HomeMy WebLinkAbout2001-P03733 (plumbing-fixtures) a
� � PERMIT
C I TY O F O RO N O Permit Number:
2750 Kelley Parkway - PO Box 66 Po��33
Crystal Bay, Minnesota 55323 Permit Type: F�Xtures
(952) 249-4600 Date Issued: 4i23i2oo1
SITE ADDRESS: 2140 Carriage La
LONG LAKE, MN 55356
P I D: 10-117-23-24-003 5
DESCRIPTION:
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PTOpOSeCI USe: nc�[ucu�iai
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Fixtures>3
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 212.50 Valuation: $ 17,000.00
State Surcharge Fee: $ 8.50
TOTAL FEE: $ 221.00
APPLICANT: Victoria Plumbing OWNER: Scott Winton
5985 Marsh Lake Road 2140 Carriage Lane
Victoria,MN 55386 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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APPLI AN PE ITEE SI ATUR , ISSUED BY SIGNATURE
Copies: City,Applicant,Assessor, Finance Page 1
CITY OF ORONO APPLICATION �OR PLUMBING PERIVIIT
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 retum mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTII. 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 certif'ication. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call 249-4600.
Please check one: �New Addition Repair Re lace
P
� Residential Commercial
JOB STTE: 1 �-C� � .-f ` �- Zip: �� 3.�j �
Owner's Name: � Telephone Number: �--
Nlailing Address: £ �r � � � � C CitY� � ct. �� ZiP� �5 �� �
Contractor's Name: � � � ; rJ �� Te�ephone l�umber: �sal���- C�,3�
Mailing Address: �p L�,�,��-�� City: Zip:��L^��
PLUMBING FIXTUIZE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BS�iT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet �. � Floor Drains �
Lavarory � Sewer Ejector
Bathtub � Laundry Tray
Shower Washer
Kitchen Sink � Water Heater '
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Misc (list)
PERMIT TEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
� � � x .0125 $
(co tract price)
2. State Surchar�e. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $
(contract price)
or $.50, whichever is greater
�� 3. Postage and Handlin� (Only mail-in applications) $ 1.50
�; 4. TOTAI, PERMIT FEE (Add lines 1-3 above) $
* CONTRACT PRICE or JOB COST means the actual or estimated dollaz amount charged for the permitted
�� work includin materials, labor, rofit, and other fixed costs. It is the amount to be charged to the
S P
customer for the work done. If any material, equipment, labor,or installation are furnished by the owner,
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 Ci�y may request the submission of a signed copy of the actual contract. �
** The STATE SURCHARGE is .00OS of the contract price under $1,000,000 or $.50 - whichever is
greater. For valuations over $1,000,000 call the Department of Inspectional 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 Ciry and the regulations of the State of
Minnesota, and certifies that all statements made on ttus application are complete, true and
correct. .
�' � •a e: Date:
Applicant s Si�natur
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�,� � DATE TIME
CITY OF ORONO �� CALLED IN
INSPECTIO NOTICE SCHEDULED =_`��
PERMIT NO. • �� COMPLET `�~��� �
ADDRESS ( C% �C�-�l�c�-c _ G�,� .
OWNER CONTR. I
TELEPHONE NO. �'�j� -' �'!Q "�l� �
� DESCRIPTION ������'�,f '�/�
� 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 REMOVAL
Z04 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 COMPLAINT
� 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
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� . MMENTS:
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W� ❑WORK SATISFACTORY:PRQCEED ❑ PFiOJECT COMPLETE
W �ORRECT WORK 8�PROCEE� ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL FETURN
�STOP ORDER POSTED.CALL�NSPECTOR
❑C�TATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-46��
OwnerlCon or on site:
Inspector.���a'�'/'�'7�
White Copyllnspector's File Canary Copy/Site Notfce
� � �
DATE TIME
CITY OF ORONO CALLED IN =r��
INSPECTION NOT SCHEDULED ��d � M
PERMIT NO. -� COMPLETED �2- -d� 2'� �'
ADDRESS �-��C� ��k:�-e- LG�-�
OWNER Gt.��.%l�/� � CONTR. C�O�/c'l� � l�
TELEPHONE NO. Cr� `r� - �i��� �� Ci C�
� DESCRIPTION ��G��i f�q � �-�
lt� 01 TING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
02 fRAMiNG 13 MECHANICAL 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 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
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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Q�J�a/VORKSATiSFACTORY:PROCEED ❑ PROJECTCOMPLETE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION RE�UIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-46��
OwnedContr tor on site:
Inspector,�%��c���G-�w��
White Copyllnspector's File Canary CopylSite Notice
DAT TIME
CITY OF ORONO CALLED IN y� �
INSPECTION NOTI SCHEDULEO =� ��L� �"�}
PERMIT N0.�r�3,�33 COMPLETED Z l �i��J
ADDRESS �1_� _ ,�=�v�� L.c,t.---:�..-,
OWNER �� .ti fz/� CONTR. �i c 15'r;'t� p/rit���%r,
TELEPHONE NO. ��/ � y�� a I S�
� DESCRIPTION___ ��t/.� �Z
� 01 FOOTING 11 MECHANICAI RI 18 EXCA`//GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVA�
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 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= P UMBIN 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACT TO ME YOU:_YES_NO
� COMMENTS: � � ~ ' .� / � 4 �
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W �ORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
4 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CAIL INSPECTOR
O INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-46��
OwnerlContra on site:
,
Inspector.
White Copyllnspector's File Canary CopylSite Notice