HomeMy WebLinkAbout2008-P00928 - plumbing PERMIT
CIT�Y OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 P11928
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued:
3/21/2008
SITE ADDRESS: 2655 Countryside Dr W Unit#
Long Lake,MN 55356
PID: 04-117-23-13-0006
DESCRIPTION:
Proposed Usc: Residentia]
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Scparate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernlit Fee: $ 57.44 val�ation: $ 4,595.00
State Surcharge Fee: $ 2.30
Misc. Fee: $ 1.50
TOTAL FEE: $ 61.24
APPLICANT: Thompson Plumbing OWNER: Neail&Irene Levy
15001 Minnetonka Ind.Rd. 2655 Countryside Dr 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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APPLICANT Pf?KM17'EE SIGNATURF, ISSUED BY SIGNATCJRE
Copics: 1-File(Sig�iatures Rega�ired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
FOR CITl'L?SE O\LY
� O���O Cih�of Orono
P.O.Bos 66 Date Recei�ed: Yermit a
27501�ellev Yarlatiav
.+ � Crvs[al Ra}�,ht\55:2� Appro��ed By: _-- Amount 5:
- �,� c` 1952)2-19--1600 _ _
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CITY OF ORONO- PLUMBING PERM[T
(All Commercia►pecmits must bc approved by thc B�ilding Offieial or Inspcctor)
GENERAL INFORMATION
1. You may apply for plumbing perniits b� mail or in person at the Citv oftices. Ap�lications will be
revie���ed and�pennit�i7ll be issued��ithin t�tio«�orking days.
2. Perniit cards��ill be sent bv return mail afler�i re��ie�ti is completed. PLI2MI'I'S ARI�NO7
Vt1LIll UN'TIL YOU ItLC�;IVE A YLRMII. WORK MUST NOT BEGIN UNT1L THE
PERMiT CARD IS POSTED ON THE JOB STI'E.
3. Phunbing pcniiits inav bc issucd ONLY tc�liccnscd plumbing contractors and ta property o�tiners
residing in lhe d�velling.
4. When am ne��construction or remodeling is invol��ed,a separate building pernlit tnust be
obtained.
�. All work must be donc in accordanec��ith SkiU;Code reyuirements.
6. All��ork must be inspected and air tested beti�re it is covered. Call(952)249-46(X)_
(2-t-•18 hour notice required)
T'YPE OF PERMIT
(Check All That A 1��)
�Residential ❑Commercial(Approval Reqtrired)
❑N��� ❑Additional ❑Rcpairs ❑iteplace
❑ In llcccssort� Struciurc'?
*You��-ill need nrior apnro��al and mav nee�l i ( i'.(Per(hono Cih�Code,Chapter 7A,Article IV)
Job Site/Owner Information: /�
- N/v.
Site Address: ��O ss � ��
O��ner: /(.,- Mailing Address: �/�%���
cit��: z�p: 5 S3S��o
Home Phone: Alternate Phone:
Contractor Information:
Contractor: THOMPSON PLUMBING CORP �ontact Person: �-L
15001 MINNETONKA I D. RD. '
Address: MINNETONKA, MN 55345 �tate Bond#:
City: Zip: E�piration Date:
Phone: �'I51� "q33-77/� Alternate Phone:
❑ Insurance-Current:
1
PLUMBING FIXTURES BEING INSTALLED
FTXT'[JRF. RSMT l` 2' OTHF.R FiXT[TRF. RSMT l` 2 OTHF.R
TYYIi I�L 1�L fYY1: 1�L FL
Water Closet � Floor Th-ains
Lavatorc � Se��er Ejector
13alhroom I Launcin' "lray I
Sho���er Washer I
Kitchcn Su-ih � Water l leater
llisposal I Water Softcncr
T�ish���asher ' Wet Rar '
Sillcocks ` Miscellaneous
PERMIT FEE CALCULATION(S)
BASED OFF - 2002 STATE STATUE
❑ Yes,this section applies
The re��lacement of a Resi�lential tiarture or appliance that meets all three of the folla��ing reyuirements:
l. lloes not require modilication to electricel or gas scrvice.
2. Has a total cost of$500.00 or less;escludina the cost of the fixture or appliance:and
�. Is improved,inst��lled or replace�i b� the homeo��T�er or licensed contractor.
Skip nest section,if this applies; Cost ot Pennit $ 15.U0
State Surcharge $ �0
Mail-Inl�cc(Il Applic��blc} � 1.�0
Total Permit Fce S
(Permit Fces Continued On Nect Pagc)
2
PERMIT FEE CALCULAT(ON(S)—JOBS OVER$5Oi�.OU
� If above docs not apply;follo�� Kuidclines belo��:
1. CONTRACT PR10E * is 1.2�%of contract price�iith a(Minimum Fee of S35.pU)
`T,�7 9J� .00 � .012�`G J` 7`!�`7`
(conlract pric�) (minimum�35.00)
2. STATE SURCHARGE **Add thc Staie 131dg Code lliv. 5urchargc(�linimum Fee of�.50)
��9S �b �.t�oos � �.30
(contractpricc) �minimum^� .�0)
3. YOS1�1Gli&tIANDLING(Only on Mail-In Applicalions) $ 1.�0
-1. TOTAL PERMIT FEE(Add Lincs 1-3 Above> S ��Z 7'
■ * CON'1�RI�C'1' P1tIG_�, c�r J(�B COST mcans lhc actual or estimatcd dollar aiu���uil chargcci for the
perniittcd��ork including materials,labor,prolit,and other tixed costs. lt is the amount to be charged
to the customer for the�aork done. If anS�materiaL equipment, lahe�r or inst�llations are furnishecl b}�
thc o�vner,tenant or am other party, the reasonable inarket value ol such items must be added to the
cstimatcd cvst or contracl pricc for permil Tee p�uposes. In lhc cvcnt that there is a dispute on the
amount ot the job cost,the City may request the submission of a signed cop��of the actual contract.
■ **1�he S'1�A1�L SURCIIIll2Gli is .0005 oi lhe conlracl price under$1,00O,OOt�or$.50—whichever is
greater. For v�luations o�-er$]�)l�(X)0 oall the Buildir�g l�epartment at(952)249-�6f)f)for the price.
PLUMBING PERMIT APPLICATION AGREEMENT
Tlic undersigned hercby applies to thc City for issuance of a Plumbing Permit. agrecs to do all
�vork in strict accordance �tiith the ordinances of the City and the regulations of thc State of
Mi�u�esota_ and certifies diat all statements made on this application �re complete, true and
corrcct.
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Applicant's Sig�iature. Date: /
Reset Form
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�/� DATE TIME �
1 ,�-
CITY OF ORONO CALLED IN �
INSPECTION N TIC SCHEDULED -Z'D 9:oa
PERMIT NO. � COMPLETED
ADDRESS a�5 C� � ,�/ � '
OWNER CONTR.
TELEPHONE NO. g52 -g33 — 77/ 7
� DESCRIPTION � ��u"�'6 1'
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXC /GRADING/FILLING
Q ❑ FR,4MING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
O ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
v ❑ 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:
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�ORKSATISFACTORY:PROCEED Cl PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED - ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CA�L FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952� 249-46��
OwnerlContractor on s�
Inspector. (/V �/ /��
White Copyllnspector's File Canary CopylSite Notice
� � _ ��
� DAT/�� TIME ✓
CITY OF ORONO cA��E�iN �
INSPECTION NO �/ SCHEDULED /.`.3D
PERMIT NO. ���� D COMPLETED
ADDRESS C� -
OWN ER CONTR.
TELEPHONE NO. 7 � v� 7 7
� DESCRIPTION ` G i'�/
� ❑ FOOTING ❑�ANICAL RI EXCAV/GRADING/FILLING
Q ❑ FRAMING ECHANICAL FINAL ❑ LAKESHORE/WETLANDS
y ❑ INSU ION ❑ WOOD BURNER/FIREPLACE
Q ❑ TREE REMOVAL
Z ❑ W BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q INAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
� ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PL G RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J LUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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GW ❑WORKSATISFACTORY:PROCEED �ROJECTCOMPLETE
� ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
�CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTOARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (952� 249-460�
Owner/Contractor on site:
Inspector. �� /f ,
White Copyllnspector's File Canary CopylSite Notice
�� �� DATE TIME �
CITY OF ORONO CALLED IN '3 2�
INSPECTION N TICE SCHEDULED 3-25�D8 �
PERMIT NO. ��`�28 COMPLETED
ADDRESS U��SS �D �� Gc�
OWNER CONTR. %���17-jc�lm ��
TELEPHONE NO. �S2 �� 3 �7/ 7
� DESCRIPTION ��GC/Y1d//�G1' �Z
� ❑ FOOTING � MECHANICAL R ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ 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. ❑ COMPLAINT
� ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� �VORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
�CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-46QQ
OwnerlContractor on s e: `�
� ,
Inspector.
White Copyllnspector's File Canary CopylSite Notice