HomeMy WebLinkAbout2001-P04756 - plumbing CITY OF ORONO PERMIT
2750 Kelley Parkway - PO Box 66 Permit Number: Po4�s�
Crystal Bay, Minnesota 55323 Permit Type: F�Xtures
(952) 249-4600 Date Issued: 12�3v2ooi
SITE ADDRESS: 2760 Deer Run Tr E
Long Lake,MN 55356
PID: 04-117-23-13-0009
DESCRIPTION:
Proposed Use: xes�dential
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
1 dryer
FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 1,775.00
State Surcharge Fee: $ 0.89
Misc. Fee: $ 1.50
TOTAL FEE: $ 37.39
APPLICANT: Weld& Sons Plumbing OWNER: Paul Borchert
315 Juneau Lane 202 South Main St
Plymouth, MN 55447 Le Sueur, MN 56058
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 SIGNATURG IS�YIED BY SIGNATURE
Cooies: 1-File(SiQnitures Reauired). 1-Aoolicant, 1-Monthlv Reports. 1-Assessin�. 1-Finance Page 1
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CITY OF ORO\'O APPLICATION FOR PLLJ�SBING PERMTT
BoY 66 (2750 Kelley Parkway)
Cry�stal Bay, �IN 55323
GENERAL INFOR�IATION
1. You may apply for plumbing permits by mail or in person at the City o�ces.
2. Permit cards will be sen[ by retum mail after a review is completed. PERMITS ARE NOT VALID
UtiTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTII. THE PERMIT CARD IS
POSTED ON THE JOB SITE.
; 3. Plumbing permiu 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 covered. Call 249-4600. 24-hour notice required.
Instructiors Complete all items on this application. Compute the permit fee. Sign and date
the certification. Pi 1COMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call 249-4600.
Please check one: New Addition Repair �_ Replace
Residential Commercial
JOB STTE: �760 D�.�r �,;,�- Tr-u.,� Zip:
Owner's Name: Telephone Number:
�Iailing Address: ��6c� �r �un T�-«,�1 City: U s-vr�o Zip:
Contractor's name: ��d � ,�ns �/v,y��, ,nU Telephone I�umber:
Mailing Address: �,jS- �-rv/�eu.v L.�-n� City: P r�ov I� Zip: ,�s y�/7
PLUVIBING FIXTURE SCHEDULE
FIXTURE BS�1T 1ST 2ND OTHER FIXTURE BS:�iT 1ST 2ND 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 Misc (list) � U; ��--
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PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Niinimum Fee ($35.00)
I77�C2'� x .0125 $ �-(��'�
(contract price)
2. State Surchar�e. ** Add the State Building Code Division
Surcharge to each permit. 177,5:�D x .0005 $ �, ���J
(contract price)
or $.50, whichever is greater
3. Posta�e and Handlina (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ `j 7 3 c�
* 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 o�.er party the reasanable market value of such items m.us: be adde� to the estimated cost
or contract price for permit fee purposes. In the event[hat there is a dispute on the amount of the job cost,
the Ciiy may request the submission of a signed copy of the actual contract.
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** 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 Inspectional 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.
Applicant's Signature: �� Date: �.z ,Z(, U/
, / �� DATE TIME
CITY OF ORONO " ` A�LED IN
INSPECTION NOTI SCHEDULED �-' � �L'
PERMIT N0. COMPLETED � Z b
ADDRESS ti� �7�,- Li f�t' 2 /��-Ly/ T�� �
OWNER CONTR. 1���' 1���'Y✓J
TELEPHONE N0. �/� --�' � `� � -'� �� �
� DESCRIPTION `�- ���--Li''Y�,
� 01 FOOTING 11 MECHANICAL RI 18 EXCA�//GRADING/ ILL G
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 O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTI 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 C ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for ihe next inspection 24 hours in advance. (952) 249-4600
OwnerlContrac r n site:
, �_�
inspector.
White Copyllnspector's File Canary Copy/Site NoNce
�� DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE �-{ SCHEDULED � �•�3�
PERMIT NO. 1�u (�L'�� COMPLETED
ADDRESS �� �' p p�� ���� � .
OWNER CONTR. �.1�-P 1 c� � S�:r�
TELEPHONE N0. LD�� ^ � �� � �����
� DESCRIPTION �I V�_1 �-� �L 1,�r1'�j •
� Ot 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
v 07 OEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATlON/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU�YES_NO
� COMMENT •
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W� ❑WORKSATISFACTORY:PROCEED ROJECTCOMPLEfE
W ❑CORRECT WORK 8 PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
� O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALI INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the xt i spec ' 24 hours in advance. (952� 249-4600
Ownerl tor on sit .
Inspe r.
W ' Copyllnspector's File Canary CopylSite Notice