HomeMy WebLinkAbout2007-P10698 - plumbing , PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P10698
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued:
1/18/2007
SITE ADDRESS: 2700 Countryside Dr W Unit#
Long Lake,MN 55356
PID: 04-117-23-12-0012
DESCRIPTION:
Proposed Use: Residential
Permit Class: Plumbing
Permit Type:
Fixtures Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pemut Fee: $ 175.00 va►uation: $ 14,000.00
State Surcharge Fee: $ 7.00
Misc.Fee: $ 1.50
TOTAL FEE: $ 183.50
APPLICANT: Nowthen Plumbing OWNER: Brad&Lily Everett
19960 NW Ferret Ave. 2700 Countryside Dr W
Elk River,MN 55330 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 PERMITEE SIGNATURE I SUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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FOR CITY USE ONLY
O���O`; City of Orono
P.O.Box 66 Date Reoeived: P�rmit#
,, 2750 Ke�ley Parkway
.� �;�'�� �+ Crystal Bay,MN 55323 Approved By: Amount$:
;�"l���0�40': (952)249-4600
CI TY OF ORONO—PL UM BI NG PERM I T
(All Commeraal permitsmust beapproved by theBuilding Offiaal or Inspe�or)
GENERAL INFORMATION
1. Y ou may appl y for pl umbi ng permi ts by mai I or i n person at the Ci ty offi ces. A ppl i cati ons wi I I be
revi Ewed and a permi t wi I I be i ssued wi thi n two worki ng days.
2. Permi t cards wi I I be sent by return mai I aFter a revi ew i s compl�ed. PERM I TS A RE N OT
VALID UNTIL YOU RECEIVEA PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERM I T CARD I S POSTED ON TH E JOB SI TE.
3. PI umbi ng permi ts may be i ssued ONLY to I i censed pl umbi ng contractors and to property owners
res di ng i n the dwel I i ng.
4. When any ne�v construdi on or remodel i ng i s i nvol ved,a separate bui I di ng permi t must be
obtai ned.
5. AI I work must be done i n accordance with St�e Code requi rements.
6. AI I work must be i nspected and ai r tested beFore i t i s covered. Cal I (952)24�4600.
(2448hour noticerequired)
TY PE OF PERM I T
Check AI I That Ap I
�Resi denti al ❑ Commerci al (Approval Requi red)
❑ Ne�v ❑Additional � Repairs � Replace
❑ I n Accessory Strudure?
'`You will need prior approval and may need CUP. (P�r Orono City Code, Chapter 78,Article IV)
Job Si te/Owner I nformati on:
SiteAddress: c.��0� ��(�..r"1�Y'�l ��� �i� Yv UI'D{�(�
Owner: M ai I i ng Address:
Ci ty: Zi p:
Home Phone: Alternate Phone:
Contractor I nformati on:
Contractor: NDG�.��1 �b�1n?�1+i�E Contact Person: ��u'1►'�F�
�
Address: 1����1�e� �err�� Av� �i rl State Bond#: �j� _��� �f✓�
City: I Zip:� � (��Expiration Date: /�i���'! ��-% ' �
Phone: �(��� 7j�3 ��� I � . Alternate Phone:
❑ I nsurance—Current: t.j�.��
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PLUMBING FIXTURESBEING INSTALLED
FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER
TYPE FL FL TYPE FL FL
Water CI oset � FI oor Drai ns
Lavatory ,1 Sewer Eector
d�
Bathroom Laundry Tray
Shower i Washer
1
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Si I I cocks M i scd I aneous
PERMIT FEE CALCULATION(S)
BASED OFF-2�2 STATE STATUE
❑ Y es,thi s secti on appl i es
The repl acement of a Resi denti al fi xture or a�pl i ance that meets al I three of the fol I owi ng requi rements:
1. Doesnotrequiremodificationtodectricalorg�service.
2. H as a total cost of$500.00 or I ess; exd udi nq the cost of the fi xture or appl i ance: and
3. I s i mproved, i nstal I ed or repl aced by the homeowner or I i censed contractor.
Skip next section, if thisapplies; Cost of Permit $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
(Permit FeesContinued On Next Page)
2
PERMIT FEE CALCULATION(S) —JOBSOVER$500.�
I f above does not appl y; fol I ow gui del i nes bel ow:
1. CONTRACT PRI CE ' is 1.25%of contract pricewith a(M inimum Feeof$35.00)
�y,�C't�� x.0125$ � 7�j. `1 J
(contract pri ce) (mi ni mum$35.00)
2. STATESURCHARGE "` AddtheStateBldgCodeDiv. Slarcharge(MinimumFeeof$.50)
��-l� Ui.�r! x.0005 $ ��] Ut�
(oontract price) (minimum$ .50)
3. POSTAGE& HANDLING(Only on Mail-InApplications) $ 1.50
4. TOTAL PERM IT FEE(Add Lines 1-3Above) $ (�3 �C� �
■ "` CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
permi tted work i ncl udi ng materi al s, I abor, prof i t, and other f i xed costs. I t i s 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 thejob 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
gr�ter. For val u�i ons over$1,000,000 cal I the Bui I di ng Department at(952)24�4600 for the pri ce.
PLUMBING PERMIT APPLICATION AGREEMENT
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 applica�ion are complete, true and
correct.
ApplicanYsSignature: c' Date:���,[)7.
SftftlC�sn
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�� � DA�jE� � . TIME �
CITY OF ORONO CALLED IN �
INSPECTION NO ICE j SCHEDULED �` ` � ,� ;vU "�'vI
PERMIT NO. �L���/ � COMPLETED
ADDRESS � / G� ��C%C%I7 f7;� ���(��G ��Z G�
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OWNER CONTR. , r> tv�c�il f'`�u%�t f�
TELEPHONE NO. ��-r�:� 75 � S � ��
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� DESCRIPTION /��_('.�'i����G'�Z
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
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= PLUMBiNG RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 G FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W WORK SATISFACTORY:PROCEED C� PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
W
0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. �j pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CA��INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CAL�TO ARRANGE ACCESS.
Call for the n xt inspection 24 hours in advance. (952� 249-46��
OwnerlContract ite:
Inspector.
White Copyllnspector's F e Canary CopylSite Notice