWNER/CONTRACTOR TO MEET YOU: YES_NO ����y,,�'
� COMMENTS: � f���� c� " .�"f ��c,�`"1^(r'i�'�'
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W _ WORK SATISFACTORY:PROCEED C� PROJECT COMPLETE
� ❑CORRECT WORK 8 PROCEED �' ISSUE CERTIFICATE OF OCCUPANCY
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0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WlLL RETURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the nex inspection 24 hours in advance. (J52� 249-46�0
Owner/Contra on it :
Inspector. 4
White Copyllnspector's File Canary CopylSite Notice