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Home My WebLink About2005-P08671 - plumbing CITY OF ORONO PERMIT 2750'Kelley'Parkway - PO Box 66 Permit Number: Pog6�1 Crystal Bay, Minnesota 55323 Permit Type: FiXcures (952) 249-4600 Date Issued: si3i2oos SITE ADDRESS: 930 Cox Farm Rd I.ong Lake,MN 55356 PID: 27-118-23-33-0013 DESCRIPTION: Proposed Use: Kesidential Pernvt Class: Plumbing Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures DETAILS: - Approved per resolution#: Separate pernuts required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 243.75 Valuation: $ 19,500.00 State Surcharge Fee: $ 9.75 . � TOTAL FEE: $ 253.50 APPLICANT: Freedom Mechanical(See Comments) OWNER: Mr. &Mrs. Killingstad 11135 Hwy. 7 930 Cox Farm Rd Watertown,MN 55388 Long Lake,MN 55356 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE TI-IE 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. �%�� U-�' , U�� /��./ " APPLICANT PERMITEE S[GNATURE ISSUED BY SIGNATURE Copies: 1-File(SiQnitures Required), 1-Apvlicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 / FOR CITY USE ONLY City of Orono Og��O P.O.Box 66 Date Received: Permit# ��,,,,_ 2750 Kelley Parkway • ' a '��71�,�;r � Crystal Bay,MN 55323 Approved By: Amount 5: �.��'''�o (952)249-4600 $$ CITY OF ORONO—PLUMBING PERMIT (All Commercial permits must be approved by the Building Official or Inspector) 1 GENERAL INFORMATION 1. You may apply for plumbing pernuts by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two working days. 2. Pernut 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 pernuts may be issued ONLY to licensed plurnbing contractors and to property owners residing in the dwelling. 4. When any new conshuction or remodeling is involved, a separate building pennit 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 Apply) ,�Residential ❑ Commercial(Approval Required) � / ❑New ❑Additional .�Repairs ❑Replace ��--�J��( ❑ In Accessory Structure? *You will need prior approval and may need CUP.(Per Orono City Code, Chapter 78,Article IV) Job Site/ Owner Information: Site Address: �--}U �X �iI r�� c�� Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: �i2�er��-�-� i��-� Contact Person: (/�f /l-l-�'� Address: ///3.5 7 State Bond#: City: W f�,e-�w� Zip�� Expiration Date: � Phone: ��5��"�� " �� Y Alternate Phone: � : ❑ Insurance-Current: 4 � .� 1 , `� � � � � � � k � , � � � � � ` ° E �� , ,g � { I�u' ;I I avi �• �n. `" �' � � I;. 4�� ;4 �II tr � �' �' �, .fi �. �� I�` �: . ! . � • PLUMBING FIXTURES BEING INSTALLED " FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER % TYPE FL FL TYPE FL FL Water Closet � / Floor Drains ! Lavatory � � Sewer Ejector Bathtub � � Laundry Tray Shower I I Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous / � PERMIT FEE CALCULATION(S) � BASED OFF -2002 STATE STATUE ❑ Yes,this section applies The replacement of a Residential fixture or appliance that meets all tlu�ee of the foilowing 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 Pernut $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 1.50 Total Permit Fee $ (Permit Fees Continued On Next Page) � .. . . �'._ �t'. l �' � . ''.. . .. . . . . .. . . : . . � L �'`. . . . . .. . �. . . . . ,. . � � . � .. . . . .. . . . .. .. . . . . . . . _ , t � 2 � I � � � ,. �� ; � � ��. . . . . '1._ I�IIL Ik� V.� II �}� II� a' � ��y� �� k � . Y � �� '�� I, �.1 IIII. . i .i . . ��jll .�; . . . �' �i � � '��' ��'�� f , �� I �� +� ��r ;f PERMIT FEE CALCULATION(S)—70BS 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) �S� x.0125 $ (contract price) (minimum$35.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of�.50) x.0005 $ (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the pemzitted 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 pernut 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 Building Department at(952)249-4600 for the price. _._� PLUMBING PERIVIIT 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 application are complete, true and conect. -- . , Applicant's Signature: � �i��y�� Date: ��O,��D.S � �� ;;, �: � :� �± �: ; � , ' "q �k .� k, k�I F�� J � ,� 4 �', �. � � �# �: � � � 3 . � � � �,. � ,' � � s. , �- M � f r �j� � "� �{c �. r� � t i' u � , � � � a> '�' ry� �. s � � �r � �� y;�� . �i . , , . �:� I . .�. � I� � F r� � i^'� , . .t . �il �ti i `.� �� i '��; M' �'-� �. �i' '� . �" . e . � �-. C � DATE TIME � �/J� C�� / CITY OF ORONO CALLED IN INSPECTION NOTI SCHEDULED -� '� _��% PERMIT NO. %� �/ COMPLETED ADDRESS �� C C�'�,X � C��/Yl � OWNER CONTR.GrT�,�;��_� TELEPHONE NO. �4�� f(� - r�'S�� / " "` � � , � DESCRIPTION Lil�-1— '`� ��►s2� � � 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 Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-S�TE 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 � OWNER/CONTRACTOR TO MEET YOU:�YES_NO � COMMENTS: � w a � J O � � O � W � Q � Z W � � � � d ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED �. ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALI I l PECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL T ARRANGE ACCESS. Call for the next insp ction 2a hours in advance. (952� 24J-46�� Owner/C�ra on sit : Inspector. w'� � White Copyllnspector's File Canary CopylSite Notice �