Loading...
HomeMy WebLinkAbout2005-P09139 - plumbing PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway- PO Box 66 P09139 Crystal Bay, Minnesota 55323 Permit Type: Fixtures (952) 249-4600 Date Issued: 9/6/2005 SITE ADDRESS: 270 Crestview Ave Unit# Long Lake,MN 55356 P��� OS-117-23-14-0063 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: Pernut Fee: $ 112.50 valuation: $ 9,000.00 State Surcharge Fee: $ 4.50 TOTAL FEE: $ 117.00 APPLICANT: Precision Plumbing Inc. OWNER: Lewis&Leslie Bautista 4311 Mason Lane NE 270 Crestview Ave St. Micheal,MN 55376 Long Lake,MN 55356 ,. THE UNDERSIGNED HEREBY RE ESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WOR N STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING COD REQUIREMENTS. G !, �--- �;� _�.� �. ; L�-�-• C � •"") `��� AP LI PERM[TEE SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, l-Septic) Page 1 r FOR CITY USE ONLY r . �,�` City of Orono � � `�` P.O.Box 66 Date Received: Permit# ` ��, � 2750 Kelley Parkway j'�'•'�'�: �* Crystal Bay,MN 55323 Approved By: Amount 5: �� �,�:�'�.o` (952)249-4600 ty���04� CITY OF ORONO—PLUMBING PERMIT (Ali Commercial peiYnits must be approved by the Building Official or 6ispector) GENERAL INFORMATION 1. You may apply for plumbing pernuts by mail or in person at the City offices. Applications will be reviewed and a peinut 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 permits may be issued ONLY to licensed plumbing conn•actors and to property owners residing in the dwelling. 4. When any new constructiou or remodeling is involved,a separate building perinit 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 Ap ly) (�Residential ❑ Conunercial(Approval Required) ❑ New ❑Additional ❑ Repairs ❑ Replace ❑ In Accessory Structure? *You will need prior approval and may need CUP. (Per Orono City Code,Chapter 78,Article IV) Job Site/ Owner I�Zformation: Site Address: � � (/1��1 /��.c� �'L Owner: k���c��a ��/tS�// 2L���v Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Infornlation: Contractor: i b � Contact Person: p.�,(� �-�� _ Address: `�� 1( rvJ�Sc:�acJ�� State Bond#: � City: �'` Zip: �5376 Expiration Date: �Z- 3i�v� Phone: '1(�3 -4R����`��SL Alternate Phone: (�(� - 34�� -7Y/G ❑ Insurance— Current: 1 � PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT 1 2' OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains 1 Z Lavatory Sewer Ejector � � Bathtub Laundry Tray 1 � Shower � Washer , I Kitchen Sink ' Water Heater I Disposal Water Softener 1 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 following requirements: 1. Does not require modification to elecn-ical or gas seivice. 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 licensed contractor. Skip next section, if this applies; Cost of Permit $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) � 1.50 Total Pernut Fee $ (Permit Fees Continued On Next Page) 2 l t � , ' PERMIT FEE CALCULATION(S)-JOBS OVER$500.00 If above does not apply; follow guidelines below: 1. CONTRACT PRICE *is 1.25%of conhact price with a(Minimum Fee of$35.00) x.0125 $ (co tract 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 PERA�IIT FEE(Add Lines 1-3 Above) $ ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the pemutted 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 permit fee puiposes. 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 .000� of the contract price under$1,000,000 or $.�0—whichever is greater. �or valuations over$1,000,000 call the Building Department at(952)249-4600 for the price. _ PLUIVIBING 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 application are complete, true and correct. Applicant's Signature: Date: j 1-� -v` 3 � � DATE. _ TIME � CITY OF ORONO CALLED IN "�� rv INSPECTION N(;TICE SCHEDULED -1 -U '`��O ,Gf PERMIT NO. t�gf.3 � COMPLETED ¢� - " / � :+�[�1 ADDRESS � G� , ' E. OWNER CONTR. C � O . TELEPHONE NO. CO��. , 3��Z� ����� � DESCRIPTION � 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 COMPLAINT v 07 D,�MQ—_F AL 15 SEPTIC INSTALL. 22 FOILOW-UP 09 PLUMB� G RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v ING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � l ' � � ''�� � 5�. ,�1�P �C_ S �� 0 � ��1��'n�.�ic� 0 � Q � c� .c�G-��v.��l Q . � � b �l�5�5�fP 'T�' � � � (�S I � �.-�� _ a � ❑WORK SATISFACTORY:PROCEED L� PROJECT COMPLETE W �CORRECT WORK&PROCEED r ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN 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 ite: Inspector. � ��;� White Copyllnspector's File Canary Copy/Site Notice ��� -`"�"� Dq� - TI M E � CITY OF ORONO CALLED IN �/����> INSPECTION NOTICE SCHEDULED �.ci �� PERMIT NO. �✓l�� /�_ COMPIETED , ADDRESS •tl 7� � ', . _�r r , ; . ' �-c � OWNER CONTR. �� � �.3 Il) ) ��/,, ,y;� TELEPHONE N0. �.�• /vl " '-��-�� V -7��� C� � DESCRIPTION ✓ p 1� /� Z'"�. C l� 01 FOOTING 11 MECHANICAL RI 1 CAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS h O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WA�L 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 J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPT,I FINAL 35 HARD COVER REMOVAL � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � W C � J O a � O � ti � Q � Z W � W � � d W ORK SATISFACTORY:PROCEED PROJECT COMPLETE � "❑CORRECT WORK&PROCEED '- ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT �CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR =� CITATION ISSUED C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (J52� 249-4600 OwnerlContr site: Inspector. White Copyllnspector's ile Canary CopylSite Notice �l/ /DA TIME � CITY OF ORONO CALLED IN /`��� INSPECTION TICE SCHEDULED /�-/7 D 3,'3� PERMIT NO. COMPLETED ADDRESS � 7 � OWNER CONTR. �Sl G ��'1�G�—� TELEPHONE NO.;���/I.l C.��J OY� �n �Z- 7�I[� `f�c��— � DESCRIPTION_���ifi1 ����� l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FR,4MING 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 OS FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 07 DEMO-FINAL 15 SEPTtC 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 � 1 � �' � k� ` � � O a � O � W � Q ti Z W � w � j d W ORKSAT�SFACTORY:PROCEED CI PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED ' ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑C�RRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. �; pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CAIL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the xt inspection 24 hours in advance. (952� 249-4600 OwnerlContr�o ite: Inspector. White Copyllnspector's Fi Canary CopylSite Notice