HomeMy WebLinkAbout2006-P10228 - plumbing� �� PERMIT
�'ITY OF ORONO
Permit Number:
2 50 Kelley Parkway- PO Box 66 P1o228
` Crystal Bay, Minnesota 55323 Permit Type:
Fixtures
(952) 249-4600 Date Issued:
8/17/2006
SITE ADDRESS: 2630 Countryside Dr W Unit#
Long Lake,MN 55356
PID: 04-117-23-12-0015
DESCRIPTION:
Proposed Use: Residential
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Mulriple Fixtures
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: PermitFee: $ 81•25 valuation: $ 6,500.00
State Surcharge Fee: $ 3.25
TOTAL FEE: $ 84.50
APPLICANT: Thompson Plumbing OWNER: Todd&Katherine Urness
15001 Minnetonka Ind.Rd. 2630 Counh-yside Drive W.
Minnetonka,MN 55345 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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PLICANT PER ITEE SIGNATURE -� ISSUED BY SIGNATURE
Copies: 1-File(Signatures Reguired), ]-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
, �OR C1TY USE>ONLY ' '
� 0���� City of Orono
P.O.Box 66 Date Received: Permit#
2750 Kelley Parkway
�� , Crystal Bay,MN��323 Approved By: Amount$
�`����,o� (g52)249-4600
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CITY OF ORONO-PLUMBING,PERMIT
(All Commercial permits must be approved by the Building�C3f�rcial or[nspector)
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1. You may apply for plumbing permits by mail or in person at the City offices. Applications will be
reviewed and a permit wi11 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 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 Reyuired)
❑New �Additional ❑Repairs ❑Replace
❑ In Accessory Structure?
*You will need prior apnroval and may need CUP. (Per Orono City Code,Chapter 78,Article IV)
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�, ,V �,��+��cn��information:
Site Address: ' � �� � •
Owner� c'r1 ��,�,,�� c��' Mailing Address: � c�v. ' ��� L�l�.
city: �U�'��� zip: ���`�b
Home Phone: Alternate Phone:
�Contractor rnformatioa�.
Contractor: ��;,��1��� Contact Person: ���0.s�c�.�Q�1�Er-,
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Address: State Bond#: 3�' Jl�3k0 --1�
THOMPSON PLUMBiNG CORP
City: 150fl1 MINNETONKA IN •�_ Expiration Date: /� ' ��-o b
MKdid�E��tb�idtttt 5
Phone: ���-�3'S' ��"�l� Alternate Phone: '�� •
❑ Insurance-Current:
1
FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 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 �
Sillcocks Miscellaneous
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❑ Yes,this section�plies
The replacement of a Residential`fixture or ap�liance that meets a1J�tl�iree of the following requirements:
1. Does not require modification to electrical or g�s service.
2. Has a total cost of$500.00 or 1e�ss;excludin�the cost of the fixture or appliance: and
3. Is improved, installed or replaced b�the homeowner or licensed contractor.
Skip next section, if this applies; ,,{ Csst of Permit $ 15.00
% ' State' rcharge $ .50
Mail-In (If Applicable) $ 1.50
Total Permit ee $
(Permit Fees Continued On Next Page)
2
�": ¢�L1LA7'IUN(S}-14�3S OVER$500,0() ---�
If above does not apply;follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00)
���J(�j G� x.0125 $���
(contract price) (minimum$35.00)
2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
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`p�`'— ,��, x.0005 $ �J���
(conuact price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ -�—.
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ g�t � �
■ * 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.
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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 statements made on this application are complete, true and
correct.
Applicant's Signature�: / �Q�, �(�,�Y�c�,C� Date: g-/(o �d(�
Reset Form
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CITY OF ORONO ���CALLED IN ��' ` _ ��'
INSPECTIO I E � SCHEDULED /�- �S -0 � �� ���
PERMIT� �� COMPLETED
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OWNER CONTR. C� �
TELEPHONE N0. ��� ���?�7�� �
� DESCRIPTION
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� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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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
� 07 OEMO- 15 SEPTIC INSTALL. 22 FOLLOW-UP
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PLUMBING RI _� 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J LUMBIN 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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INSPECTOR WILL RETl1RN
-7 CITATION ISSUED
❑STOP ORDER POSTED.CALLINSPECTOR
C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-4600
OwnerlContractor on si,��:
Inspector. � �
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Z 04 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 NARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU�YES_NO
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INSPECTOR WILL RETURN
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❑STOP ORDER POSTED.CALL INSPECTOR
C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next insp�ction 24 hours in advance. (J52� 24J-4600
OwnerlContra�tor on sit�: `
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CITY OF ORONO CALLED IN ��--�g��,
INSPECTION I�`J� 7a� SCHEDULED �'� ����
PERMIT NO. � �` COMPLETED
ADDRESS �3� � ��
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TELEPHONE NO. �SZ < �3 ��l 7
� DESCRIPTION '— ��'�''=��
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� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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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
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
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INSPECTOR W4LL RETURN
u CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the n xt inspection 24 hours in advance. (952� 249-4600
OwnerlContra o ite:
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White Copyllnspector's File Canary CopylSite Notice
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I CITY OF ORONO CALLED IN " �'(1 �
INSPECTION OTICE SCHEDULED -�� I(1'UU.�
PERMIT NO. ' � � � COMPLETED
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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
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
r09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
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❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
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❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-4600
OwnerlContractor o site• �
Inspector. ��1� � �
White Copyllnspector's File Canary CopylSite Notice