HomeMy WebLinkAbout2007-P11020 - plumbing PERMIT
CITY OF ORONO
2750�Kelley Parkway- PO Box 66 Permit Number: p11020
Crystal Bay, Minnesota 55323 Permit Type:
Fixtures
(952) 249-4600 Date Issued:
5/21/2007
SITE ADDRESS: 100 Crystal Creek Rd Unit#
Long Lake,MN 55356
PID: 33-118-23-33-0009
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: $ 45.18 valuation: $ 3,614.00
State Surcharge Fee: $ 1.81
TOTAL FEE: $ 46.99
APPLICANT: Larson Plumbing Inc. OWNER: Mark&Juile Weninger
3095 162nd Ln NW 100 Crystal Creek Dr
Andover,MN 55304 Long Lake 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 ISSUE BY SIGNATURE
Copies: 1-File(SignaturesRequired), 1-Applicant, 1-MonthlyReports, 1-Assessing,([fSeptic, 1-Septic) Page 1
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� FOR C1�TY LtiE O�LY
��� City of Orono
% P.O.Box 66 Date Received: Permit#
��„„� � 27j0 Kelley Parkway
a '��n�'7�,�;'._ � Crystal Bay,MN 55323 Approved By: Amount$:
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����'�.�a (952)249-4600
CITY OF ORONO —PLUMBING PERMIT
(All Commercial permits must be.approved by d�e Building Official or Inspector)
GENERAL INFORMATION
1. You may apply for plumbing pennits by mail or in person at the City offices. Applications will be
reviewed and a pernut will be issued within two working days.
2. Perniit cards will be sent by retuin inail 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 plumbing contractors and to property owners
residing in the dwelling.
4. When any new consiruction or remodeling is involved, a separate building permit 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
❑ In Accessory Structure?
*You will need nrior approval and may need CUP. (Per Orono City Code, Chapter 78,Article IV)
Job Site/ Owner Information:
Site Address: ! �� �v��„ � �y� e�e� 1\6a�
Owner:I v'CM�� ��YJ 1�Nc�.�„� Mailing Address:
3
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: hc�v,S u �1,�, Contact Person: 1�.��� ��lcow
�
Address: Sv9� 1���,.Q �►� Iv� State Bond#:
City: ��o� � Zip: Sj�U� Expiration Date:
Phone: ��ns ��111o�U Alternate Phone:
� Insurance— Current:
1
1
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PLUMBING FIXTURES BElNG 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 Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar /
�
Sillcocks Miscellaneous
PED�IT FEE C�I,CULATION�S)
BASED OFF - 2002 STATE STATUE
❑ Yes,this section applies
The replacement of a Residential fixture or ap�liance that mee�ts all three of the following requn�ements:
1. Does not require modification to electrical or gas seivice.
2. Has a total cost of$500.00 or less; excludine 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 Permit Fee $
(Permit Fees Continued On Next Page)
2
�
PERMIT FEE CALCULATION S —JOBS OVER$500.00
If above does not apply; follow guidelines below:
1. CONTi2ACT PRICE *is 1.25%of conh•act price with a(Minimum Fee of$35.00)
���� GU xA125 $
(conVact price) (minimum�35.00)
2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of 5.50)
x.0005 $
(cont�•act 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
pernutted 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 ar contract price for pernut 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 .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.
" ' 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: �— �(—���]
3
f/'.� /`-� DATE TIME ✓
�� CITY OF O ONO CALLED IN ����/�� 7
INSPECTION NO ICE SCHEDULED J`-j:��/D'] G�
PERMIT NO. � � 'LG COMPLETED
ADDRESS l C%�; C ��f� � C�E'��C_ ,C7��
OWNER CONTR._�� �CTY7 ` �lrrr��
TELEPHONE N0. �I CF'�� — U-�� -' 7�G►"JC�
� DESCRIPTION ���-��'���� / -�—�
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/ RADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 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-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 P�UMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:�YES_NO
� COMMENTS; _
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W WORK SATISFACTORY:PROCEED [� PROJECT COMPLETE
�� ❑ CORRECT WORK 8 PROCEED C, ISSUE CERTIFICATE OF OCCUPANCY
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O ❑CI�RRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. r; pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �� CITATION ISSUED
❑ INSPECTION REOUIRED.CALL TO ARRANGE ACCESS.
Call for the n t inspection 24 hours in advance. (J52� 249-46��
OwnerlCo act n ite:
Inspector.
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