HomeMy WebLinkAbout2002-P04934 - plumbing � �
CITY OF ORONO PERMIT
2750 Kelley Parkway - PO Box 66 Permit Number: Po4934
Crystal Bay, Minnesota 55323 Permit Type: FiXtures
(952) 249-4600 Date Issued: 3iii2oo2
SITE ADDRESS: 185 Crystal Creek Rd
LONG LAKE,MN 55356
P I D: 33-118-23-32-0003
DESCRIPTION:
Proposed Use: Kesidential
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: $ 46.25 Valuation: $ 3,700.00
State Surcharge Fee: $ 1.85
TOTAL FEE: $ 48.10
APPL�C/�1NT: Standard Plumbing&Applicance OWNER: KEN MELROSE
8015 Minnetonka Blvd 185 CRYSTAL CREEK RD
St. Louis Park,MN 55426 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.
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APPLICANT PI;RMITEE SIGNATURIi ISSUED BY SIGNATURf:
Cooies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports. 1-Assessin�, 1-Finance Page 1
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PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00) �.
;��G � x .0125 $ �� � �-_�
(contract price)
2. State Surchar�e. ** Add the State Building Code Division J , ��
Surcharge to each permit. ��7�(', x .0005 $
(c tract price)
or $.50, whichever is greater
3. Posta�e and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ �'r j �
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted
work including materials, labor, profit, and other fixed costs. It is the amount to be charged to the
customer for[he work done. If 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. In the event that there is a dispute on the amount of the job cost,
the Ci�y 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 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 this application are complete, true and
correct.
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A licant's Si nature: �1�� '�� -v%���GL�, Date: 3�/`C2
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DATE TIME
CITY OF ORONO � CALLED IN
INSPECTION NOT�C,.E � SCHEDULED , �_� � . �
PERMIT NO.�`j�� COMPLETED �� � U
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ADDRESS /�Y�� C.%�'�/ ) �C`- / C �f'E �C �c-
OWNER CONTR. .��<<^c{cl��� /?�Gt��
TELEPHONENO. �:!/�,�-�I�� --SS����
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� DESCRIPTION y' !'���U� �? ���
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FR,4MING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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Q 03 INSULATIGN 24/25 WOOO 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
� 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
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� �"yVORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
v
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call forthe next inspection 24 hours in advance. �952� Z49-4600
OwnerlContractor on site:
Inspector.,_/��l.�it_, �CC�/ I
White Copyllnspector's Flle Canary Copy/Slte Notice