HomeMy WebLinkAbout2007-P00716 - plumbing PERMIT
CITY O� ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P11716
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued:
11/28/2007
SITE ADDRESS: 135 Cygnet Pl Unit#
Long Lake, MN 55356
PID: 04-117-23-22-0011
DESCRIPTION:
Proposed Use: Residential
Permit Class: Plumbing
Permit Type:
Fixtures Permit Sub-type(s): Plumbing Undefined
DETAILS:
Approved perresolution#:
Separate permits required:
NOTICES/REMARKS:
Run water line for ice maker, connect kitchen sink&dishwasher and gas stove.
FEE SUMMARY: Permit Fee: $ 35.00 valuation: $ 1,100.00
State Surcharge Fee: $ 0.55
TOTAL FEE: $ 35.55
APPLICANT: Levahn Bros OWNER: Anderson&Moriarty
12700 Bass Lake Rd 135 Cygnet Pl
Maple Grove, MN 55369 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.
AP [CANT PERMITEE SIGtiATURE ISSUED BY S[GNATURE �
L�
Copies: l-File(Signatures Required), 1-Applicant, l-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page l
FOR CITY USE O:VLY
,�� City of Orono
�(O+ O P.O.Boa 66 Date Received: Permit#
�, .._,. 2750 Kelley Pazkway
il '� Crystal Bay,MN 55323 Approved By: Amount$:
'�' �,, _
1� ��,ti�;- �f
'!' "�{},:���j� (952)249-4600
�R�o�
CITY OF ORONO—PLUMBING PERMIT
(All Commercial permits must be approved by the Building Official or[nspector)
GENERAL INFORMATION ,
1. You may apply for plumbing permits by mail ar in person at the City offices. Applications will be
reviewed and a permit will be issued within two working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTTL THE
PERMIT CARD IS POSTED ON THE JOB SITE
3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners
residing in the dwelling.
4. When any new construction or remodeling is involved, a separate building permit must be
obtained.
5. All work must be done in accordance with State Code requirements.
6. All work must be inspected and air tested before it is covered. Call(952)249-4600.
(24-48 hour notice required)
TYPE OF PERMIT
(Check All That A 1
�esidential ❑ Commercial(Approval Required)
❑New ❑ Additional �Repairs ❑Re lace
P
❑ In Accessory Structure?
*You will need urior aparoval and may need C�UP. (Per Orono City Code,Chapter 78,Articie IV)
Job Site/Owner Information:
SiteAddress: �3�J �ic,��,--� �(C�,C.�
Owner: -�-(Cti KGLV� ,L�� IQ�VS�� Mailing Address:
c��y: C�v�v� z�p: 55,35�
Home Phone: Alternate Phone:
Contractor Information:
Contractor: ���.�,Vl g�'ps, �'C, ContactPerson: �Re� L:�1��,��
Address: 12�0 c�SS KQ RC� State Bond #: �0083��7�_
City: rCN ZiP: 553�� ExpirationDate: �2 '31-��
Phone: 1�e3-55 I-$y�i O Alternate Phone: 1(D?,- 553- (2 27
❑ Insurance-Current:
1
;,. ���,��,���� PLUMBING FIXTURES BEING INSTALLED �
FIXTURE BSMT 1 T 2"' OTHER FIXTURE BSMT 1" 2' ° OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
Lavatory Sewer Ejector
Bathroom Laundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Miscellaneous
�o R u.v� wwte.v� l ��ne -�vJ- i c e u��i�e v-
To Co v�v�C C,-� K�-�t(n-e,vl 5��n l� a.v�d c��S(r�c.c�c,�s(n,e cr'
�o co�n�n e c� Gc.�s 5-to ve
PERMIT FEE CALCULATION(S)
BASED OFF - 2002 STATE STATUE
❑ Yes,this section applies
The replacement of a Residential fixture or appliance that meets all 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 licensed contractor.
Skip next section, if this applies; Cost of Permit $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ l.50
Total Permit Fee $
(Permit Fees Continued On Next Page)
2
, r
m PERMM�`��'''�' ��� —JOBS�3
R ` �
+
, , .�.
,.,. . �
� :.
�_. .. �, . , ���
If above does not apply; follow guidelines below:
1. CONTRACT PRICE * is 1.25°/o of contract price with a(Minimum Fee of$35.00)
�� � U�• C�0 x.0125 $
(contract price) (minimum$35.00)
2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
x.0005 $
(co�tract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $
■ * CONTRACT PR10E 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 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 purposes. 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$],000,000 or$.50—whichever is
greater. For valuations over$1,000,000 call the Building Department at(952)249-4600 for the price.
�$,r��;.-��,,� PLUMBING PE '"' '�'�� °������1��;, 1�'��1V1EN�' '
" L
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: l/—aB—O�
��^� � .. c � � F��F y�q.,.�
��k ,.� Reset F � ����� �,a�"�s� �,
j� o�
3
_ _ __
y� .� "Vl CC� � ��,"�—_ /
\ ATGE TIME V
CITY OF ORONO CALLED IN � O 7
INSPECTION OTICE SCHEDULED � � d7 �t.'3�
PERMIT NO. 7� COMPLETED
ADDRESS �3
OWNER CONTR. �
TELEPHONE NO. 7�0� -�S�^ �� ��
� DESCRIPTION
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL
� WALL BD. ❑ WATER HOOK-UP
Z ❑ ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ �PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
� ❑ PLUMBING FINA� ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
� -
J U
O
a
�
O
�
W
�
Q
�
Z
W
�
W
�
�
d
W WORKSATISFACTORY:PROCEED f,i PROJECTCOMPLETE
� ❑CORRECT WORK 8 PROCEED ri ISSUE CERTIFICATE OF OCCUPANCY
W
0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALI INSPECTOR � CITATION ISSUED
C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail forthe next i�spection 24 hours in advance. (J52� 249-460�
OwnerlContract it :'
Inspector. �
White Copyllnspector's File Canary Copy/Site Notice