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Home My WebLink About2001-P04191 - plumbing PERMIT CITY OF ORONO 2750 Kelley Parkway - PO Box 66 Permit Number: Po4191 Crystal Bay, Minnesota 55323 Permit Type: F�Xtures (952) 249-4600 Date Issued: s�lai2ooi SITE ADDRESS: 1050 Cox Farm Rd Long Lake,MN 55356 P ID: 27-118-23-32-0017 DESCRIPTION: PTOpOSeCl USe: �c�iuciiiiai Permit Class: Plumbing Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 35.00 Valuation• $ 1,000.00 State Surc;harge Fee: $ 0.50 TOTAL FEE: $ 3_5.50 APPLICANT: Area Wide Plumbing OWNER: Alan&Cyndi Lloyd 9735 Shady Oak Drive 1050 Cox Farm Rd Chaska, MN 55318 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. 1 � � � � < � � � � � � APPLI AN PERMITEE �1 ATURE [SSUE Y SIGNATURE Copies: 1-File(Signitures Reguired), 1-Applicant, 1-MonthlyReports, 1-Assessing, 1-Finance Page 1 r ` Y � � ', • EI � � � CITY OF ORO`'O APPLICATION FOR PLLTi�iBING PERMTT Box 66 (2750 Kelley Parkway) Crystal Bay, 1�I�1 5�323 GENERAL INFOR,tiIr1TION 1. You may apply for plumbing permits by mail or in person at the City o�ces. 2. Permit cards will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTII.. THE PERMIT CARD IS � POSTED ON THE JOB SITE. 3. Plumbing permits may be issued O�tL.Y to licensed plumbing contractors and to property owners residing in the dwelling. 4. When any new construction or remodeling is involved, a separate buildin� permit must be obtained. 5. All work must be done in accordance with the Sta[e Code requirements. � 6: All work must be inspected and air tested before i[ is covered. Call 249-4G00. 24-hour no[ice required. Instructions Complete all items on this application. Compute the permit fee. Sign and dat� the certification. I'�i 1COMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 249-4600. Please check one: New Addition Repair Replace ✓ Residential Commercial JOB STTE: �� So C d x ��'�w� ��^.�l/ Zip: O�vner's Name: Telephone Number: i�Iailing Address: City: Zip: Contractor's I�ame:�-,�« ��,� .� (� Ju��, , �� Telephone I�umber:(9 S z) '�y 3�a I o y �iailing Address: �73 5 s h��y O�,k U J:�..< City: �h•�S`<, _ Zip: 5 S 3l � PLiJI�IBING FIXTURE SCHEDULE FIXTURE BSMT 1ST 2I�1D OTHER FIXTURE BSti1T 1ST 2ND OTHER TYPE FL FL TYPE FL FL Water Close[ � Floor Drains Lavatory r Sewer Ejector Bathtub Laundry Tray Shower � Washer Kitchen Sin:{ Water Heater Disposal Water Softener Dishwashe� Wet Bar i Sillcocks Misc (list) . PERMIT FEE CALCULATION 1. 1.25% of Contract Price* or Minimum Fee ($35.00) %do p `� x .0125 $ (contract price) 2. State Surchar�e. ** Add the State Buildin� Code Division Surcharge to each permit. ! U o v `� x .0005 $ (contract price) or $.50, whichever is greater 3. Posta�e and Handlin� (Only mail-in applications) $ 1.50 4. TOTAL PERNIIT FEE (Add lines 1-3 above) $ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for[he permitted work including materials, labor, profit, and other fixed costs. I[ 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, tenan[ or any ocher party the reasonable market value of such items mus[ 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 Cicy 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 Departmen[ of Jnspectional 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 all statements made on th.is application are complete, true and conect. A licant's Si nature: � � Date• � � a PP g / DATE TIME CITY OF ORONO CALLED IN INSPECTION NOT n SCHEDULED ��/`/-0� `O� PERMIT N0._�,��/ COMPLETED 7 �� ADDRESS �650 �GuX ��/�L �� OWNER � CONTR. .�t%� �i0�1�/U�, TELEPHONE NO. �� I�� o��O y � DESCRIPTION ��U�'`� �L � Ot FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATIGN 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 O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 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/CONTRACTORTOMEETYOU:_YES_NO � COMMENTS: � W a � � s� o - � � 0 � W � Q � Z W � W � � W�*,�.1NORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W �❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITNIN HOURS. � pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Caii for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContra on site: Inspector.�f�a�� /White Copyllnspector's File Canary Copy/Site Notice / ( � DATE TIME CITY OF ORO O CALLED IN INSPECTION N TIC / SCHEDULED t S-t.,Z /•c��-� PERMIT N0. C�/ COMPLETED '— ^ ��1'� � !pU ADDRESS �e`� � C�`'3L OWNER CONTR. C^�� iC./�i TELEPHONE NO. � DESCRIPTION � 01 FOOTING 11 MECHANICAL RI 18 EXCP,�!/GRADING/Fl�LING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 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 O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL LUMBING FINAL 36 FOUNDATION/REMOVAL � RACTOR TO MEET YOU:_YES_NO � C MENTS: � a , �',lv� C c� � c ��- 0 � � �� ° �P,�`,�. � Q � y � 3� � W � W � � d W� ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W �kCORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED O STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (g52) 249-46�� OwnerlConUacxo on site: _ /' Inspector. ` � y L' � White Copyllnspector's File Canary CopylSite Notice