HomeMy WebLinkAbout2008-P12207 - plumbing � PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: p12207
Crystal Bay, Minnesota 55323 Permit Type: FiXtures
(952) 249-4600 Date Issued: 6/26/2008
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): Mulhple Fixtures
DETAILS:
Approved perresolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 37.50 valuation: $ 3,000.00
State Surcharge Fee: $ 1.50
TOTAL FEE: $ 39.00
APPLICANT: Blue Water Plumbing OWNER: Douglas Franchot III
5026 Alpha Road 2010 Colin Dr
Princeton,MN 55371 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 DE REQUIREMENTS.
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PI.ICANT PER TEE S . ATURE I UED BY SIGNATURE
Copies: i-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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� FOR CTTI'USE ONLY
1p,¢p�,0� City of Orono
P.O.Box 66 Date Received: Permit#
�� �E,, 2750 1�elley Parkway
1i� �s'''� �� Crystal Bay,MN 55323 Approved By: Amount$:
'�'�w°f�� u� (952)249-4600
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CITY OF ORONO—PLUMBING PERMIT
(All Commercial permits must be approved by thc Building Official or Inspector)
GENERAL INFORMATION
1. You may apply�for plumbing permits b}'mail or in person at the City offices. Applications will be
reviewed and a permit will be issued within two working days.
2. Permit cards will be sent by retum mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK ML'ST NOT BEGIN LJNTIL 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 ar remodeling is involved,a separate building permit must be
obtained.
5. All work must be done in accordance with State Code requirements.
6. All work must be inspected and air tested before it is covered. Call(952)249-4600.
(24-48 hour notice required)
TYPE OF PERMIT
Check All That A 1 )
[�Residential ❑Commercial (Approval Required)
❑ New �Additional ❑Repairs ❑Replace
�In Accessory Structure?
*You will need prior aaproval and may need CUP. (Per Orono City Code,Chapter 78,Article IV)
Job Site/Owner Information:
Site Address: �-�I CJ �� I���� i��_
Owner: Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: _!S ��c �,.,�zi ��,�k.�ontact Person: �v� k ✓��„-c�
Address: .S-�(��t� .�1,n i t�., �L� State Bond #:
City: �t'.� r�,�,, � Zip: s�-�`Expiration Date:
Phone: 7(�����i��rvi � Alternate Phone:
❑ Insurance—Current:
1
� ' � � � "��'` ' PLUMBING FTXTURES BEING INSTALLED
a,z
FIXTURE BSMT l T ���u OTHER FIXTURE BSMT 1'� 2�D OTHER
TYPE FL FL TYPE FL FL
Water Closet � Floor Drains /
Lavatory / Sewer Ejector
Bathroom Laundry Tray
Shower Washer
Kitchen Sink � Water Heater
Disposal Water Softener
Dishwasher Wet Bar /
l
Sillcocks / Miscellaneous
s
� � �'ERM1T FEE CALCULA'I'�ON(S) � �
BASCD OFF - 2002 STATE STATIJE
❑ Yes,this section applies
The replacement of a Residential fixture or appliance that meets all three of the following requirements:
1. Does not reGuire modification to electrical or gas service.
2. Has a total cost of$500.00 or less;excludine 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 $ 15.00
State Surcharge $ .50
Mail-In Fee(lf Applicable) $ L�0
Total Permit Fee $
(Permit Fees Continued On Next Page)
2
PF,RMIT F�E CALCULATION S '—JOBS OVER$500.00 �'�����e����
If above does not apply; follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00)
`30�0,vD X.o i Zs$
(contract price) (minimum$35.00)
2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of�.50)
x .0005 $
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on 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 far the work done. If any material, equipment, labor or installations 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 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$1.000,000 call the Building Department at(952)249-4600 far the price.
PLUMBING PERMIT APPLICATION AGREEMENT "��' �`� �j'$�
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 stateme made on this application are complete, true and
correct.
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Applicant's Si nature: � Date: � � - �
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TELEPHONE NO. ��' ��a3�— l v� �
� DESCRIPTION !�/ � �` / •
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Q ❑ FR,4MING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
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_ �Pi�IJMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
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V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-460�
Owner/Contractor on sit, e: .
Inspector. �J �
White Copyllnspector's File Canary CopylSite Notice
GAT�E / TIME "
CITYOF RONO CALLEDIN ��Z-S�/��
INSPECTION TIC SCHEDULED /�: D a�j �
PERMIT NO. D COMPL TED � /�
ADDRESS ��
OWNER CONTR. �
TELEPHONE NO. — 7 � �� ��
� DESCRIPTION
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Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP g SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
� � DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
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V BEFORECOVERING
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❑CORRECTUNSAFECONDITIONWITNIN HOURS. J PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �' CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� Z49-4600
OwnerlContrac r n it �
Inspecto
White Copyllnspector's File Canary CopylSite Notice
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�J��� � TIME �
CITY OF ORONO CALLED IN l lo
INSPECTION NOTICE SCHEDULED G��''*T'_ //-' -�_D
PERMIT NO./v��(�7 COMPLETED
ADDRESS dU/ �
OWNER CONTR. ��
TELEPHONE N0. - � .3 J�� OD a-- T I
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� DESCRIPTION /,U �
� ❑ FOOTING ❑ MEC ICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ ME ANICAL FINAL ❑ LAKESHORE/WETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
O ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
Q ❑ DEMO-FINA� ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J �-PtUMBING FINAL ❑ FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
�CITATION ISSUED
❑STOP ORDER POSTED.CALI INSPECTOR
0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� Z49-4600
OwnerlContractor on ite:
Inspector. � f i "� !
White Copyllnspector's File Canary CopylSite Notice