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HomeMy WebLinkAbout2006-P10096 - plumbing PERMIT CITY OF ORONO 2750 I�elley Parkway- PO Box 66 Permit Number: p10096 Crystal Bay, Minnesota 55323 Permit Type: Fixtures (9�2) 249-4600 Date Issued: 7/12/2006 SITE ADDRESS: 767 Boulder Dr Unit# Long Lake,N1N 55356 PID: 33-118-23-11-0006 DESCRIPTION: ,ePSld�.f��..e Proposed Use: g�}�.}�y.. Permit Class: Plumbing r�t��X�z�c.¢-c Permit Type: Fixtures Permit Sub-type(s): �- DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 131.25 valuation: $ 10,500.00 State Surcharge Fee: $ 5.25 TOTAL FEE: $ 136.50 APPLICANT: Thoen Plumbing OWNER: Paula Zachman P.O.Box 44010 2466 Dunwoody Ave Eden Prairie,MN 55344 Wayzata,MN 55391 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. �— � � �. ;'/ /C-� � � � � (' C�C,��1 /�� PLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 , FOR CITY USE ONLY • ,�` City of Orono O�O`rO P.O.Box 66 Date Received: Permit# � �,;,;.. 2750 Kelley Parkway ,��,+�� �, ' �� j'..-.;�� � Crystal Bay,MN�5323 Approved By: Amount$: ���,���;�.$$o (952)249-4600 �'+$;�Ho CITY OF ORONO-PLUMBING PERMIT (All Commercia]permits must be approved by die Building Official or Inspector) GENERAL INFORMATION 1. You may apply for plumbing permits by mail or in person at the City offices. Applications will be reviewed and a pernut will be issued within two working days. 2. Pernut cards will be sent by rehu�n mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORIi MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Plumbing pernuts 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 pernlit 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 Apply) [�'Residential ❑ Commercial(Approval Required) ❑ New ❑Additional ❑ Repairs ❑ Replace ❑ In Accessory Sn-ucture? *You will need prior approval and may need CUP. (Per Orono City Code,Chapter 78,Article IV) Job Site/ Owner Information: � Site Address: ,/'� �7 � � �. 1 �--=�- � `"- Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: �y Contact Person: � b� iJ Address: �� �� Lf��'/� State Bond#: �"��-� City: �� �w (���-��-'` ZiphS3`-��xpiration Date: ���� 3 � � �' � Phone:`�� ��� •�3`�'7� AlternatePhone: ��- `���'� �'�`�-� ❑ Insurance- Current: 1 PLLTMBING FIXTURES BElNG INSTALLED ' FIXTURE BSMT 1 2' OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet ( � Floor Drains ( Lavatory � _'� Sewer Ejector �_ Bathtub I � Laundry Tray i I Shower / Washer ( Kitchen Sink I 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; excludinQ 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 Pernut $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 1.50 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 , PERMIT FEE CALCULATION S -JOBS OVER,$500.00 ' If above does not apply; follow guidelines below: 1. CONTRACT PRICE *is 125%of contract price with a(Minimum Fee of$35.00) /�� �� x .0125 $ (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 pemut 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 Deparnnent at(952)249-4600 for the price. PLUMBING PERMIT APPLICATION AGREEMENT 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 statements made on this application are complete, true and correct. —�——� a Applicant's Signatu Date: ��� ���' 3 2 oJ'- D TE TIME �/ � CITY OF ORONO CALLED IN �'� INSPECTION N IS', SCHEDULED ��-D � PERMIT NO. � COMPLETED � ADDRESS � OWN ER CONTR. TELEPHONE NO. lO /o? 7�9 a �l��`� � DESCRIPTION ! �l�Yl�/�/ �l�� � ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ 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 � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT J ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FO�LOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBI ❑ FOUNDATION/REMOVAL � OWNER/ ONTRACTORTOMEETYOU: YES NO � COMMENTS: a - ,w�-�- �4�--�6L �-� � C�� � � J O � � O � W � Q � Z W � W � � a W TORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY � �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT �A ITHIN HOURS. � pHOTOTAKEN �fl ECTOR RN - ❑ CITATION ISSUED �STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-46�0 OwnerlContrc�n site• inspector. White yllnspector's File Canary CopylSite Notice W/LL/� f „ /� �� I L� " DATE TIME��, CITY OF ORONO CALLED I�j 7 -�a INSPECTION N I E / scHE�u�Ed��Y� � PERMIT NO. D� CO COMPLETED � �� �. L� ADDRESS 7�7 U'�`� � � OWNER CONTR. TELEPHONE NO. 7 5 a 9�� .S-3�J' 7 � DESCRIPTION � . �'� tL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/N/ETLANDS � O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP ? �PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a o � . � n c��e1�(rlc�ur•�-) � I b "iZ�S-�- C� � � 0 � w � Q � z w � w � � a WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑ ORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY 0 C CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ��; pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CAIL{NSPECTOR -�CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� 249-46QQ OwnerlContractor on�si�: / Inspector. � I White Copyllnspector's File Canary CopylSite Notice � ..� DA�j (��, TIME � I+ITY OF ORONO 'I'I CALLED IN � /�`�� �� � INSPECTION TI E SCHEDULED '� PERMITNO. �� COMPLETED � �'��' � ADDRESS /� 7 „[��I l'I�' �/'/ ✓� OWNER CONTR. / !� T//���-�✓ TELEPHONE N0. �/ � � ����1�c� Y � � DESCRIPTION lL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 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 J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP _ �LUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � w a j o j � ] b S f�.s .i ��r-'i ps �--or{, � � � � �. � r-�.�,� s �, S�v,- r�� � �.�-�S � Q � z W � W � j d W� ORKSATISFACTORY:PROCEED Cl PROJECTCOMPLEfE W ❑ RRECT WORK&PROCEED '_-' ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REOUIRED.CAIL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. �95Z� 249-4600 OwnerlContractor on s'te: inspector. White Copyllnspector's File Canary CopylSite Notice