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Home My WebLink About2002-P05342 - plumbing PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway - PO Box 66 P05342 Crystai Bay, Minnesota 55323 Permit Type: FiX�res (952) 249-4600 Date Issued: 6�24�2002 SITE ADDRESS: 2690 Deer Run Tr E I,ong L,ake,MN 55356 PID: 04-117-23-13-0011 DESCRIPTION: Proposed Use: Kesidential Permit Class: Plumbing Permit Sub-type(s): Multiple Fixtures Permit Type: Fixtures DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 187.50 Valuation: $ 15,000.00 State Surcharge Fee: $ 7.50 TOTAL FEE: $ 195.00 APPLICANT: Steve Santema Plumbing OWNER: Scott&7ennifer Brekken 412 12th Street,Box 92 20972 Swansway Howard Lake,MN 55349 Deerpark, IL 60010 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. � � , i� �•"'��:, L �ir1 ��-- ��L— APPLICANTPERMITEESIGNATURE � ISSUEDBYSIGNATURE � Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports. 1-Assessin�, 1-Finance Page 1 - . . /� U 5 3�/� � CITY OF ORONO APPLICATION FOR PLUMBING PERMIT Box 66 (2750 Kelley Parkway) Crystal B�iti-, MN 55323 GENERAL INFORMATION 1. You may apply for plumbing permits by mail or in person at the City offices. 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 UNTIL 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 the State Code requirements. 6. All work must be inspected and air tested before it is cover�d. Call (952) 249-4600. 24-hour notice required. Instructions Complete all items on this application. Compute the permit fee. Sign and date the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call (952) 249-4600. Please check one: �ew Addition Repair Replace Residential Commercial JOB SITE: r G� e�! J � ' � Zip: Owner's l�'ame: ' � �c ��. Telephone Number: Mailing Address: � 7 S' l,��. City: � - ��,� Zip: �,�p�� Contractor'sName: � U � T le hone umber: ��0,2-8'�G/�/j Mailing Address: City: i��c_Zip: ��3�c PLUMBING FIXTURE SCHEDULE �� FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains / Lavato f Sewer E�ector Bathtub Laund Tra Shower Washer Kitchen Sink ,� Water Heater Dis osal Water Softener Dishwasher Wet Bar Sillcocks Misc (list) PERMIT FEE CALCULATION(S) 2002 State Statute ❑ Yes, This Section Applies The replacement of a Residential fixture or a,�pliance that meets all three of the following requirements: 1) Does not require modi�cation 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 In Fee $ 1.50 If above does not apply, follow guidelines below: 1. Contract Price* is .0125 % of job with a Minimum Fee of ($35.00) ��Q��3 x .0125 $ (contract price) (minimum$35.00) 2. State Surcharge. ** Add the State Building Code Division a (Minimum Fee of $ .50) x .0005 $ (contract price) (minimum$ .50) 3. Postage and Handling (Only 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 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 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 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 Pernut, 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: �vr��f�C>� DATE TIME CITY OF ORONO CALLED IN INSPECTION T SCHEDULED � ` '�-'� PERMIT NO. � COMPLETED � ��' A 3O ADDRESS �Cc�'I�D �/ ��-:2 /�c��ct� l iz � � OWNER CONTR. S�«-��-�— ��.-►'��. TELEPHONE NO. [� f� �'1l1' �CO /� � DESCRIPTION y� -1-- ��,/' ��S"� � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FR,4MING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATIGN 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALI 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 DEM - AL 15 SEPTIC INSTALL. 22 FOLLOW-UP Q 9 BING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10 PL ING FINA 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU: YES_NO � CD � W a � � O a � O � W � Q � Z W � W � � � ��WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT OCORRECTUNSAFECONDITIONWITHIN HOURS. ppHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTOARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector. ///�Q-r/L� _S White Copyllnspector's File Canary CopylSfte Notice �� DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED � PERMIT N0.T(�)�`�� COMPLETED ADDRESS ��q(� �F_�_�1 �i dl �T2 � OWNER CONTR. � �Lf;/�.�,� TELEPHONENO. �c� � ��/ � �� DESCRIPTION �?t,��G �/�,�. � 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 Z04 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 SEPTIC INSTALL. 22 FOLLOW-UP � 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL � OWNER/CONTRACTOR TO MEEf YOU:�YES_NO / � COMMENTS:��,�Q�'j��z; �' 1� f—��?�.- a j 0 �. � 0 � W � Q � Z W � W � � d W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call forthe next'nspection 24 hours in advance. (95Z� Z49-46�� OwnerlConUactor Inspector. White Copyllnspector's File Canary Copy/Site Notice