HomeMy WebLinkAbout2007-P10738 - plumbing PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: p10738
Crystal•8ay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued:
1/31/2007
SITE ADDRESS: 2010 Colin Dr Unit#
Long Lake,MN 55356
P��� 03-117-23-21-0014
DESCRIPTION:
Proposed Use: Residential
Permit Class: Plumbing
Permit Type:
Fixtures Permit Sub-type(s): Kitchen Sink
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pemut Fee: $ 35.00 valuation: $ 1,500.00
State Surcharge Fee: $ 0.75
Misc.Fee: . $ 1.50
TOTAL FEE: $ 37.25
APPLICANT: Jayco Plumbing Inc. OWNER: Douglas Franchot III
10510 Hidden Valley Dr. 2010 Colin Dr
Rogers,MN 55374 Long Lake MN 55356
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIF[ED
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 PI3RMITEE SIGNATURE UED BY SIGNATURE
Copies: 1-File(Signa[ures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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I)ate Reeei��ed: Pe�7uit=
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�j "�.. �.' ('rc,tallia�.l�fNii1�2 lpprntedB�: .amount'�.
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CiTY OF ORONO- PLUMBIi�tG PERMIT
(All Commercial permits musl be a{�roved by thc f3uilding C�Tcial or Irrspedor)
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(�ENF,RAL INFORMATION
1 You may apply for pin��ing permits by mail or in person at the City o�ces. Applications will be
reviewed and a pern►i!�vill be issued within two working days.
..>.. Pcnnil cards will be sent by�eturn mail afler a neview is completed. PERMITS ARE NOT
VAl_.II) IJNTti..YOU RECEIVE A PERMIT. WORK MUST IVOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Pltimbin�;permits rnay be iss��ed OiVI,Y to licensed pinmbing contractors and to pmperty owners
residin�in thc dwclling.
4. When any new constnaction or remodcling is involved,a separatc building pennit must be
�btai ned.
�. All�vork musl be done in accordance with State Code requirements.
6. Al(�iork must be inspected and air tested before it is covered Call(952)249-4600.
(24-4R hoor notice required)
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TYPE OF PERMIT
__ _____ — --- (Check All That A�pIY)
�f2esi�leiiii;il ❑Commcrcial(Approval Required)
� Nt«� ❑ Additional
❑Repaiis �Replace
C�l ���.�����f•���,�, ��„�G������>
"Y�ii«_ill necd prior auuro�al aud ma� i�ecd l,'l)I'. (PerOrono Cin Code. C�l��pler 7K, Ailicle IVl
f�h Site � O��vne� lnfonnation: ,_�
Site Acidress: �OI U -? a L� � �, �-.
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(�)wner:_�._r���o-+- Mailing Address: ��I n �(.,� ,� %�- _
r��t�, C�r_�, � z�r� SS s�
H�me (�hc�ne� _q�a— �-�-'�3- l,Q�$ Atternate Phone:
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Conrractrn (nformation: �
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('�ntractor: S� � � �► ��� y��ntact Person: � (�Q�� ��
Adc�r-ess: I USIo �-�d�er� �
t ?� t t �, , I�-�, . State Bond #: _��_� S ZO_��-G
�+��Y �,�,�«�'�_ Zip:553��--ExpirationDate: �2�3i ti�Loo-7
P}1On�� ��3"Z`�� Z� ��I Alternate Phone:
❑ lnsurance-- Current:
1
PI;UMBINGFIXTUR�S B'EINGr',INSTALLED ` `
FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER
�ypg FL FL TYPE FL FL
Water Closet Floor Drains
Lavatory Sewer Ejector
Bathtub Laundry Tray
Shower W asher
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Miscellaneous
,
: : .
: PE�IT FF�E G P�.,CTJLA.T�ON(S)
' . B.A�FT� �F� -200� STA�'E`S'I'AT�.TE �'
❑ Yes, this section applies
The replacement of a Residential fixture or appliance that meets all three of the following requuements:
1. Does not require modification to electrical or gas service.
2. I�as a total cost of$500.00 or less; excluding the cost of the fixture or appliance: and
3. Is improved, installed or replaced by the homeowner or licensed contractor.
Skip next section, if this applies; Cost of Permit $ 15.04
State Surcharge � .50
Mail-In Fee(If Applicable) $ 1.50
'�'otal�ermit�'ee �
(�ermit�ees Continued On Next Page)
�
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J_ _ _ ___ __ PERIvIIT FEE CALCLTLATION(S)—JOBS OVER$500.00
r
1f atxn�e does not:�pl}; follow guidelines below:
I. CONTRACT PRICE *is 1.25%of contractprice with a{Minimum Fee of�35.00)
� SU�-U D x .Oi25$ �J �•(UO
(contracl pricc) (minimum$35.(Xl)
2. STATE SORCAARGE ** Add Ihc State Bldg Code Div. Surcltarge(Minimum Fee of�.51))
I �D,fi D x.0005 $ . 7 S
(contract pnce) (minimum$ .50) �---
3. POSTAGE c4c HANDLING(Only on Mail-In Applications) $____ 1.50
-1. TOTAI,PERMIT FEE(Add Lines I-3 Above) $ �j � , � S�
• * ('ONTRACT PRTCE or JOB COST means thc acival or eslimated dollar amoont charged for the
pemiitted work including malerials, labor, pro�t,and other lixed costs. 11 is the aanounl to be charged
to the castomer for the work done. lf arry material, equipment, labor or installations are furnished by
thc o�vner_ tenant or any other party, the re�sonable market value of such items must be added to tl�e
estimatcd cost or contract price for permit fee putposes. In the evcnt that therc is a dispute on the
amounl of liie.job cast, Ihe City may request tl�e submission of a signed copy of ll�e actual contracl.
• *'� The STA'1'F StIRCHARGE is .0(H�_5 of the contract price under�1,000,0(Ki or$.SO—whicliever is
greatcr For�,ah�ations over$I.(?00,000 calt the Building Deparlment at(952)249-4fi00 forthe price.
�_ _ ___ ______PLUMBING PERMIT APPLICATION AGREEMENT
The unde►-sr�ned hercby applies to ihe City for issuance of a Plumbing Permit, agrees to do all
�vork in strict accordance with the ordinances of the City and the regulations of the Statc of
Minnesota, and certifies that all statements madc on this application arc complcte, tnie and
correct.
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Appliclnt's Si�nah�re: �� Date: � ; Z � i(� 7
Reset Form
3
�� DAT TIME
CITY OF ORONO �ED IN �-�
INSPECTION N I E SCHEDULED �' _'� �
PERMIT NO.� � � COMPLETED
ADDRESS ��/D C�G�2/ �V
OWNER CONTR.
TELEPHONE NO. 3 �
� DESCRIPTION �'� G���� ���''-`
� 01 FOOTING 11 MECHANICAL RI 18 EXCA / ADING/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 OS 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 PLUMBI AL 36 FOUNDATION/REMOVAL
� OWNE O RACTOR T EET YOU: YES_NO
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W WORKSATISFACTORY:PROCEED f� PROJECTCOMPLETE
� ❑CORRECT WORK&PROCEED �� ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETURN �-] CITATION ISSUED
C STOP ORDER POSTED.CAL�INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-46��
Owner/Contracto ite:
Inspector.
White Copyllnspector's ile Canary CopylSite Notice