HomeMy WebLinkAbout2005-P08349 - plumbing PERMIT
(��.TY �F O RO N O Permit Number:
2750 Kelley Parkway - PO Box 66 P08349
Crystal Bay, Minnesota 55323 Permit Type: FiXcures
(952) 249-4600 Date Issued: iiloi2oos
SITE ADDRESS: 325 Crestview Ave
L.ong Lake,MN 55356
PID: OS-117-23-14-0031
DESCRIPTION:
Proposed Use: Kesidenhal
Pernut Class: Plumbing
Permit Sub-type(s): Multiple Fixtures
Pernut Type: Fixtures
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 100.00 Valuation: $ 8,000.00
State Surcharge Fee: $ 4.00
TOTAL FEE: $ 104.00
APPLICANT: Kidd Plumbing Inc. OWNER: Williarn Sullivan
1518 89th Avenue N 325 Ctestview Ave
Brooklyn Park,MN 55444 Long I,ake MN 55356
THE LJNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVF MENTS 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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APPLICAN ERMITEESIGNATURE ISSUI:DBYS[GNATURE
Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reoorts, 1-Assessine, 1-Finance Page 1
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CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
Box 66 (2750 Kelley Parlcway)
Crystal Bay, MN 55323
GENERAL INFORMATION
1. You may apply for plumbing permits by mail or in person at the City oifices.
2. Permit cards will be sent by relurn mail after a review is completed. PERMITS ARE NOT VALID UNT[L YOU
RECENE A PERINIT. WORK MUST NOT BEGW UNTIL TNE PERi��1lT CARD IS POSTED ON THE JOB
SITE.
3. Plumbing permits may be issued ONLY to licensed piumbing contractors and to property owners residing in the
dwelling.
4. When any new construction or remodelinb is involved, a separate building permit must be obtained.
5. All worl< must be done in accordance with ihe 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. [NCOMPLETE APPL[CATIONS W[LL NOT BE PROCESSED. [f you have questions,
call (952) 249-4600.
Please check one: �New Addition Repair Replace
Residential Commercial
JOB SITE: 3Z� C.�2G�(���u-1 /{��' Zip:
Owner's Name: K�,�I,tT E �c'�.��-o�n��.; Telephone Number:
Mailing Address: City: Zip:
Contractor's Name: �,L�i �r� I��(3 U- �='�� Telephone Number: 7G3�t-l�'3—�;r 7�'
Mailing Address: jj�g �g�'�V� /�-�- City: � , !-� Zip: ���c�.�
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PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1 ST 2ND OTHER FIXTURE B:iM 1 S 2ND OTHER
TYPE FL FL TYPE T T FL
FL
Water Closet � Floor Drains 1
Lavator � Se�ver E'ector
Bathtub C Laundry Tra
Shower Washer
Kitchen Sink Water Heater r
Dis osal Water Softener
Dishwasher Wet Bar �
Sillcocks Misc fist
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PERMIT FEE CALCULATION(S)
2002 State Statute ❑ Yes, This Section Applies
The replacement of a Residential fixture or appliance that meets a(1 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 [n Fee $ 1 .50
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If above does not apply, follow guidelines below:
l. Contract Price* is .Ol 25 % of job with a Minimum Fee of ($35.00)
J
Q�(� . '���� x .012 5 $
(contract price) (minimum $35.00)
2. State Surchar�e. ** Add the State Building Code Division a (Minimum Fee of $ .50)
x .0005 $
(contract price) (minimum$ .50)
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3. Postage and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add (ines 1-3 above) $
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for ihe permitted work
including materials, labor, profit, and other fixed costs. It is the amount to be charged to the customer for the work
done. lf 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. ln 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 all statements made on this applic tion are complete, true and correct.
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Applicant's Signature: ��L � ���" Date: � ��Q����
Reset Form
DATE TIME �
CITY OF ORONO CALLED IN ������ _
INSPECTION NOTICE SCHEDULED �f ' /�l ���
PERMIT NO. �6 �3�f 9 COMPLETED _
ADDRESS 3� $� �
OWNER I.�/.c�a.^ CONTR. /Cc.0 Q�G _
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TELEPHONE NO. G�� -��� 3S7}' _
� DESCRIPTION
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WA�L 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
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 P 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� PLUMBING F 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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GW ORKSATISFACTORY:PROCEED f i PROJECTCOMPLETE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WORK,CALL FOR REINSPECT�ON TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next i spection 24 hours in advance. (J52� 249-4600
OwnerlContra or s e
Inspector. � ` _
White Copyllnspector's File Canary CopylSite Notice
c� Da,T� / TIME "
CITY OF ORONO " caLLEO iN ��`r
INSPECTION TI E SCHEDULED /- -� �
PERMIT NO. .3 COMPLETED
ADDRESS�� ��,��)-P_ '
OWNER CONTR. ��aC! P�u n1d//l��
TELEPHONE N0. (v�� o�� a` '�J�J' 7�
� DESCRIPTION — C�
� 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
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Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTA�L. 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:
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W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑ CORRECT WORK&PROCEED L' ISSUE CERTIFICATE OF OCCUPANCY
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� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� Z49-46QQ
Owner/Contrac�n ite:
Inspector. , -
White Copyllnspector's ile Canary CopylSite Notice