HomeMy WebLinkAbout2004-P07779 - plumbing � �- PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 Po���9
Crystal Bay, Minnesota 55323 Permit Type: FiX�ures
(952) 249-4600 Date Issued: s�3i2ooa
SITE ADDRESS: 140 Brown Rd S
Long Lake,MN 55356
PID: o3-i i�-23-i2-ool i
DESCRIPTION:
Proposed Use: Kesidential
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
also gas line to the dryer
FEE SUMMARY: Permit Fee: $ 150.00 Valuation: $ 12,000.00
State Surcharge Fee: $ 6.00
TOTAL FEE: $ 156.00
APPLICANT: Standard Plumbing&Applicance OWNER: Mr. &Mrs. Coleman
8015 Minnetonka Blvd 140 Brown Road S
St. Louis Park,MN 55426 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 [SSUED BY S GNATURE
Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1
CITY 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 f OB
SITE.
3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners residing in the
dwelling.
4. When any ne�v 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 be�ore 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) 249-4G00.
Please check one: New � Addition Repair _'l� Replace
�� Residential Commercial
JOB SITE: � � a � ��c,�,.;,r-- � Zip:
Owner's Name: Telephone Number:
Mailing Address: ��p S ���.�, �,,.� y City: Zip: �
Contractor's Name: l Telephone Number:9�`� �9.��-°--����
Mailing Address: �i � � �„ �" City: �E �g Zip: :�y�
PLUIVIBING FIXTURE SCHEDULE
FLXTURE BSMT 1 ST 2ND OTHER F[XTURE BSM 1 S 2ND OTHER
TYPE FL FL TYPE T T FL
FL
Water Closet � � Floor Drains
Lavato � f Sewer E'ector
Bathtub � Laundr j
Shower � Washer
Kitchen Sink Water Heater
Dis osal Water Softener
Dishwasher Wet Bar
Sillcocks Misc list
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PERMIT 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 service.
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.
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�; Skip next section; Cost of Permit $ 15.00
� State Surcharge $ .50
� Mail In Fee $ 1.50
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If above does not apply, follow guidelines below:
l. Contract Price* is .0125 % of job with a Minimum Fee of L$35.00)
i�.. Dv� x .0125 $
(contract price) (minimum$35.00)
2. State Surchar�e. ** Add the State Building Code Division a (Minimum Fee of $ .50)
x .0005 $
�' (contract price) (minimum $ .50)
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� 3. Posta�e and Handlin� (Only mail-in applications) $ 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 permitted work
including materiafs, labor, profit, and other fixed costs. lt is the amount to be charged to the customer for the work
done. lf any material, equipment, labor, or installation are furnished by the owner, tenant or any other party the
reasonable markel 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 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 m de on this application are complete, true and correct.
Applicant's Signature: ! ��' ��¢� Date: �'�`� �
Reset Form
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DA�T+—E n TIME
CITY OF ORONO CALLED IN *� v
INSPECTION N�TICE SCHEDULED /U�'o0
PERMIT NO. C�� 7�q COMPLETED
ADDRESS i y��ro�� ��� �-
OWNER CONTR. �'� Y� C�rc� �1UM�'J�
TELEPHONE NO. Cs1 I al c��7� � e�����
� DESCRIPTION ��`�l�
lL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y
Q 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
� 07 -FINAI. 15 SEPTIC INSTALL. 22 FOLLOW-UP
09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING L , � 36 FOUNDATION/REMOVAL
� OWNE CONTRACTO TO MEET YOU:_✓YES_NO
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W _ WORKSATISFACTORY:PROCEED LI PROJECTCOMPLETE
� ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the n xt inspection 24 hours in advance. (952� 24J-46O0
Owner/Contract ite:
�nector.
"�Copyllnspector's Fi Canary CopylSite Notice