HomeMy WebLinkAbout2003-P06886 (plumbing fixtures) � � PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 P06886
Crystal Bay, Minnesota 55323 Permit Type: FiXcures
(952) 249-4600 Date Issued: ioii3�2oo3
SITE ADDRESS: 2120 Carriage La
I.ong Lake,MN 55356
P I D: 10-117-23-24-0036
DESCRIPTION:
Proposed Use: Kesidential
Permit Class: Plumbing
Pernut Type: Fixtures Pernut Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: Perniit Fee: $ 35.00 Valuation: $ 2,800.00
State Surcharge Fee: $ 1.40
TOTAL FEE: $ 36.40
APPLICANT: Hokanson Plumbing&Heating Inc. OWNER: C. Decker&Bonnie Velie
9174 Isanti Street NE 2120 Carriage La
Blaine,MN 55449 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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APPLICA PERMIT$E GNATURE ISSUED BY SIGNATCTRE �
Copies: 1-File(Si�nitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessing, 1-Finance Page 1
PERMIT FEE CALCULATION(S)
2002 State Statute ❑ Yes, Tlus Section Applies
The replacement of a Residential fixture or a�pliance 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.
Skip next section; Cost of Permit $ 15.00
State Surcharge $ .50
Mail In Fee $ 1.50
t If above does not apply, follow guidelines below:
,:
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� 1. Contract Price* is .0125 % of job with a Minimum Fee of ($35.00)
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�� Z.�D�� x .0125 $
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� ( ontract price) (minimum$35.00)
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;; 2. State Surcharge. ** Add the State Building Code Division a (Minimum Fee of$ .50)
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;
�: x .0005 $
�' (contract price) (minimum$ .50)
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? 3. Postage and Handlin� (Only mail-in applications) $ 1.50
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�� 4. TOTAL PERMIT �'EE (Add lines 1-3 above) $
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` * CONTRACT PRICE or JOB COST means the actual or estimated doilar amount charged for the permitted
�, work includinD ffiaterials, 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 fiunished by the owner, tenant or
I;
iany 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 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 made this applicatio e complete, true and
correct.
.
Applicant's Signature� ' � te: %G� �,� �.�
CITY OF ORONO APPLICATION FOR P�,�TMBING PEItMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, 1VIN 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 retum mail after a review is completed. PERMITS ARE NOT VALID UNTIL
YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PER.�tifIT CARD IS POSTED ON
THE JOB SITE.
3. Plumbing permits may be issued O�iLY to licensed plumbing contractors and to property owners residing
in the dwelling.
4. When any new construction or remodeling is involved, a separate building germit 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 (952) 249-4600. 24-hour notice
required.
Instructions Complete all items on this application. Compute the permit fee. Sign and date the
certification. INCOMPL�TE APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call (952) 249-4600.
Please check one: New �,r Addition Repair Replace
Residential Commercial
JOB SITE: � �. � � �,¢�,��� Zip:
Owner's Name: �e ��— Telephone Number:
Mailing Address: City: �;�U (�� Zip:
Contractor's Name: J.{��.,4�,�aJ' �; �_g Tele hone i�Tumber: � �-`7 y��-�7� �
Mailing Address:� ( �� `����, �i /��' , City: � c� Zip: "�'��' �
PLUMBING FIXTgJRE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
Lavato Sewer E'ector
Bathtub Laun Tra �
Shower �/ Washer g�
Kitchen Sink Water Heater
Dis osal Water Softener .
Dishwasher Wet Bar
Siilcocks Misc (list)
CITY OF ORONO CALLED IN /C~�3 'U3 TIME
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INSPECTION NOTICE SCHEDULED �v-�y-3 ,��
PERMIT NO. C��S p COMPLETED
ADDRESS �� �� �-�=�i�;ic_�.,� Lc�,�
OWNER CONTR. ��n�d►'�
TELEPHONE N0. �C� -� �g��I �-�7�C Z-
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� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE FiEMOVAL
Z04 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
= PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J BIF�FI 36 FOUNDATIOWREMOVAL
� OWN ONTRACTS�R MEETYOU:;S_NO
� COMMENTS:�
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W� �ORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
�INSPECT(ON RE�UIRED.CALL TO ARRANGE ACCESS.
Call for the neyct inspection 24 hours in advance. �95Z� Z49-4600
OwnerlCo r�r�n ite:
Inspector. `� —
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