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Home My WebLink About2007-P11708 - gas line inspection PERMIT CITY O,F ORONO Permit ►vumber: 2750 Kelley Parkway - PO Box 66 P11708 Crystal Bay, Minnesota 55323 Permit Type: Fixtures (952) 249-4600 Date Issued: 11/27/2007 SITE ADDRESS: 2630 Countryside Dr W Unit# Long Lakc, MN 5535C PID: 04-117-23-12-0015 DESCRIPTION: Proposed Usc: Residential Permit Class: Plumbing Permit Type: Fixhzres Permit Sub-type(s): Gas Line Inspection DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: Gas Line On Fireplace FEE SUMMARY: Permit Fee: $ 35.00 valuation: $ 1.00 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 35.50 APPLICANT: Steinkraus Plumbing Inc. OWNER: Todd&Katherine Urness ll2 E. Sth St., Suite 101 2630 Countryside Drive W. Chaska,MN 55318 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. {� �l � � (�, �,"p �1 �%� �" C\�' � l.C�- � ��;��/� APPLICA\T PFRVIITEE SIG'VATURE ISSUED BY SIGNATURG Copies: 1-File(Signatures Reqiiired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page l � 1 FOR CITY USE ONLY Cit of Orono �� P.O Box 66 Date Received: Permit# a�., 2750 Kelley Parkway � �'� �� ` �I Crystal Bay,MN�5323 Approved By: Amount$: ��!��.�� (952)249-4600 � �� 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 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 return mail after a review is completed. PERMITS ARE NOT VALID Ui�iTIL 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 Required) ❑ New ��Additional ❑Repairs ❑Replace ❑ In Accessory Structure? *You will need prior apnroval and may need CUP.(Per Orono City Code,Chapter 78, Article IV) Job Site/Owner Information: Site Address: ��(„ �;� C.��:.�;�,� �C.� F, �, � Owner: L�^�iG�S �z5�c��'��,�t� Mailing Address: City: �r n:�<� Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: '�",�Kva„�� +�I�.�-� . �, Contact Person: � ,� Address: il,� �E `�X'' �-}� State Bond #: �31`'f�"'� City: C��u�K� Zip: 55 3i� Expiration Date: Phone: ��5,,�—3�•I- �I �`� Alternate Phone: �15� ��- �i J 44 ❑ Insurance—Current: 1 �. � �;�� '�' � � URE� $'�'' 'INSTALLED ��k � � �;',�,'� �: �,� FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL VVater Closet Floor Drains Lavatory Sewer Ejector Bathroom Laundry Tray Shower Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous �C�S (' n�. 17Y� �tr��`�C.e. � YERMIT FF,E 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 Permit $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 1.50 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 .� PERMIT FEE C� . . " . .... ��. .' .�. '�''��T ��..:�� ER$SQ0.00. `'�`" ' ��. -� ��.: If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1?5%of contract price with a(Minimum Fee of$35.00) � ��J � X .ol2s $ "`� , �:� (contract price) (minimum$35.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of�.50) �L,:;�� x .0005 $ ., `�J (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ■ * CON'I`RACT 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 Buildina Department at(952)249-4600 for the price. PLUMBING PERMIT'APPLICATION AGREEM �, �,z'�r`��'�w'" � "'� .�' The undersigned hereby applies to the City far 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: - Date: /�/ 7 J"� ��. F�� Resef Form �� +4',, 3 �� p — " T TIME CITY OF ORONO CALLED IN /�� INSPECTION NO ICE SCHEDULED /07-5-07 �,� PERMIT NO. �7Og COMPLETED ADDRESS OWNER C NTR. ��%�� ' TELEPHONE NO. ` 5Z 3l0/ � l z cS � DESCRIPTION ��'-' � �� ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS � ❑ 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. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q � Z W � W � � O W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY W � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. G PHOTOTAKEN INSPECTOR W4LL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46QQ OwnerlContractor si Inspector. � White Copyllnspector's File Canary Copy/Site Notice �� F��, TIME � x CITY OF ORONO CALLED IN � v"'-� �� INSPECTION I�TIC SCHEDULED �� .� :.. PERMIT NO. COMPLETED ADDRESS �� • OWNER CONTR. �{��f'\ /��z�`'�f/� TELEPHONE NO. �� " �1��1� � /,., �� /? � DESCRIPTION �`�'��fJ" �� 1�J` � ❑ FOOTING ❑ MECHANI AL 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. ❑ FOLLOW-UP Q _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL v ❑ PLUMBING FIN,4L ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O >. � O � W � Q � Z W � W � � d W WORKSATISFACTORY:PROCEED - ROJECTCOMPLETE � ❑CORRECT WORK&PROCEED r 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.CAII{NSPECTOR �CITATION ISSUED C INSPECTION REQUIRED.CALI TO ARRANGE ACCESS. Call for the nex inspection 24 hours in advance. (952� 249-4600 OwnerlContrac�pn 'i e: Inspector. �-�j White Copyllnspector's File Canary CoRy/Site Notice