HomeMy WebLinkAbout2001-P04692 (plumbing-fixtures) ` � PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 P04692
Crystal Bay, Minnesota 55323 Permit Type: F�Xtures
(952) 249-4600 Date Issued: t2i4i2oo�
SITE ADDRESS: 2155 Carriage La
L,ong Lake,MN 55356
PID: to-i»-2�-2t-ooto
DESCRIPTION:
Proposed Use: Kesictential
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 312.50 Valuation: $ 25,000.00
State Surcharge Fee: $ 12.50
TOTAL FEE: $ 325.00
APPLICANT: Hokanson Plumbing& Heating Inc. OWNER: lohn Rohse
9174 Isanti Street NE 2155 Caniage 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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A LICANTPER I �ESIGNATURE ISSUEDBYSIGNATURE
Cooies: 1-File(SiQnitures Required).1-Apolicant. 1-Monthlv Reports, 1-Assessine. 1-Finance Page 1
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CITY OF ORQNO APPLICATION FOIt PLUIV�ING PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORNIATION
1. You may apply for plumbing permits by mail or in person at the City offices.
2. Pemut 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 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 WII.L NOT BE PROCESSEI�. If you have
questions, call 249-4600.
Please check one: New Addition Repair Replace
_�� Residential Commercial
JOB STFE: �l s'� (�r�r���1c L�r��z zip:
Owner's Name: � �,�, <� �,� Telephone Number:
Mailing Address: City: Zip:
Contractor's Name: �{o JL���s�r� �/�� Tele hone Number: ���-7Sy-y7��
Mailing Address: g/ 7� �s� �;' S�_ City: �/�i v� Zip: S S�i'S��
PLUMBING �TURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet � � Floor Drains ��
Lavatory � Sewer Ejector
Bathtub � Laundry Tray
Shower � Washer
Kitchen Sink Water Heater �--
Disposal Water Softener
Dishwasher Wet Bar �
Sillcocks � 1Vlisc (list)
PERMIT FEE CAI.CULATION
1. 1.25% of Contract Price* or 1Vlinimum Fee ($35.00)
�T�p� x .0125 $
(contract price)
2. State Surchar�e. ** Add the State Building Code I�ivision
Surcharge to each permit. �� ��� x .0005 $
(contract price)
or $.50, whichever is greater
3. Postage 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 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 furnished by the owner,
tenant or any other party the reasonable market value of such items must be added to the estimated cost
or co�ltract price for pemut fee purposes. In the event that there is a dispute on the amount of the job cost,
the Ciiy 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 Jnspectional 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.
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Applicant's Signature: �� �- ���`�—�- Date: J�
"� DATE TIME
CITY OF ORONO � CALLED IN �
INSPECTION NO, CE SCHEDULED � )n
PERMITNO. Cy�c�(a-- COMPLETED �� � �
ADDRESS �� ��c�'rca� �
OWNER CONTR. ���� �
TELE�H�NE N�. �P�'' ��U' �-I��� c�
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� DESCRIPTION � V��� ,..�-l_t6'l�l-�% '
� 01 FOOTING 11 MECHANICAL RI 18 EXCA�//GRADING/ ILLING
Q 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 FINA 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES NO
� COMMENTS:
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WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑CORRECT WORK&PROCEED ^ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL AETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. �952� 249-46Q�
OwnerlContr tor si e:
Inspecto
Whi e Copylinspector's File Canary Copy/Slte Notice