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Home My WebLink About2004-P07551 - plumbing t • j PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway - PO Box 66 po�ssi Crystal Bay, Minnesota 55323 Permit Type: FiX�ures (952) 249-4600 Date Issued: 6ili2oo4 SITE ADDRESS: 2700 Countryside Dr W Long Lake,MN 55356 PI�: 04-117-23-12-0012 DESCRIPTION: Proposed Use: Kesidential Permit Class: Plumbing Pernlit Type: Fixtures Permit Sub-type(s): Plumbing Undefined DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: Iron Filter FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 1,400.00 State Surcharge Fee: $ 0.70 TOTAL FEE: $ 35.70 APPLICANT: Clearwater Systems OWNER: Mary 7ane Casavant&Barclay Fitzpatrick 1519 148th Avenue NW 2700 Countryside Dr W Andover,MN 55304 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 MINNESOT ILD G CODE REQUIREMENTS. L/ C'� \` � ��i��'�. APP PERMITEESIGNATURE ISSUEDBYSI ATURE Conies: 1-File(Si¢nitures Required), 1-Apolicant, 1-Monthlv Reports, 1-Assessin�. 1-Finance Page 1 CITY QF ORONO A.PPLICATIQN FOR PLUMBING PERMIT Box 66 (2750 Kelley Parkway) Crystal Bay, MN 55323 GENERAL INFORMATION �=,' 1. You may apply for plumbing permits by mail or in person at the City offices. 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 the State Code requirements. 6. All work must be inspected and air tested before it is covered. Call (952) 249-4600. 24-hour notice required. Instructions Complete all items on this application. Compute the permit fee. Sign and date the certification. INCOMPLETE APPLICATIOIVS WILL NOT BE PROCESSED. If you have questions, call (952) 249-4600. Please check one: New Addition Repair Replace �`' � Residential Commercial JOB SITE:�� ., � � Zip: Owner's Name: � • �- Telephone Number: � Mailing Address: City: Zip:� Contractor'sName• �- ��, �--� ��-�,.t TelephoneNumber:��s �3��a��' Mailing Address:�,�� 0 _ , ��a. City: �� Zip: �� PLUM�ING FIXT�JItE SCHEDULE FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER TYPE FL FL TYPE FL FL �:, Water Closet Floor Drains Lavator Sewer E'ector Bathtub Laund Tra Shower Washer '�4` Kitchen Sink Water Heater Dis osal Water Softener Dishwasher Wet Bar � ,�� Sillcocks isc ist) PERMIT FEE CALCULr�TION(S) 2002 State Statute ❑ Yes, This Section Applies The replacement of a Residential fixture or appliance that meets alI 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; excludin� the cost of the fixture or appliance: and 3) Is improved, installed or replaced by the homeowner or licenced contractor. �`: �` Skip next section; Cost of Permit $ 15.00 State Surcharge $ .50 Mail In Fee $ 1.50 � If above does not apply, follow guidelines below: 1. Contract Price* is .0125 % of job with a Minimum Fee of ($35.001 �� x .0125 $ �� (contract price) (minimum$35.00) 2. State Surcharge. ** Add the State Building Code Division a (Minimum Fee of $ .50) ��.R x .0005 �J� (contract price) (minimum$ .50) 3. Posta�e and I�andlin� (Only mail-in applications) $ -�-��-�-- � 4. TOTAL PERMIT FEE (Add lines 1-3 above) $��—� �; * CONTRACT PRICE or JOB COST means the actuai 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 installation 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 Department of Inspection Services for the price. 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 al � at e ' s made on this application are complete, true and correct. ` � Applicant's Signatur . � �� Date: ��`�F� k F DA E _ TIME � CITY OF ORONO CALLED IN � INSPECTION NOTICE 4/ SCHEDULED � PERMIT NO. �� 75cJ1 COMPLETED ADDRESS 2 7�C �Lc�f/'vcs;lrrZ ��,� . G� OWNER CONTR. �.�.rlJG:-�/' rS�c� � , TELEPHONE NO. 7� � �� C��S � DESCRIPTION ��O'`� �'��/' in�-�� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPtAINT J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP ? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10 PLUMBING FINAL � � 36 FOUNDATION/REMOVAL Z OWNER/CONTRACTOH TO MEET YOU:�/YES_NO .__--- � COMMENTS: � W � � J O � � O � W � Q � Z W � W � � d W WORKSATISFACTORY:PROCEED PROJECTCOMPLETE �� ❑CORRECT WORK&PROCEED r ISSUE CERTIFICATE OF OCCUPANCY O ❑ COFRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next i spection 24 hours in advance. (952� 249-4600 OwnerlContr�rtSr�n it : Inspector. � � � White Copyllnspector's File Canary CopylSite Notice