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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. � )�V���'1 ,/�� 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 � f 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$: ��}��+��vo/ (952)249-4600 `„aesoa, 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/ � � Address: ��y� 5� ✓`�7� 5� State Bond#: J�� Z �S � � �/f 2� City: �� �C�1. � Zip:/ "�'`1� Expiration Date: f 2'—� �'' � � Phone: �/y Z �z �'���' � Alternate Phone: ❑ Insurance-Current: ��Ui�C� ��-j���— 1 � � �, �:'����`,.����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 � 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) 2 � � ,�� `R�T FEE CAL � ,� ,�,_ �� �`��'. ����±�R'�� ��k If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00) ����� � � 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 '� � ,' �.�. ��ry 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/ ! � �,i�, � ,��� Qset Form A '.��i.- .� 3 �'� ��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: � W � � J O � � O � W � Q � 2 W � W � � d � WORK SATISFACTORY:PROCEED f i PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ^ ISSUE CERTIFICATE OF OCCUPANCY � ❑ 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: � W C o �$ �R�� U!�i Ul� a � 0 � W � Q � 2 w � W � � W� �VJORK SATISFACTORY:PROCEED �ROJECT COMPLETE W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY 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. � � White Copyllnspector's File Canary CopylSite Notice _ �G �� � �� � 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 � � ❑ 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 � W � � J O a � O � W � Q ti 2 W � W � j a W WORKSATISFACTORY:PROCEED L� PROJECTCOMPLETE � 7 CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W 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