HomeMy WebLinkAbout2003-P06848 - floor drain PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 P06848
Crysi�l Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued: io�2�2003
SITE ADDRESS: 2010 Colin Dr
Long Lake,MN 55356
P I D: 03-117-2 3-21-0014
DESCRIPTION:
Proposed Use: Kesidential
Pernut Class: Plumbing
Permit Sub-type(s): Floor Drains
Pernut Type: Fixtures
DETAILS:
Approved per resolution#:
Separate permits required: Other-(Silicocks&Floor Drains)
NOTICES/REMARKS:
Plumbing RI only,will pull seperate permit for fixtures at a later date
FEE SUMMARY: PernutFee: $ 50.00
Valuation: $ 4,000.00
State Surcharge Fee: $ 2.00
TOTAL FEE: $ 52.00
APPLICANT: owner/Self OWNER: Douglas Franchot III
MN 2010 Colin Dr
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 � v [SSUED BY SIGNATURE
Copies: 1-File(SiQnitures Required), 1-Avnlicant, 1-Monthlv Reports, 1-Assessin�. 1-Finance Page 1
. --�- P E RM IT
CITY OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 P06848
Crys'�al Bay, Minnesota 55323 Permit Type: FiXcures
(952) 249-4600 Date Issued: io�2�2003
SITE ADDRESS: 2010 Colin Dr
Long Lake,MN 55356
PID: 03-117-23-21-0014
DESCRIPTION:
Proposed Use: Kesidential
Pernut Class: Plumbing
Pernut Type: Fixtures Permit Sub-type(s Sillcocks
Floor Drains
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
Plumbing RI only,will pull seperate permit for fixtures at a later date
FEE SU�IIMARY: Permit Fee: $ 50.0o valuation: $ 4,000.00
State Surcharge Fee: $ 2.00
TOTAL FEE: $ 52.00
APPLICANT: Owner/ elf OWNER: Douglas Franchot III
MN 2010 Colin Dr
Long Lake MN 55356
THE UNDERSIGNED HEREBY QUE S PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WO IN RICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE IREMENTS.
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AP ICANT PERMITEE SIGNATURE SSUED BY S[GNATURE
Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 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 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 (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) 249-4600.
Please check one: New �'Addition Repair Replace
Residential Commercial
JOB SITE: 2v 1 L> C� (i��l �,f1 � � ZiP' SS 3�(F:
Owner'sName:�t���- �.,, �=�c_n�_I�} c�� ,r TelephoneNumber:
Mailing Address:7�iO C�:{ �;.� �d ��„���,��;A City: - �..CLIe.L Zip: �°�3��
Contractor's Name: ��� m Telephone Number:
Mailing Address: Z�.;�c� C�,i ,�� ��'" City: p,.�„�c;��l� Zip: ��,��
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains t- ✓�
Lavato Sewer E'ector
Bathtub Laund Tra
Shower Washer
Kitchen Sink Water Heater
Dis osal Water Softener
Dishwasher Wet Bar
Sillcocks � Misc (list)
PERMIT FEE CALCULATION(S)
2002 State Statute ❑ Yes, This Section Applies
The replacement of a Residential fixture or a�liance 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; excludinQ 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 Pernut $ 15.00
State Surcharge $ .50
Mail In Fee $ 1.50
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;' 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)
, x .0125 $
(contract price) (minimum$35.00)
�: 2. State Surcharge. ** Add the State Building Code Division a (Minimum Fee of$ .50)
f
� �G�, x .0005 $
�_ (contract price) (minimum $ .50)
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� 3. Postage and Handling (Only mail-in applications) $ 1.50
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� 4. TOTAL PERMIT FEE (Add lines 1-3 above) $
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; * 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 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 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 Pernut, 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
conect. �___._. ..
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Applicant's Signature: �� c.�� • ti:i� G�-�1 c�.c:�>c �-`--- Date: I�Cv 2 ��
�4/� � DATE TIME �
CITY OF ORONO CALLED IN Ld-.3
INSPECTION CE SCHEDULED /o/o�-dS �
PERMIT NO. � COMPLETED
ADDRESS a�l� �-�'��
OWNER�/ CONTR. VQ,GII°/� � �_
TELEPHONE NO. 7� 3 77 � ��D3
� DESCRIPTION -�Z�`�l
� 01 FOOTING 11 MECHANICAL RI 18 AV/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 06 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
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W WORK SATISFACTORY:PROCEED � PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
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O ❑CI�RRECT WORK,CAIL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑ CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR W4LL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR '� CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for th n xt inspection 24 hours in advance. (952� 249-46��
OwnerlContr or ite:
Inspector.
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