HomeMy WebLinkAbout2007-P11746 - plumbing PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: p11746
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued: 12/11/2007
SITE ADDRESS: 2135 Colin Dr Unit#
Long Lakc, MN 55356
PID: 03-117-23-21-0016
DESCRIPTION:
Proposed Use: Residential
Permit Class: Plumbing
Permit Type:
Fixhues Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate permits rcquircd:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 valuation: $ 1,150.00
State Surcharge Fee: $ 0.58
TOTAL FEE: $ 35.58
APPLICANT: Doug Linden Inc OWNER: Mr. &Mrs. David Healy
5747 SE 57th St 2135 Colin Drive
Delano, MN 55328 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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APPLICAtiT PERMITC-F S[G\ATURE [SSUED Y SIGNATURE
Copies: 1-File(Sig�:atirresReq«i�-ed), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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FOR CTTY USE O'.YLY
�„��, City of Orono
�� � P.O.Box 66 Date Received: Permit#
� u,;,.,,,, ' 2750 Kelley Parkway
� ��'���.�'` �i Crystal Bay,MN 553?3 Approved By: Amount$:
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CITY OF ORONO—PLUMBING PERMIT
(All Commercial permits must be approved by the Building Official or Inspector)
GENERAL INFORMATION
1. You may apply for plumbing permits by mail ar 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 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 State Code reyuirements.
6. All wark 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 nrior aaproval and may need CUP. (Per Orono City Code,Chapter 78,Article N)
Job Site/Owner Information:
Site Address: _ � / J� `7 �CU l/ati �'�� 4/ �
Owner: ���C� Mailing Address: �% 3� ��l!�--� ��",
City: (��/�'�✓L cG Zip:
Home Phone: Alternate Phone:
Contractor Information: �
Contractor: ✓ ^ 6-�/L��p,,e��d[(; Contact Person: �C%c/ �
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Address: ��y� 5� ✓`�7� 5� State Bond#: J�� Z �S � �
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City: �� �C�1. � Zip:/ "�'`1� Expiration Date: f 2'—� �'' � �
Phone: �/y Z �z �'���' � Alternate Phone:
❑ Insurance-Current: ��Ui�C� ��-j���—
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�, �:'����`,.����4� ':'., p�MBING F' .; .. S BE1NG INSTALLED �` ������ � �=.h,.=
FIXTURE BSMT 1 2`D OTHER FIXTURE BSMT 1 2 OTf-IER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
Lavatory Sewer Ejector
Bathroom Laundry Tray
Shower Washer
Kitchen Sink / Water Heater
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Disposal � Water Softener
Dishwasher % Wet Bar
(
Sillcocks Miscellaneous
� � PERMIT FEE CALCULATION(S)
BASED OFF - 2002 STATE STATUE
❑ Yes,this section applies
The replacement of a Residential fixture or appliance 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; 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(If Applicable) $ ].50
Total Permit Fee $
(Permit Fees Continued On Nezt Page)
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� ,�� `R�T FEE CAL � ,� ,�,_
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If above does not apply;follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00)
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X .o�2s $
(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 for 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 for the price.
�- .�,, �'�,�., . ��PLUMBLNG PERM�':I��'�Z�;A;�'XC�Z�AGREEMENT '� � ,'
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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 statem made on this application are complete, true and
correct.
Applicant's Signature: Date: 2 l/ ! �
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,��� Qset Form A
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�'� ��I� {X� �`/,�,' v`�AT TIME
CITY OF ORONO CALLED IN �z-�/ O� �
INSPECTION N I � SCHEDULED I a J�-�7�
PERMIT NO. COMPLETED
ADDRESS �l � -
OWNER CONTR. -�� I�
TELEPHONE N0. r � ' �'c-�-�
� DESCRIPTION ��-1 ` 1
� ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GR DING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL
� ❑ WALL BD.
Z ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
J ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTI INAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINA� ❑ FOUNOATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
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� ❑ CORRECT WORK,CALL FOR RE�NSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑ CORRECTUNSAFECONDITIONWITHIN HOURS. r� pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the xt inspection 24 hours in advance. (J52� 249-4600
Owner/Contra�,ctep site:
Inspector.
White Copylinspector' File Canary Copy/Site Notice
� DATE TIME "
CITY OF ORONO CALLED IN �-�
INSPECTION TICE SCHEDULED �-aa-o :,3b
PERMIT NO. � COMPLETE.�,,
ADDRESS �Z� ���
OWNER CONT . �%L-P�!'C�
TELEPHONE NO. ��0� —� 7" a —� � �
� DESCRIPTION T � I �
� ❑ FOOTING � MECHAN RI ❑ EXCAV/GRADING/FILLING
Q ❑ FR,4MING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
Q ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑��OMPLAINT
Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. �" FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YO :�YES NO
� COMMENTS:
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O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN
INSPECTOR WILL RETUFN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REOUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952� 249-46��
OwnerlContractor on sit :
Inspector. �
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White Copyllnspector's File Canary CopylSite Notice
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DATE TIME
CITY OF ORONO p�,a,�CALLED IN � v
INSPECTION �TICE r SCHEDULED SD /D�
PERMIT NO. ' ,! � COMPLETED ��
ADDRESS a�•3J"r �l�`L- ���'�-C�U'e�
OWNER CONTR.�t'�{�1�1 /2�1�7
TE�EPHONE NO. �S�- �f 73 - /D`�-F
�- DESCRIPTION !�-�-> �O� - r
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� ❑ FOOTING ❑ MECHANICAL ❑ EX /GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL
� ❑ WALL BD.
Z ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
W ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
❑ PLUMBING FINAL
v ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMME
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR r CITATION ISSUED
G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe nex�inspection 24 hours in advance. �952� Z49-46Q�
OwnerlContr or ite:
�
Inspector.
White Copyllnspector's File Canary CopylSite Notice