HomeMy WebLinkAbout2006-P10523 - plumbing PERMIT
'CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: P10523
Crystal Bay, Minnesota 55323 Permit Type: FiXtures
(952) 249-4600 Date Issued: 11/2/2006
SITE ADDRESS: 2635 Countryside Dr W Unit#
Long Lake,MN 55356
PID: 04-117-23-13-0007
DESCRIPTION:
Proposed Use: Residential
Permit Class: Plumbing
Permit Type:
Fixtures Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate permits requircd:
NOTICES/REMARKS:
steam unit
FEE SUMMARY: Permit Fee: $ 35.00 valuation: $ 1,800.00
State Surcharge Fee: $ 0.90
TOTAL FEE: $ 35.90
APPLICANT: Denny Holmquist Plumbing OWNER: David&Teresa Gross
1665 Yuma Lane 2635 Countryside Dr W
Plymouth,MN 55447 Long Lake,MN 55356
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL 1MPROVEMENTS 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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APPLICANT PERMITEE SIGNA RE ISSUGD E3Y SIGNATURG�
Copies: 1-File(Signatures Req�iirer!), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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FOR CITY USE OYLY
City of Orono � -' ' �
��O�O P.O.Box 66 Date Received: /f ��' Permit# ���-� ��
(� :�^,, 2750 ICelley Parkway ��
'j^�a�m � Crystal Bay,MN�5323 Approved By: Amount$: ��5. �(.�
�'�+�'r�-���o�o~ (952)249-4600
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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 pei�nits by mail or in person at the City offices. Applications will be
reviewed and a pernut will be issued witliin two working days.
2. Peimit cards will be sent by rehun 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. Plumbuig peimits may be issued ONLY to licensed plumbing conh�actors and to property owners
residing in the dwelling.
4. When any new consnuction or remodeling is involved,a separate building pernut must be
obtained.
5. All work must be done in accordance with State Code requirements.
6. All work must be inspected aud air tested before it is covered. Cal] (952)249-4600.
(24-43 hour notice required)
TYPE OF PERMIT
(Check All That A ply)
esidential ❑ Commercial(Approval Requu•ed)
❑ New �dditional ❑Repairs ❑ Replace
❑ In Accessory Structure?
*You will need prior annroval and may need CUP.(Per Orono City Code,Chapter 78,Article IV)
Job Site/ Owner Information:
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Site Address: c� � � � � ��L�c�,�- 1-'� '�-�
Owner: �GLti�.�/'�-�.�, .�-��.,�, Mailing Address: —
City: � Zip: ,�� � ��v
Home Phone: Altemate Phone:
Contractor Inforniation:
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' Contractor: �c -, � : �,, r ��i3�Contact Person: ��� z�-� � � �-�-�E� �-, � s i--'
Address: / G � ;�,-�,.�, 1... State Bond #:
City: � -� Zip: SS:.�� Expiration Date:
Phone: �L3 i4 �'� � 3��' Alternate Phone:
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Insurance– Current: ,�_
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` PLUMBING FIXTLTRES BEING INSTALLED
FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
Lavatory Sewer Bjector
Bathtub Laundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher � Wet Bar
Sillcocks Miscellaneous •� .
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� ,' - . ; . PERMIT FEE CALCULATION(S) �
" BASED �FF - 2002 STATE STATUE '' '' �
❑ Yes,this section applies
The replacement of a Residential fixture or appliance that meets all three of the foilowing requu�ements:
1. Does not require modification to electrical or gas service.
2. Has a total cost of$�00.00 or less;excluding 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)
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PERMIT FEE CALCULATION(S)-JOBS OVER $500.00
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 .0125 $
—�tract price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of�.50)
x.0005 $
(contract price) (minirnum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
4. TOT�iL PERMIT FEE (Add Liiies 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 �uiposes. 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 conn•act.
■ ** The STATE SURCHARGE is .0005 of the conn�act price under $1,000,000 or $.50—whichever is
greater. For valuations over$1,000,000 call the Building Department at(9�2)249-4600 for the price.
'PLUMBING PERIVIIT APPLICATIOIvT AGREEMENT
The undersigned hereby applies io the City fur issuance of a Plumbing Pe.-�r,it, ag:ees to do all
work in strict accordance with the ordinances of the City and the regulations of the Staie of
Minnesota, and certifies that all statements made on this application are complete, true and
correct.
Applicant's Signature: �,J��----� _�� Date: �� Z'"� ��
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DATE TIME �
CITY OF ORONO CALLED IN
INSPECTION N IC SCHEDULED �' �06 � .'
PERMIT N0. 3 COMPLETED
ADDRESS � � '
OWNER CO R.
TELEPHONE NO. 7(1� �'�7 ���J
� DESCRIPTION �� 1��'� ��"�
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 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
v 07 DEMO-FINA� 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. �, PHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
C STOP ORDER POSTED.CALL INSPECTOR
C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� Z49-46QQ
OwnerlContractor on te:
Inspector. �
White Copyllnspector's File Canary CopylSite Notice
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DAT TIME
CITY OF ORONO��vSa CALLED IN � `� �" �
INSPECTION NOTI E SCHEDULED �"' �� y " 3c,
PERMIT NO. COMPLETED
ADDRESS �� 2� � �C�i--L `��j'�il"�� _ !J�
OWNER CONTR. �
TELEPHONE NO. � "' �
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� DESCRIPTION ,�� / �`�`� `�='����� ����� �
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L� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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Q 03 INSULATION 24/25 WOOD BURNER/FIREPIACE 34 TREE REMOVAL
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
v 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
� OWNERICONTRACTOR TO MEET YOU�YES_NO
� COMMENTS:
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V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN
INSPECTOR WILL RETURN
❑ CITATION ISSUED
0 STOP ORDER POSTED.CALL INSPECTOR
C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next spection 24 hours in advance. (J52� 24J-46��
OwnerlCont t r n 't
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White Copyllnspector's File Canary CopylSite Notice
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CITY OF ORONO CALLED W / � ��
INSPECTION NOTICE . scHE�u�Eo �To ' ^
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PERMIT NO. �%(�i:��S coM ETED
ADDRESS o�Cr'�� �C Z,�%���L� !� D� (-(,?
OWNER CONTR. �--�� � ����
TELEPHONE N0. �� �i/����7 S �G?Jf%/�
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� DESCRIPTION �I � ��"'"� v►'�
l� 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 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC�NSTALL. 22 FO�LOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU�YES_NO
� COMMENTS:_�/J17�rr a,i� ��C'�e�_. (� t ..o
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O (�CI�RRECT WORK,CALL FOR REINSPECTION TEMPORARY
V V�BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. G' PHOTO TAKEN
INSPECTOR WILL RETURN
:� CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-4600
OwnerlContractor on 'te:
Inspector. ' � ��
White CopyllnspecloPs File Canary CopylSite Notice